208512 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 361092 Page 1 of 1
ONE CIVIC SQUARE ZOGICS LLC
CHECK AMOUNT: $959.20
CARMEL, INDIANA 46032 P o sox so
RICHMOND MA 01254 CHECK NUMBER: 208512
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239099 5717 959.20 OTHER MISCELLANOUS
REICEIVED
012 APR 10 2012
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1 BY:
4/10/2012 5717
To iio
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Attn: Accounts Payable Lindsay Willard Dawn Koepper
141 East 11 6th St. 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
317-573-5249
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28914 4/10/2012 Net 30 5/10/2012 PRL UPS Freight
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16 Z1000 Zogics Wellness Center Wipes 2/1150 CT 59.95 959.20
Shipping Shipping 0.00 0.00
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FC3mR, THE MEMBER
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ON REVERSE SIDE
I-L_ --3 Sar6;, A— Fresh--- First Aid Kft AEDS
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.
361092 Zogics, LLC
P.O. Box 50 Date Due
Richmond, MA 01254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/10/12 5717 Gym wipes 30557 959.20
Total 959.20
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
361092 Zogics, LLC
P.O. Box 50
Richmond, MA 01254 In Sum of
959.20
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 5717 4239099 959.20 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
19 -Apr 2012
Signature
959.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund