217741 02/26/2013 a *f CITY OF CARMEL, INDIANA VENDOR: 366981 Page 1 of 1
' ONE CIVIC SQUARE METRO SWIM SHOP
CARMEL, INDIANA 46032 1221 VALLEY ROAD CHECK AMOUNT: $2,868.00
�+ STIRILING NJ 07980
CHECK NUMBER: 217741
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4356004 55487 2, 868 . 00 STAFF CLOTHING
wt 1 C IT17 ID Invoice
f ® FEB 18 2013
THE SWIMMER'S CHOICE DATE INVOICE#
1221 VALLEY ROAD STIRLING,NJ 07980 2/12/13 55487
(908)647-8121 FAX(908)903-0546
BILL TO SHIP TO
Carmel Clay Parks & recreation
Accounts Payable
1411 E 116th Street
Carmel, IN 46032
P.O. NUMBER TERMS REP SHIP VIA F.O.B.
29292 Net 30 BDH 2112113 UPS
QUANTITY DESCRIPTION PRICE EACH AMOUNT
15 Dolfin Cargo Short 23.95 359.25
15 One-Color Suit Prints 3.00 45.00
45 SPEEDO Adult Female Endurance Training 50.75 2,283.75
Suit
45 One-Color Suit Prints 3.00 135.00
60 Shipping/Handling Charge per Item 0.75 45.00
Purchase Ljf�ECtUAQ D l I AsT7j cT0R
Description I)n I MrzmS
P.O.# &q ba!a P 01 F0
C.L.# 1nqjp-ID--il-35(DOt
L1ne:�escrCJ1V �O
Purchaser Date
Approval Date
Total $2,868.00
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.
Metro Swim Shop Terms
1221 Valley Road
Stirling, NJ 07980
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/12/13 55487 Lifeguard instructor uniforms 29292 $ 2,868.00
Total $ 2,868.00
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.
Metro Swim Shop Allowed 20
1221 Valley Road
Stirling, NJ 07980
In Sum of$
$ 2,868.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1096-10 55487 4356004 $ 2,868.00 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
21-Feb 2013
Signature
$ 2,868.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund