175176 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
0 ONE CIVIC SQUARE JOHN THOMAS
la CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $53.79
CARMEL IN 46033
CHECK NUMBER: 175176
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4462838 53.79 STORM WATER PHASE II
e
�4
Amerimerc Pool Supplies. Sauna steam, Spa Hot Tub. Garden Patio Suv supply,... Page 1 of 2
ORDER STATUS EMAIL US FREE CATALOG VIEW
New Spring 2009 eCatalog
Swimming Pool, Spa Hot Tub, Sau
Supplies
Home I Pool Supplies Commercial Pool I Hot Tub Spa I Garden Patio I Sauna Steam I Aut
Thank you for your order. Please note that this is a copy of your
aar�BY receipt. You can print this for your own records.
GeoTrust
dick to verify
17.Ju1 -0s1a:as Your Credit Card will be billed by Amerimerc L.L.C.
If you have any questions or concerns regarding your order
0-0 Request a
Free C falog
CkkHere or call us at 1.877.891.7665.
For more information about the RETURN POLICY
Order Details
Item Item Unit Quantity Frieght SubTotal
EMAIL us No. Price
481349 Pool Check Phospate Test $11.95 4 $0.00 $47.80
FREE SHIPPING Strips
small 53.99 to $7.99
handling fee per order The Cart Total $47.80
Order Handling Handling $5.99
Amount Fee Shipping $0.00
Less Tax $0.00
than $3.99 The Grand Total $53.79
$25.00 Billing Address Shipping Address
$25.01 John Thomas Sara McMullen
$5.99 11576 Creek Side Lane One Civic Square
$50.00 Cannel Carmel
IN -46033 IN -46032
Over $7.99
$50.00
Shipped From Order Number: 105228
Amerimerc L.L.C. Total Amount: $53.79
729 E. Central
Wichita, KS 67202
Return to Home Page_
https: /wwNv. amerimerc .com /Slioppingcart/i 7/17/2009
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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
John Thomas
Purchase Order No.
Engineering Department
Terms
0
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/17/09 N/A Phosphate Test Strips $53.79
Illicit runnoff testing
Total
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.
ALLOWED 20
ehn Thomas IN SUM OF
Engineering Dept.
$53.79
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
n/a 7/17/2009 206- R4462838 $53.79 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
f 20 20
Signature
A(' e�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund