203512 11/09/2011 *f CITY OF CARMEL, INDIANA VENDOR: 365267 Page 1 of 1
ONE CIVIC SQUARE KAST -A -WAY SWIMWEAR INC
CARMEL, INDIANA 46032 9356 CINCINNATI COLUMBUS ROAD CHECK AMOUNT: $481.50
CINCINNATI OH 45241 -1197
CHECK NUMBER: 203512
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 813524 481.50 GENERAL PROGRAM SUPPL
Kast -A -Way Swimwear Indiana INVOICE
1726 East 86th Street
s w I M W E A R Indianapolis, IN 46240
800 345 -5682 III��IIII IIII�II�I�IIIOI�I�III
E -Mail: sales@ kastawayswimwear.com
Website: www.kastawayswimwear.com Invoice j 813524
Invoice Date 10/20/11
Due Date 11/19/11
Page
Sold CARMEL CLAY PARKS AND REC Ship CARMEL CLAY PARKS AND REC
To 1411 E 116th ST To 1411 E 116th ST
I
46032, i x1 46032,
Cust 697 Ship Date ASAP Ship Via _BEST W AY Order 1 813526
Salesrep RW PO No. MC002092 Terms Net 30 Days Ord Date 1 10/20/11
Item Number Ordered Shipped Description Price Amount
i
9780P 15 15 BOARD SHORT 32.00
Dis Pr 25.60 384.00
790 BLACK /MD 5
790 BLACK /LG 5
790 BLACK /XL 5
EMBROIDERY 15 15 CUSTOM EMBROIDERY 6.50
97.50
OCT 2 nt 10i1
o
j Purchase
Description SwtMwEtaFL'
P.O. a89P13 P oi+;�]
G.L.# j Q'Jla- IC) •y23�J0��
Budget
Line Descr
Purchaser Date
Approval Date
SUBTOTAL 481.50
i
SALES TAX .00
When paying by check SHIPPING .00
PLEASE reference INVOICE INV SUBTOTAL 481.50
481.50 On Account PMNT
AMOUNT DUE 481.50
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.
365267 Kast -A -Way Swimwear Indiana
Terms
1726 East 86th Street
Indianapolis, IN 46240
Invoice Invoice Description PO
10 Amount
Date Number (or note attached invoice(s) or bill(s))
120111 813524 Swimwear 28983 481.50
Total 481.50
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.
365267 Kast -A -Way Swimwear Indiana Allowed 20
1726 East-." 86th Street
lndla apolls, I!N 46240
**new address In Sum of
481.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 813524 4239039 481.50 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
3 -Nov 2011
Signature
481.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund