158021 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T359567 Page 1 of 1
ONE CIVIC SQUARE THE LIFEGUARD STORE INC CHECK AMOUNT: $4,122.60
CARMEL, INDIANA 46032 2018 EAGLE ROAD
NORMAL IL 61761 CHECK NUMBER: 158021
1 CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239099 85783 4,122.60 OTHER MISCELLANOUS
Invoi
$ue s�o P THE LIFEGUARD STORE, INC. REC.�,IVED
THE SWIM TEAM STORE
THE CLOTHING STORE MAR 1 7 2008
°••846a °`'ry NORMAL, IL ROAD 85783
PH (309) 451 -5858 Bit':
FAX (309) 451 -5959
www.thelifeguardstore.com
Carmel Clay Parks Recreation Cannel Clay Parks Recreation
Tina Hotze Tina Hotze
1411 East 116th Street 1411 East 1 16th Street
Carmel, IN 46032 Carmel, IN 46032
TERMS
18058 Net 30 DC 3/12/2008 Federal Express
IS
250 120 i Seal Easy /"1= way�valve 1 690 1z725.00
10�y22 €Seal Easy- xygen- Adapter'. 2:10 2-1 -00=
1"0 142 Vac Replacement Cartridge 1200 120.00.
ZI66 1 ,Q. Rgplacement,Head Immob�l�zeri
1 13 Rescue Cath (Newborn) 110 .00 1 10.00_
w I '815 `'Basic Casualty Simulation K 31 9 00
2 1058 Nonrebreathing Mask -Child 2.35 4.70
2 059 INonrebreathmg "Mask I -95 3 '_10
Y
°250 1 Assorted' Lanyards °0.60 1 .00"
w 2�0 170A Assorted Fox 40 2 -90 f
b-Adult
Bag- Ual.ve lvlask I :4.Op G 28:00'
2 132 ,.,Child_Bag Valve -Mask 14.00 28.0,0
134 Bag Valve
14.00 28.00
50 156NL N' rile Gloves Size large 100 peF box THIS W ILL SHIP El 0 00 500.00
�L -FROM THE MANUFACTURER-'-,,
S� X
1 FED EX Fed'Ex Shipping and Handing 300 00 300.00
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Thank you- for your business.
TOTAL 31 $4,122.60
�9 3303
all�l�a
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.
The Lifeguard Store, Inc. Date Due
2018 Eagle Road
Normal, IL 61761
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/12/08 85783 Lifeguard supplies 4,122.60
Total 4,122.60
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
.icher No. Warrant No.
Allowed 20
The Lifeguard Store, Inc.
2018 Eagle Road
Normal, IL 61761 In Sum of
4,122.60
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 85783 4239099 4,122.60 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
27 -Mar 2008
S nat re
4,122.60 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund