156692 02/21/2008 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: $196.00
NORMAL IL 61761
CHECK NUMBER: 156692
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1047 4239099 83736 196.00 OTHER MISCELLANOUS
�i:
e �ar J Invoice
r THE LIFEGUARD STORE, INC.
THE SWIM TEAM STORE JAN 3 0 2008
THE CLOTHING STORE
2018 EAGLE ROAD 1/21/2008 83736
eO0846. NORMAL, IL 61761 BY:
PH (309) 451 -5858
FAX (309) 451 -5959
www.thelifeguardstore.com
o e
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Tina Hotze Tina Hotze
1411 East 116th Street 1411 East 116th Street
Carmel, iN 46032 Carmel, IN 46032
Sample Net 30 NW 1/21/2008 �ecleral Exp...
WPM ee
1 GS (Solid Female H :2 Back Color`: Navy (490) Size: 34 33.50 33.50
_1 Sol id FemaIe Back Color: Navy (490) Size: 36' 33 :50_� x._.-- :50
1 L-GS1ON38 Solid- Female H -2 Back Color: -Navy- (490)- Size: -38 33.50. 33:50
1�LG530NL_ e_Board_Short Color_Na_vy Size:_L _�21.50� 21.50___
1 501 Rashguard S hort S One -Color (Navy) Size: Small 18.00 18.00
501SSNL �[Rashguard Short Sleeve Orie -Color '(Navy) Size: Large 18.00 18.00
1 501LSNM Rashguard Long Sleeve One Color (Navy) Size: Medium 2000 20:00
—1 FED EX- [Fed -Ex- Shipping- and- Handling --w 7_18:00 18:00-
ell
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Please remit to above address.
TOTAL $196.00
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1
1.
ACCOUNTS PAYABLEVOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
j mhom, 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
1/21/08 83736 Lifeguard supplies 196.00
Total 196.00
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.
Allowed 20
The Lifeguard Store, Inc.
2018 Eagle Road
Normal, IL 61761 In Sum of
196.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 83736 4239099, 196.00 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
13 -Feb 2008
si ture
196.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund