211041 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1
ONE CIVIC SQUARE SCOTT POOLS,INC CHECK AMOUNT: $529.85
o CARMEL, INDIANA 46032 904 W MAIN ST
CARMEL IN 46032 CHECK NUMBER: 211041
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 120649 529. 85 OTHER MAINT SUPPLIES
Scott Pools, Inc. M
904 W.Main Street Invoice Number: 120649
Car-mel, IN 46032
Invoice Date: Jun 28,2012
www.scottpoolsinc.com Page: 1
Voice: (317)846-5576
Fax: (317) 846-4763
Email: scottpools2 @gmail.com
Bill To: ' Ship to
CITY OF CARMEL STREET DEPT. CITY OF CARMEL STREET DEPT.
3400 W. 131ST STREET 3400 W. 131ST STREET
CARMEL,IN 46032 CARMEL, IN 46032
Due Date
Customer PO Payment Terms
Net 30 Days 7/28/12
Quantity : ,; __ Description _ Unit Pace Amount
1.00 STORE SALES-6/26/12 195.41 195.41
1.00 STORE SALES-6/26/12 1 19.98 19.98
1.00 STORE SALES-6/28/12 314.46 314.46
529.85
We're on Facebook! Sales Tax
www.facebook.com/scottpools
Total Invoice 529.85
Keep up with all the latest news, in-store (A 1-1/2%late fee will be charged on all Accounts 30 days past due)
specials, sales and more!!!!
Payments Accepted: Visa, Mastercard, TOTAL DUE` - 529:85
Discover, AMEX, Check or Cash.
. Thank you for your continued business!
S•-ott Fools
904 W. Main Street
C.rmel._IN 45032
31.7-546-5576 .
Scott Fools
904 W. main Street.
Carmel, IN 46032: Scott Fools
317-546-x576 904 W. Main Street Ac,_diant # CITY CAR. STF�EF=T. ,
Carmel, IN 45032 _ . 3400%WEST 131ST:STREET'
_wn
317 846 5510
CARMEL, Iii �6032
Account # . CITY CAR; STREET Iresrri��tion fltr Pri_e Ea :E>.tende3
3400,WEST 1?1ST STREET
CARi4Et, Ii? .46032 Account'# CIT CAR. UTRiGT. ------- ______-_ .
7420Fj WEST 13fST STREET 03t. Chem. Po 1 2x,,95 .
- 7^ Pollen Snag-A- 1 7'e 34 ~7,39
Ire5criRtion Qty Prii-e ra E;;ter;j ,j CARMEt_; IN 4q►)u2
Filter C 3r tri' S 45.34.
----------- --------
Filter Cartri 1 r5�3E J.e4N:;ward SP1.5 0 i 1+ 99 1 Description tt y Price Ea Ex±enjej �=C+
"
has ward c120+0. 1 f 10.C5 # 11±.25 ---------------, - -- --- -- --�� S;ak, Total c}4.ti
i�?t Chem 5-•s 1_: 1 ?.4 95 34.9`, St„r'e rarer fiyrr 1 19,98 19 .., Sai_es Tax Total,:: 0.00
-tgoo?ife Befen 1 25;54 --"----
Alajiin:B165 2 5.29 10.58 Sub Total ' 19.98 Total Amt, = 314.416
�..
-------- ale= Ta>:. Total:' 11 9, Paid B Char'bi'n To Account 3i4.9�
S,at, Total 19`.41 Total Amt.:. 19.9? `�
Sales 3r` Total . 0.100 an
0.00
Total Amt 195.41, Paid By Charging To,A,-_oufit . 19.55
Ch °gin�� To
Chan�'e:': 0.00
Ry ar
Paid By Phan-+ding To Account': 195.41 Asia uhta 320 16
Chan-0 0.FDO . Py .Charging To
Auth;
,.'fry.Charging To Amount: 19.98. AM
Auth.' Custunter Signature...
An;Uurita i"x,41 '
------- 1hursda Y r June 28, 2012 11:53 am
Customer Signature
-- ---------- -- `
Re',;001 Cshc1 Trns,d0000043526
Cus t0A{et c 1313tUre Tuesday, Jule 26, :^Ol^ 3:214 rQ - ------ �---- -- ---
Reg:001 Csh:i Tr-n_:0000043753
Tuesday, June 26, 2012 10x59 am
Rega001 Csh-1. Trns;000004376
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Pools
IN SUM OF $
904 W. Main Street
Carmel, IN 46032
$529.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
2201 1 120649 1 42-389.001 $529.85 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
t %
Wednesday,;July 11 2012
( %'Y g. •'mil/J U"�/1.-
Street Commissioner
ra.o; (:nMi tlissloi iei
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/28/12 120649 $529.85
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