163840 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T359567 Page 1 of 1
ONE CIVIC SQUARE THE LIFEGUARD STORE INC
CARMEL, INDIANA 46032 2018 EAGLE ROAD CHECK AMOUNT: $8,467.70
NORMAL IL 61761 CHECK NUMBER: 163840
CHECK DATE: 9/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1047 4239099 91543 208.00 OTHER MISCELLANOUS
1047 4239099 92119 4,861.20 OTHER MISCELLANOUS
1047 4239099 93985 340.00 OTHER MISCELLANOUS
1047 4239099 94246 562.50 OTHER MISCELLANOUS
1047 4239099 98151 760.00 OTHER MISCELLANOUS
1047 4356004 98675 1,736.00 STAFF CLOTHING
I
Invoice
�-I->✓ a STo�
Date Invoice
5/30/2008 91543
Bill To Ship To
Carmel Clay Parks Recreation Monan Center at Central Park
Ann. Accounts Payable Attn Tina Hotze
1411 East 1 16th Street 1235 Central Dr East
Carmel, IN 46032 Carmel IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 DDB 5/30/2008 Federal Express
Quantity Item Code Description Price Each Amount
2 486T Lifeguard First Response Bag 95.00 190.00
1 FED EX Fed Ex Shipping and Handling 18.00 18.00
FedEx Ground Tracking Number(s): 052038861601398
AU 2 R 2008
Thank you for your business.
Total $208.00
RUG -20 -2008 08:04 From:The Lifeguard Store 3094515959 To:13175735254 Page:2
Invoic
THE LIFEGUARD STORE, INC.
(r� THE SWIM TEAM STORE
THE CLOTHING STORE
A 2018 EALE
NORMAL IL 6107611 5/30/2008 01543
PH (309) 451 -5858
FAX(309)451 -5959
www thelifeguardstore.com
c SHIP TO
Carmel Clay Parks Recreation Purchase Momm C'.rnlrr w C'enlMl Prirk
Attn. Accounts Payable Description Glkf VlQ �S Attn Tina Hotze
1411 rust 1 16th Street. P.O. �U 1� Par 1235 Central hr Gast
Carniel, IN 46032 O j �330b j� Z�? C/ D Carmel IN 46032 RECEIVED
Linelb%scr 6 u -fie- AUG 2 Q 2008
Purchaser Date BY: —q
Approval
i f
Net 30 ,5/30/2008 Federal Express
QUANTITY ITEM c oor= DESCRIPTION AMO
:i` r ifc ii ai d =First 1�cs oiisfl f3a ra a:,�
2 486T
r, ;�{a xr 9510(1M' a 1190600'
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I'lia'iik you`for your liusincss. AA
T®TI�'iL $208.00
R C0PVy'F
Invoice
6/4/2008 92119
E s
Carmel Clay Parks Recreation Monan Center at Central Park
Attn. Accounts Payable Attn Tina Hotze
1411 East 116th Street 1235 Central Dr East
Carmel, IN 46032 Carmel IN 46032
18695 Net 30 DC 6/4/2008 Federal Exp...
law
5 AW0603 4.75" 25 Meter Racing Lanes with 25 Yard Disconnect Blue this will 415.00 2,075.00
ship from the manufacturer waiting for color choice
6 35.50008 Titeline Lane Tightener Color: Blue this will ship from the 72.00 432.00
manufacturer
2 486T Lifeguard First Response Bag 95.00 190.00
12 122 Seal Easy Oxygen Adapter 2.35 28.20
3 166 on backorder
4 130 Adult Bag Valve Mask 14.50 58.00
4 132 Child Bag Valve Mask 14.50 58.00
4 134 Infant Bag Valve Mask 14.50 58.00
8 1058 Nonrebreathing Mask -Child 2.50 20.00
8 1059 Nonrebreathing Mask -Adult 2.00 16.00
5 140 V -Vac Starter Kit 1 on backorder 71.00 355.00
2 210503W 15" Personal Pace Clock White this will ship from the 160.00 320.00
manufacturer
4 487 Fixed flow regulator. 15 Liter 92.00 368.00
4 488 C Oxygen Tank 240 Liter 97.00 388.00
1 FED EX Fed Ex Shipping and Handling 495.00 495.00
R- R- C.!�•.4� R
All
Total: $4f861.20
AUG-20-2008 08:04 From:The Lifeguard Store 3094515959 To:13175735254 Page:3
Invoice
THE LIFEGUARD STORE, INC.
THE SWIM TEAM STORE DA
THE CLOTHING STORE
2U18 t_AQLE ROAD
4, NORMAL, IL 61761 6/4/2008 92119
PH (309) 451 -5858
FAX (309) 451 -5959
www. thallfeguardstore.com
Carmel Clay Parks Recreati5mhase Monan Center at Central Park
Attn. Accounts Payable Description r irt"��o S'A'GA ItCS Attn Tina Hotze
1411 East 116th Street P.O. P 010 1235 Central Dr Cast
Carmel, IN 46032 L O c Carmel IN 46032
G.L# 1.33 d.� y?�yOy�
B t A Q RECEIVED
Purchaser Z� Date AUG 2 0 2008
Approval Da te`__
s SHIP o
I
r
18695 Net 30 D:C 6/4/2008 Federal Exp...
ilia
OLIANTITY ITEM CODE DESCRIPTION R ICE EACH jAW0663. 2
T 41"7 5!! Meter. tacIi' L 6 th Z5Yard'i5c6n n Bl
e ue °Ehis 9•,;t: 41
A s t` 5; 0,, V 2 75 Obi
'a #t�tr�:. :'iF r D �tLLO... �c+er4�t "°,•�'?'j'' 0
will ship`fro'm'the manufacturer"= walting "Por
6,.35.50008- y „;ntellne:lane- Tightener Color' Blue this: will -the .r �:�O.,Jr. a r. 432, 00.w
E 'Y 1 f .v .r 41 w .r x 0 by ar -,aG: rr ar iC.;' 9S'
-r _'Fn`antifaddrrer3 sc M s: 1�� a:�Ya. r...
2 486T Lifeguard First Response Bag 95.00 190.00
12� �122a. a ;io ii eal! -y eri Adapier :d
V Fm 2135'
h..k 4
3766on 6i ckordcr •r
r w4r134s_ t A4UI46a Val Z'k447nYi
E Child'68g Va6ve:hlask`. "t r: .yo- v a wr n ti4.50 s
4 134 Infant BaC Valve Mask 14.50 58.00
'.8 1058; -%ar:Nonrebreathing Mask CFiiid .3 i x;50- F
r d 3. .Ax i. v.. Y��i�:
8 1059 fVonretireaf}iiny Mask Adult 2.db 16.00
on':backord_ er.,� x ..-tfi 1 ?'x.000. 4'.rc� i*= .�'+d'.
2 2F0503W� `1'5 "'Pensonalace Clock= '11VFiitethlstwill ship'from liie- T <�160.00- 320:00
?.fi�..�p ',',d �•,h a
i fixed r t0
4'f 487.. i Y flow: ulator 5:0t&,fi w a e,.,a t %Fr' Z 0' 3Ga:00
240 l ,.a.... -.6 a •rr'. 1'- 4 5,��� 'q,..._ oaf n.,l dSr•� r
4 488 C OWygen Tank Liter 97.00 388:00
aR95;00=
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T $4,861 ®20
O-'r 1
Invoice
5TDRC-
Date Invoice
6/20/2008 93985
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Attn. Accounts Payable Tina Hotze
141 1 East 1 16th Street 1411 East 1 16th Street
Carmel, IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Phone:Order Net 30 NW 6/20/2008 Next Day -Sat.
Quantity Item Code Description Price Each Amount
100 170A Assorted Fox 40 Whistles 2.90 290.00
1 FED EX Fed Ex Shipping and Handling 50.00 50.00
FedEx Express Tracking Number(s): 970389348485
1E)
AUG 2 2008
I �Y:
Please remit to above address.
Total $340.00
AUG -20 -2008 08:85 From:The Lifeguard Store 3094515959 To:13175735254 Page:4
Invoice
a4t3eern,c
THE LIFEGUARD STORE, INC.
rr`t THE SWIM TEAM STORE
DATE vol�t
THE CLOTHING STORE
WO T• :ry NORMAL
IL 6 R OAD 6/20/2006 93985
PH (309) 451.5858
FAX (309) 451 -5959
www.thalifaguardstore.com
Carmel Clny Pttrks Recreation Purchase Carmel Clay Parks Recreation
A(In. Accounts Payable Description Tina I Iotzc
1411 5asl. 116(b S(rnct P.O. G L /UO P 141 1 Fasl I I Pith Strccl RECEIVED
C(trrnnl, IN 46032 300 Carmel, IN 46032
Budget AUG 2 0 2008
Li, Descr D
Purchaser �t Datea�
0 BY:
Approval Date
Phone Order Net 30 NW 6/20%2008 Ncxt Day -Sat.
QUANTITY ITEM cooE DESCRIPTIO
VC 1 y?i i�ssortecl fti�'4UVU'ti.45tleF .G,� �P' s e'rt r•X 'v� r 2`96` .,:�9(T(�0°
�a�_.�.._.. R 7r!ae�:.
1' 'LYL"X" I�eil Cz Srpping and uildling 5f1 0� 50,00
tr 3 6 t s.a S CRCICt!)I�trlatser. 5)'97()38y34Z3485 �T =r'.
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.r •e_
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Please remit to above address. TOTAL
$34(1.0( I
BC P%-&
u �G -UA2p s -ME Invoice
Date Invoice
6/24/2008 94246
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clav Parks Recreation
Attn. Accounts Payable Tina Hotze
141 1 East 1 16th Street 141 1 East 1 16th Street
Carmel, IN 46032 Carmel. IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
email Net 30 KRP 6/24/2008 Federal Express
Quantity Item Code Description Price Each Amount
PSWV -200 Super Water Volley 495.00 495.00
1 17350 Water Volleyball /Basketball 12.50 12.50
l FED EX Fed Ex Shipping and Handling 55.00 55.00
Super Water Volley SHIPPING FROM MANUFACTURER
FedEx Ground Tracking Number(s): 052038861252859
TED
i
nUG 2008
i
Please remit to above address.
Total $562.50
AUG -20 -2008 08:06 From:The Lifeguard Store 3094515959 To:13175735254 Page:5 /7
Invoice
,FQyerq
THE LIFEGUARD STORE, INC.
THE SWIM TEAM STORE
THE CLOTHING STORE
Oaa``g ti
2018 EAGLE NORMAL, LL 01 D 6/24/2008 94246
PH (309) 451 -5858
FAX (309) 451 -5959
www.thelifegu,grdstore.com
Carmel Clay Parks Recreation Purchase I )/I Car'mcl Clay Parks Recreali<m
p "1 `mil
Atm. Accounts Puyublc Description �,-7v-�U —r� .1 ina t
1411 East 116th Street P.O. P r 1411 East 116th Strcrt REC
Carmel, IN 46032 ,b. 3 D Q 2 3 b �'armcl. IN 4(1032
G.L. L� C(
B AUG B 0 2008
Line Descr lit -6, L 5 0
Purchaser 1 2 6 6 ate 1 a C $Y:
Approval Date
•e
crnriil Net 30 KRP 6/24/2008 rederal Express
ITEM CODE DESCAIPTION PRICE EACH AMO
y r
t
a 1:'P.SWU -21)0 s..� r Surer W',stTe�+ifiY`' s..:.
Water VolleyliallBNskctlial'1 •as; x• 2 a� w t .:1'
,i >EDEX;c P
;hipping.and: land'ting;m,y, 500, 0 i l a t ,5. s a' 5 ?0
.•4 .0 oc r. k. i.']y''.s• -+.k`i .dr :.r '"Y' ,-i. ;I
4 C:'. R• Y om. .r
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5fi br Jc ti. i :f i F ,�:.m, •AR• e.-• l :a�ffi ,J� i-, -:r,. "a'• 7� if4. {r
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®TAL 9562.50 ..J
Invoice
Date Invoice
8/7/2008 98151
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Attn. Accounts Payable Tina Hotze
1411 East 1 16th Street 141 1 East 1 16th Street
Carmel, IN 46032 Carmel, IN 46032
S.O. No. P.O. No. Terms Project
11049 Net 30
Item Description Ordered Prev. invoiced Invoiced Rate Amount
210503W 15" Personal Pace Clock White 4 0 4 160.00 640.00
These will ship directly from the manufacturer.
PO has been completed and attached.
FED EX Fed Ex Shipping and Handling 1 0 1 120.00 120.00
WED
AUG 2 2 2008
I
Y:
Thank you for your business.
Subtotal $760.00
Sales Tax (0.00) $0.00
Total $760.00
Payments /Credits $0.00
$760.00 kks
AUG -20 -2008 08:07 From:The Lifeguard Store 3094515959 To:13175735254 Page:G '7
Invoice
THE LIFEGUARD STORE, INC.
THE SWIM TEAM STORE
THE CLOTHING STORE
2018 EAGLE ROAD
NORMAL, IL 01701
9/7/2008 98151
PH (309) 451 -5858
FAX (309) 451 -5959
www.thelifeguardstore.com
Carmcl Clay Parks ILecPgictkifi Cm Clay Parks Recreation
Atm. Accounts Payahle Description s Tina I lotze
1411 East 116th Strect P.O. (A -73-30,03_5q P or 1411 Etisl. 11Glh Street
rm
Cacl, IN 46032 r, L 23iUC1 Carmcl, IN 46032
7BY: budget L,� U P l�S 208
Purchaser Date Approval Date
o
SHI
6 JECT
I 1
11049
QUANTITY ITEM C ODE OESCRIPTION PRICE EACH AMO
2 f,0503,W` i'` S' "Pcrso al` Pace Gfo_'e1M- i v g r 4G l; a ",4 ii 60 b0' F640 ;OO,s.
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'These wIl1 sliip directl'y'I 11ic mJJnufsictilrcr.
:PO has•been,eotn leted aml'attaehcdsF r t^ M' ^x- P s: ss
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I hank you for your business.
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Payments /Credits
77.T. o_oa
�r•a�T+"�r,:OC s.�=� G 3_�"
TOTAL, $760.00
[ECOPY
,we
LIFEGUARD STORE Invoice
Date Invoice
8/15/2008 98675
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Attn. Accounts Payable Tina Hotze
141 1 East I I6th Street 1411 East 1 16th Street
Carmel, IN 46032 Carmel. IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
phone Net 30 NW 8/15/2008 Federal Express
Quantity Item Code Description Price Each Amount
18 9905NS #9905 Classic Solid Pullover Color: Navy Size: Small -2 28.00 504.00
ON BACKORDER
20 9905NM #9905 Classic Solid Pullover Color: Navy Size: Medium 28.00 560.00
15 9905NL #9905 Classic Solid Pullover Color: Navy Size: Large 28.00 420.00
4 9905NXL 49905 Classic Solid Pullover Color: Navy Size: XLarge -6 28.00 112.00
ON BACKORDER
3 9905NXXL 9905 Classic Solid Pullover: Navy XXL 30.00 90.00
Ellis logo screened front Iefl chest white ink
1 FED EX Fed Ex Shipping and Handling 50.00 50.00
#9905 Classic Solid Pullover Color: Navy Size: Small -2
ON BACKORDER
99905 Classic Solid Pullover Color: Navy Size: XLarge -6
ON BACKORDER
FedEx Ground Tracking Number(s): 052038861284324,
052038861284331,052038861284348
FCEIVE
AUG 2 2 2008
B
Please remit to above address.
TOM 1,736.00
AUG -20 -2008 08:08 From:The Lifeguard Store 3094515959 To:13175735254 Page:7 /7
Invoice
��•;��rP =y�o� THE LIFEGUARD STORE, INC.
THE SWIM TEAM STORE r
THE CLOTHING STORE
�yM1 2018 EAGLE ROAD 8/15/2008 98675
NORMAL, IL 61761
PH (309) 451 -5858
FAX (309) 451 -5959
www.theliteguardstore.com
Carnicl Clay Parks Recreation Purchase C'ar nO Clary Parks Recreation
Attn. Accounts Payable Description L I a to Tina Hotzc
1411 &ISt l 16(h Street P.O. 1411 Fast 1 161A Street
Carmel, IN 46032 G.L ('tlrmCI, iN 46032
I u4�1- �k 3s�o ®�1� 7 Y:q— IVED Budget L ine Destx S •n Purchaser �n ,1- Date 0 200821 Approval Date
F
rlione Net. NW 8/15/2008 Federal Impress
QUANTITY rrEm CODE DESCAWTiON PRICE EACH AMO
a I8 (t r s coE 1' r$C F 7•'�. ar. 1a 1,,.!. ,•,r
�4 5 t#t9905J(;la si id'. ullove ofo ap Size, mall 1 �'a 2�i;00. rc• 4:00"
5S
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2Q a sir il.i4 9f GlascicfSolid L ttl.lov_et�C'oior .gNava. S u :�vlc Ht�ms c3 F 281}0 s. 560 -)0w
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4 9905NXL,'.,. #f9905..Cla,,sic- So.licLl,ullovcr Color: Na�y,�li�c;, ge,�E� 28,00 1.12 ,0.0
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Kasc remit to above address,
TOTA $1,736.00
IECOPY
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.
Lifeguard Store, Inc., The Terms
2018 Eagle Road
Normal, IL 61761
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/08 91543 Lifeguard first response bag 208.00
6/4/08 92119 Aquatic supplies 18695 F 4,861.20
6/20/08 93985 Whistles 19400 F 340.00
6/24/08 94246 Volleyball net 19405 F 562.50
8/7/08 98151 Pace clocks 19214 F 760.00
8/15/08 98675 Lifeguard clothing 18685 F 1,736.00
Total 8,467.70
I 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.
0 Lifeguard Store, Inc., The Allowed 20
2018 Eagle Road
Normal, IL 61761
In Sum of
8,467.70
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 91543 4239099 208.00 1 hereby certify that the attached invoice(s), or
1047 92119 4239099 4,861.20 bill(s) is (are) true and correct and that the
1047 93985 4239099 340.00 materials or services itemized thereon for
1047 94246 4239099 562.50 which charge is made were ordered and
1047 98151 4239099 760.00 received except
1047 98675 4356004 1,736.00
27 -Aug 2008
LA Ipm
Signature
8,467.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund