208084 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364086 Page 1 of 1
ONE CIVIC SQUARE WATER GEAR INC CHECK AMOUNT: $565.93
CARMEL, INDIANA 46032 PO BOX 759
PISMO BEACH CA 93448 -0759 CHECK NUMBER: 208084
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239039 216867 565.93 GENERAL PROGRAM SUPPL
759 INVOICE
PISMO BEACH, CA 93448 -0759
PH (805) 929 -2834
BR GE FAX (805) 929 -2851
INC. FAX (888) 229 -4071. F E I N# 77 -0387362
ACCT 903222 PAGE 9
S ATT: ACCOUNTS PAYABLE DEPT. S SHIP 01
0 CARM.EL CLAY PARKS REC. H THE MONON CENTER
D 1411 E. 116TH ST.. P 1235 CENTRA':L PARK DR. E.
T CARMEL,IN T CARMEL, IN
O 46032 O 46032
9D ER NO r r VIA
03/14/12 4646 3056 DAWN 03/14/12 ZONE 8 NET/ 3O 0021686
r ESCRIPTIO
UANTITIES
85400L WETSUIT VEST LARGE Ord'd 4
Shipd 4 EACH 33.29 133.1E
85400M WETSUIT VEST MEDIUM Ord'd 4
Shipd 4 EACH 33.29 133.1E
85400S WETSUIT VEST SMALL Ord'd 4
Shipd 4 EACH 33.29 133.1E
85400XL WETSUIT VEST X —LARGE Ord'd 4
Shipd 4 EACH 33.29 133.1E
Purchase o SCI r�"li 9 T X
Description IOW R .5uppli{S HI V+ V
P.Q. P c MAR 19 2012
G.L.# IoG4 -4z9
Budget
Line Uescr �Y wu �h atAD[,
Purchaser Date
Approval. Date
THANK YOU FOR THE ORDER!! NO RETURNS AFTER 30 DAYS NO EXCEPTIONS.
ALL BACKORDERS UNDER $20 WILL BE CANCELLED UNLESS INSTRUCTED.OTHERWISE.
O N TAXABLE INVOICE
532.64 .00 .00 33 2 R DAWN .0 0 TOTAL 565 9�
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.
364086 Water Gear, Inc. Terms
P.O. Box 759
Pismo Beach, CA 93448 -0759
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/14/12 216867 Flow Rider supplies 30563 565.93
Total 565.93
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.
364086 Water Gear, Inc. Allowed 20
P.O. Box 759
Pismo Beach, CA 93448 -0759
In Sum of
565.93
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 216867 4239039 565.93 I 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
5 -Apr 2012
Signature
565.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund