207524 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 366129 Page 1 of 1
ONE CIVIC SQUARE LEISURE POOL SPA SUPPLY INC CHECK AMOUNT: $32.00
CARMEL, INDIANA 46032 110 E MAIN ST
SYRACUSE IN 46567 CHECK NUMBER: 207524
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 35899 32.00 OTHER CONT SERVICES
Leisure Pool Spa Supply Inc. CEIVEID I nvoice
Corporate O 8501 Bz!*Str MAR 14 2012 nv
110�� Suite,400 by Date Invoice
n
Syracuse, In 46567 Indi.6apolis, IN 3/2/2012 35899
574- 457 -4532 3'17- 842-4144
Bill To Ship To
Monon Center Monon Center
Accounts Payable 1235 Central Park Drive East
1235 Central Park Drive East Carmel, IN 46032
Carmel, IN. 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 MA 3/2/2012 Feb test
Quantity Item Code Description Price Each Amount
1 pool tst 2300 Bacteriological test, pool 16.00 16.00
1 pool tst 2300 Bacteriological test, pool, lap 16.00 16.00
2 -8 -12
All testing canceled on 2 -14 -12
�n 7.00% 0.00
r 9 1�/ TR
MAR 19 2012
BY:
Date
Cate
Purchase
Descripti n
P.O. P or F U
G.L.
Bud t
Line es
Purchase Date r
Approval Date J f OS
-D J7t-, PO'
Thank you for your Business and your Trust in Leisure Pool Spa Supply Inc. Have a great Day!
Total $32.00
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.
Leisure Pool Spa Supply Inc. Terms
110 E. Main Street
Syracuse, IN 46567
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
312112 35899 Pool water testing 32.00
Total 32.00
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.
Leisure Pool Spa Supply Inc. Allowed 20
110 E. Main Street
Syracuse, IN 46567
In Sum of
32.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 35899 4350900 32.00 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
22 -Mar 2012
Signature
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund