217034 02/13/2013 �., CITY OF CARMEL, INDIANA VENDOR: 366929 Page 1 of 1
ONE CIVIC SQUARE AMERICAN LIFEGUARD PRODUCTS LLCCHECK AMOUNT: $707.45
ti`•�`;. CARMEL, INDIANA 46032 1213 SE 3RD AVENUE-2ND FLOOR
FT LAUDERDALE FL 33316 CHECK NUMBER: 217034
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 21754 707 .45 SAFETY SUPPLIES
American Lifeguard Products, LLC.
1213 S.E. 3rd Avenue - 2nd Floor
Fort Lauderdale, FL. 33316
Phone(800) -445-8721 Fax(877) _245-8721
Order #
21754*
SUMMARY COPY Invoice Date
Pag
Dawn Koepper Bill 12/07/12
1
Purchasing hip
chasin Administrator Eric Mehl
Carmel Clay Parks And Carmel
Rec Clay Parks And Rec
1411 E 116th St 1235
Central Park Drive E
Carmel, IN
46032 Carmel, IN 46032
I
Customer No
Sales Reference #
Source
21270 /JK Terms
29214 Rec 12-3-12
/2011CAT NET 15, DUE:12/22/12
Ordered By Warehouse
Phone Number Total Wt.
Zon Pkg Ship Via
(317) 573-4026 27.5
5 1 UPC
PHONE # 1-800-445-8721
FAX # 1-877-245-8721
THANK YOU, CUSTOMER SERVICE
Qty B/0 Shi
7 Item #
Description
100 0 100 342020 Un. Price Ds Amount
Seal Easy Mask Kit
Seal Easy Mask Kit 6.7500 -- 675.00
* 342020 HAS BEEN SHIPPED SEPARATELY
MERCHANDISE INVOICE TOTAL $ 675.00
SHIPPING & HANDLING $
'
INVOICE TOTAL $ 707.45
RECj BALANCE FOR THIS ORDER $ 707.45
JAN 310 202
Purchase U FE GPVARD
Description 6 V FFU ES
P.O.# 2921A4 P0OF
G.L.# -
Budget
Line Descr t�7f;FETY J PIQUES
Purchaser Date
Approval Date
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.
American Lifeguard Products, LLC Terms
1213 S.E. 3rd Avenue - 2nd Floor
Fort Lauderdale, FL 3316
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1217112 21754 Lifeguard safety supplies 29214 $ 707.45
Total $ 707.45
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.
American Lifeguard Products, LLC Allowed 20
( 1213 S.E. 3rd Avenue - 2nd Floor
1 Fort Lauderdale, FL 3316
In Sum of$
$ 707.45
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1094 21754 4239012 $ 707.45 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
7-Feb 2013
Signature
$ 707.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund