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168580 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T359567 Page 1 of 1 'ONE CIVIC SQUARE THE LIFEGUARD STORE INC CARMEL, INDIANA 46032 2012 WEST COLLEGE AVE CHECK AMOUNT: $699.50 v NORMAL IL 61761 CHECK NUMBER: 168580 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4356004 101194 173.00 STAFF CLOTHING 1047 4356004 89165 302.50 STAFF CLOTHING 1047 4356004 98939 224.00 STAFF CLOTHING r, "r. I The Lifeguard Store, Inc. Invoice 2012 W. College Avenues Normal, IL 61761 5/9/2008 89165 Carmel Clay Parks Recreation Carmel Clay Parks Recreation Attn. Accounts Payable Tina Hotze 1411 East 116th Street 1411 East 116th Street Carmel, IN 46032 Carmel, IN 46032 Phone Order Net 30 NW 5/9/2008 Federal Exp... 1 580RS Lined Nylon Jacket w /pockets drawstring, Lifeguard logo and 30.75 30.75 cross on left chest. Color: Red Size: Small 1 580RM Lined Nylon Jacket w /pockets drawstring, Lifeguard logo and 30.75 30.75 cross on left chest. Color: Red Size: Medium 1 580RL Lined Nylon Jacket w /pockets drawstring, Lifeguard logo and 30.75 30.75 cross on left chest. Color: Red Size: Large 1 580NXL Lined Nylon Alumni Jacket w /pockets drawstring (9905). Color: 30.75 30.75 Navy Size: XLarge 1 580RXXL Lined Nylon Jacket w /pockets drawstring, Lifeguard logo and 30.75 30.75 cross on left chest. Color: Red Size: XXLarge 1 590RS Lined Nylon Pants w /pockets lower leg zipper. Color: Red Size: 25.75 25.75 Small 1 590RM Lined Nylon Pants w /pockets lower leg zipper. Color: Red Size: 25.75 25.75 Medium -This will ship from the manufacturer 1 590RL Lined Nylon Pants w /pockets lower leg zipper. Color: Red Size: 25.75 25.75 Large 1 590NXL Lined Nylon Pants w /pockets lower leg zipper. Color: Navy 25.75 25.75 Size: XLarge 1 590RXXL Lined Nylon Pants w /pockets lower leg zipper. Color: Red Size: 25.75 25.75 XXLarge 1 FED EX Fed Ex Shipping and Handling 20.00 20.00 Sizing Kit Fed Ex Ground Tracking Number(s): 052038861213065 Purchase Daa #YUw LI,.Fak C �.N-o z�J 6 IIE C i p 'P`7 P1 7 P.O. B 1 4� P or F JAN 2 7 2009 o.L 4 2-10 1'1 0 0- 93r(go,>t BY: Pumhaw Plea a renli��ibove addre Total $302.50 309 -451 -5858 309 -451 -5959 All Balances must be paid within thirty (30) days of invoice date. A 1.5% mouthy Ba lance Due $302.50 finance charge will be applied to all over due balances. r The Lifeguard Store, Inc. Invoice 4 2012 W. College Avenue Normal, IL 61761 8/21/2008 98939 Carmel Clay Parks Recreation Carmel Clay Parks Recreation Attn. Accounts Payable Tina Hotze 1411 East 116th Street 1411 East 116th Street Carmel, IN 46032 Carmel, IN 46032 phone Net 30 MBH 8/21/2008 Federal Exp... BACKORDER 2 9905NS #9905 Classic Solid Pullover Color: Navy Size: Small 28.00 56.00 6 9905NXL #9905 Classic Solid Pullover Color: Navy Size: XLarge 28.00 168.00 Ellis logo screened front left chest white ink FeclEx Ground Tracking Number(s): 052038861286724 Purchase Description P.O. N!A P or F Budget Une Purchaser Dig Approval Date 2 S IAN 9, 7 2009 I P a rert4 kcMfibove addre4gx Total: $224.00 309 -451 -5858 309 451 -5959 All Balances must be paid within thirty (30) days of invoice date. A 1.5% monthy Balance Due $224.00 finance charge will be applied to all over due balances. t L The Lifeguard Store, Inc. Invoice 2012 W. College Avenue Normal, IL 61761 10/13/2008 101194 Carmel Clay Parks Recreation Carmel Clay Parks Recreation Attn. Accounts Payable Tina Hotze 1411 East 116th Street 1411 Fast 116th Street Carmel, IN 46032 Carmel, IN 46032 Phone Order Net 30 NW 10/13/2008 Federal Exp... 20 9905NS #9905 Classic Solid Pullover Color: Navy Size: Small 28.00 560.00 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 10 9905NXL #9905 Classic Solid Pullover Color: Navy Size: XLarge 28.00 280.00 3 9905NXXL Classic Solid Pullover: Navy XXL 32.00 96.00 1 FED EX Fed Ex Shipping and Handling 55.00 55.00 Custom screen logo in white only on front left chest and full back FedEx Ground Tracking Number(s): 052038861310597, 052038861310603,052038861310610 Pumhase DesmY"W1 mew y i,� �4i� l� '♦'trf'G� 'tbfvJ n P.O.a ParF Line 71- Pumheser Dde- APPS Date 1 V�f JAN 2 7 2009 Please ren4iltcffibove add refVx Total: $1, 309 -451 -5858 309 451 -5959 All Balances must be paid within thirty (30) days of invoice date. A 1.5% monthy Bala D ue 173 a A® finance charge will be applied to all over due balances. VV 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 Normal, IL 61761 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 302.50 5/9/08 224.00 89165 Lifeguard clothing 8/21/08 98939 Lifeguard clothing 173.00 10/13/08 101194 Lifeguard clothing Total 699.50 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. Lifeguard Store, Inc., The Allowed 20 a01a VJ.(',pI(Pgef -e. Normal, IL 61761 In Sum of 699.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 89165 4356004 302.50 1 hereby certify that the attached invoice(s), or 1047 98939 4356004 224.00 bill(s) is (are) true and correct and that the 1047 101194 4356004 173.00 materials or services itemized thereon for which charge is made were ordered and received except 2 -Feb 2009 Signature 699.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund