160622 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359202 Page 1 of 1
ONE CIVIC SQUARE WATER SAFETY PRODUCTS
CARMEL INDIANA 46032 P O BOX 510861 CHECK AMOUNT: $289.00
sq`�e MELBOURNE BEACH FL 32951 -0861
CHECK NUMBER: 160622
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 97833 289.00 FOOD BEVERAGES
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��p Water Safety Products, Inc. INVOICE NO. 097833
Goa PO BOX 510861
u�i to Melbourne Beach, FL 32951 0861 MER NO. IN /CARMEL
i Phone :321- 777 7051
Fax :321- 777 -5438-
MA
SOLD TO: SHIP TO:
CARMEL -CLAY PARKS RECREATION CARMEL -CLAY PARKS RECREATION
`.1235 CENTRAL PARK DR E. TINA HOTZE
CARMEL, IN 46032 1235 CENTRAL PARK DR E.
CARMEL, IN 46032
Inv. Date Ship Via- Tracking Invoice Terms—- -Ship Date
05/21/08 GROUND 365292760111131 Net 30 Days 05/21/08
P.O. Number PO-Date Dept Store-- Slsmn Ctns Lbs Ord
68235 05/19/08 MR 0000 1 6 069171
Style Description Units Price Exten.
XS S M L XL XXL
801L -R L/S LYCRA SUN /RASH GUARD
NVY, E &A CUSTOM
0 "2 1 2 0 1 6 24.50 147.00
E A LOGO WITH ELLIS INTRUCTOR
UNDERNEATH
8015 -R S/S LYCRAGUARD SHIRT
NVY Design: E &A CUSTOM
0 1 1 3 0 1 6 21.50 129.00
E a LOGO WIHT ELLIS INSTRUCTOR
UNDERNEATH
7 J joo`7 7B FIVED
3 2008
Total Pieces 12 Subtotal 276.00
Tax 0.00
Shipping 13.00
Total 289.00
Water Products, Inc.
INVOICE'NO.097833
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Water Safety Products, Inc.
P.O. box 510861 Date Due
Milbourne Beach, FL 32951 -0861
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/21/0$ 97833 Supplies 289.00
Total 289.00
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
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Clerk- Treasurer
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i oucher iNo. Warrant No.
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Allowed 20
Water Safety Products, Inc.
P.O. box 510861
Milbourne Beach, FL 32951 -0861 In Sum of
289.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 97833 4239040 289.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
4 -Jun 2008
Sig ture
289.00 Business Services M anager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund