164007 09/17/2008 f
CITY OF CARMEL, INDIANA VENDOR: 359202 Page 1 of 1
ONE CIVIC SQUARE WATER SAFETY PRODUCTS
CARMEL, INDIANA 46032 P 0 Box 510861 CHECK AMOUNT: $4,775.00
�o MELBOURNE BEACH FL 32951 -0861 CHECK NUMBER: 164007
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4356004 100663 4,775.00 STAFF CLOTHING
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V d Water Safety Products, Inc. INVOICE NO. 100663
y n� PO BOX 510861
Melbourne Beach, FL 32951 -0861 CUSTOMER NO. IN /CARMEL
c �g Phone :321- 777 -7051-
Fax :321- 777 -5438-
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SOLD TO: SHIP TO:
CARMEL -CLAY PARKS RECREATION CARMEL -CLAY PARKS REC
1235 CENTRAL PARK DR E. ATTN: TINA HOTZE
CARMEL, IN 46032 1235 CENTRAL PARK DR E.
CARMEL, IN 46032
Inv Date -Ship Via Tracking Invoice Terms -Ship Date
08/15/08 GROUND 123X12810344892668 Net 30 Days 08/15/08
P.O. Number PO-Date Dept Store-- Slsmn Ctns Lbs Ord
TINA HOTZE 07/27/08 BM 0001 2 45 071372
Style Description Units Price Exten.
2XS XS S M L XL 2XL 3XL
909 THIN STRAP LADIES SUIT
NVY Design: ELLIS ASSOC. EMBR
0 0 25 25 25 25 0 0 100 25.50 2550.00
922 MALE BOARD SHORT
NVY Design: ELLIS ASSOC. EMBR
0 0 25 25 25 25 0 0 100 21.50 2150.00
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Total Pieces 200 Subtotal 4700.00
Tax 0.00
Shipping 75.00
Total 4775.00
Water Safety Products, Inc.
INVOICE NO.100663
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ACCOUNTS PAYABLE VOUCHER
t CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No. 19085 F
359202 Water Safety Products, Inc. Date Due
P.O. Box 510861
Melvourne Beach, FL 32951 -0861
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/15/08 100663 Staff uniforms Aquatics 4,775.00
Total 4,775.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
359202 Water Safety Products, Inc.
P.O. Box 510861
Melvourne Beach, FL 32951 -0861 in Sum of
4,775.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 100663 4356004 4,775.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
29 -Aug 2008
Signature
4,775.00 Accounts Payable Co ordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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