173423 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362943 Page 1 of 1
ONE CIVIC SQUARE LESLIE'S POOLMART, INC
O
CARMEL, INDIANA 46032 PO BOX 501162 CHECK AMOUNT: $4,077.96
ST LOIUS MO 63150 -1162 CHECK NUMBER: 173423
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1047 4238000 619 -35875 4,077.96 SMALL TOOLS MINOR E
,f
f
a
o SWIAIAIING INVOI
I SUPPLIES Invoice Date 05/22/2009
L Invoice Number
619 -35875
REMIT TO: LESLIE'S POOLMART, INC. Due Date 06/21/2009
602 Box 66 3 8 3150 -1162
1
St.
9 IIIIIIIIIII IIIIII III III III IIIIII
'619- 35875*
SOLD TO: SHIP TO:
Customer Number 7585820 Customer Number 7585820
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH STREET 1411 E 116TH STREET
CARMEL, IN 46032 CARMEL, IN 46032
ATTENTION: ACCOUNTS PAYABLE ATTENTION: ACCOUNTS PAYABLE
TRANS REG# CUSTOMER P.O. SALESPERSON STORE
35875 2 per denise Levi Tucker 619 CARMEL, IN 619
Trans Sales Extended
Line Type Item Description QTY Price Discount Tax Amount
001 Sale 20710 SUPER SCRUBBER WHITE 6 4.97 0.00 29.82
002 Sale 82503 *PRO IG 181N WIRE BRUSH 4 29.39 0.00 117.56
003 Sale 20151 *STND 91N WIRE BRUSH 2 15.29 0.00 30.58
004 Sale 84201 CO DOLPHIN 3001 CMMRCL DIAGN 1 2,599.99 649.99 0.00 1,950.00
005 Sale 84201 CO DOLPHIN 3001 CMMRCL DIAGN 1 2,599.99 649.99 0.00 1,950.00
Purchase POOL VG
Descrilow P.O.• l p c) r .i
G.L. 104 �(DD 1 Oo �U 3600 MAY 2 1009
Budget
Line D
Purchaser Date
Approv Date
SUB TOTAL: $4,077.96
SALES TAX: $0.00
TOTAL: $4,077.96
REGISTER PAID AMOUNT: $0.00
A/R CHARGE AMOUNT: $4,077.96
"""PLEASE PAY AMOUNT DUE FROM THIS INVOICE AMOUNT DUE: $4,077.96
PICKED UP BY: william SIGNATURE:
*Terms and Conditions: 1 1/2% per month on all overdue invoices will be charged.
619 -35875 CUSTOMER COPY Page 1 of 1
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.
Leslie's Poolmart, Inc. Terms
P.O. Box 501162
St. Louis, MO 63150 -1162
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/22/09 619 -35875 Pool vac 20099 44 4,077.96
Total T* 4,077.96
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.
Leslie's Poolmart, Inc. Allowed 20
P.O. Box 501162
St. Louis, MO 63150 -1162
In Sum of
4,077.96
E.
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1047 619 -35875 4238000 4,077.96 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
4 -Jun 2009
Signature
4,077.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund