161913 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359367 Page 1 of 1
ONE CIVIC SQUARE KELTNER INC
CARMEL, INDIANA 46032 LOCKBOX R CHECK AMOUNT: $2,298.59
<rox `a PO BOX 11588 CHECK NUMBER: 161913
FT WAYNE IN 46859 -1588
CHECK DATE: 7123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1047 4356004 129906 948.79 STAFF CLOTHING
1047 4356004 129932 720.55 STAFF CLOTHING
1047 4356004 129947 629.25 STAFF CLOTHING
Lockbox R �CETVED
P.O. Box 11588 JUN 2 7 20"0
Fort Wayne. IN 46859 -1588 ���D�C�
KELTNM i11C- 317- 844 -05 10 BY:
Ph:317- 848 -7275 Fx:317- 571 -4136 s
Customer s H
o I Carmel Clay Parks Recreation
1277 Carmel Parks Recreation P Attn: Tina Hotze
Attn: Tina Hotze T 1411 East 116th Street
Job# T 1235 N. Central Park Dr. E o Carmel IN 46032
o Carmel IN 46032
99107 via UPS GroundTrak
FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 34 Chuck Ford 06/04/08 06/23/08 06 129906
Ordered Shipped Qty BO Item Description Price Per Amount
125 131 I -3250 Tactel Nylon Hat -Navy HX4 6.980 EA 914.38
Soft, Coolmax Sweatband
s
JUL 0 2008
U�
Cap Tactel Nylon Hat with soft structure, coolmax
sweatband in Dark Navy HX4
LIFEGUARD embroider on front of cap in Lime Green to
Terms Net 30 PLEASE PAY
Tax 0031201550 914.38 0.00 34.41 0.00 THIS AMOUNT 948 79
Sub -total Insurance Shpq/HdIq Sales tax Total
Any amount not paid within 30 days will be assessed a finance charge of 1.5 per month. 18% per year. Future orders will be held if account is past due. CUSTOMER IN /OI C E
Lockbox R =5 y:
P.O. Box 11588
Fort Wa IN 46ss9 -15sg INVOICE
inC. 317- 844 -0510
Ph:317- 573 -5250 Fx:317- 573 -5254 s
Customer s H
Carmel Parks and Recreation
1083 L P Attn: Tina Hotze
D Carmel Parks and Recreation
Attn: Tina T 1235 North Central Park Dr E
Central o Carmel IN 46032
Job# r 1235 North Central Park Dr E
o Carmel IN 46032
99104 Via UPS GroundTrak
FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 34 M Chuck Ford 06/04/08 1 06/23/08 06/17/08 129932
Ordered Shipped Qty BO Item Description Price Per Amount
175 175 4230 Visor, Brushed Heavy 3.900 EA 682.50
Cotton, Navy I
175 175 LIFEGUARD LIFEGUARD embroider 0.000 EA 0.00
Center Front of Cap
i JUL C 2 2008
I
LIFEGUARD embroidery front center of the visor.
Embroidery color in Lime Green. Thread color to follow.
Please ship out as soon as possible
.Terms Net 30
682.50 0.00 38.05 0.00 PLEASE PAY 720.55
THIS AMOUNT
Sub -total Insurance Shpq/Hdlq Sales tax Total
Any amount not paid within 30 days will be assessed a finance charge of 1.5 per month, 18% per year. Future orders will be held if account is past due. C USTOMER INVOICE
Lockbox R
P.O. Box 11588 INVOICE
Fort Wayne, IN 46859 -1588 JUN 2 7
inC. 317 -844 -0510 2008
Customer
Ph:317- 573 -5250 Fx:317- 573 -525 'Ay':. a_
s
Carmel Pa
1083 rks and Recreation
P Attn: Tina Hotze
D Carmel Parks and Recreation T 1235 North Central Park Dr E
Attn: Tina Hotze o Carmel IN 46032
Job# T 1235 North Central Park Dr E
o Carmel IN 46032
99194 via UPS GroundTrak
FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 3 Chuck Ford 06/04/08 06/24/08 06/16/08 129947
Ordered Shipped Qty BO Item Description Price Per Amount
s
150 .150 15097 Fanny Pack Navy Blue 3.690 EA 553.50
1 1 PMS PMS Color Match Charge 40.000 EA 40.00
PMS -360
]D
i
e
JUL ®2 2008
I
Lifeguard with a cross centered underneath imprint in a
PMS -360 Green per attached exact art to size.
Questions, please call Chuck Ford at 317- 435 -1224
Terms Net 30 PLEASE PAY
593.50 0.00 35.75 0.00 THIS AMOUNT 629.
Sub -total Insurance Shpq/HdIq Sales tax Total
Any amount not paid within 30 days will be assessed a finance charge of 1.5 per month, 18% per year. Future orders will be held if account is past due. CUSTOMER I NVOIC E
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.
Keltner Associates Date Due
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6123/08 129906 Nylon hats aquatics PO 19076 948.79
6/23/08 129932 Visors aquatics P0,1 9077 720.55
6/24/08 129947 Fanny Packs aquatics PO 19078 629.25
Total 2,298.59
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
Keltner Associates
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588 In Sum of
2,298.59
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 129906 4356004 948.79 1 hereby certify that the attached invoice(s), or
1047 129932 4356004 720.55 bill(s) is (are) true and correct and that the
1047 129947 4356004 629.25 materials or services itemized thereon for
which charge is made were ordered and
received except
18 -Jul 2008
Signature
2,298.59 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund