251091 1 1 /04/1 5 CITY OF CARMEL, INDIANA VENDOR: 319510
® ONE CIVIC SQUARE GRAINGER INC CHECK AMOUNT: $*****1,269.26'
s. ?� CARMEL, INDIANA 46032 DEPT 804491322 CHECK NUMBER: 251091
+r;,iTON PALATINE IL 60038-0001 CHECK DATE: 11/04116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 9865620620 238.80 AUTO REPAIR & MAINTEN
651 5023990 9866971139 409.07 OTHER EXPENSES
651 5023990 9867559396 97.35 OTHER EXPENSES
1093 4350000 9870577005 47.35 EQUIPMENT REPAIRS & M
1093 4350000 9873791009 84.42 EQUIPMENT REPAIRS & M
1093 4235000 9873791017 56.00 BUILDING MATERIAL
1093 4238000 9873791017 30.55 SMALL TOOLS & MINOR E
601 5023990 9874965685 209.25 OTHER EXPENSES
1096 4239039 9875434079 74.40 GENERAL PROGRAM SUPPL
1093 4350000 9875927213 22.07 EQUIPMENT REPAIRS & M
G UZNGER® PAGE 1 ORIGINAL INVOICE
GRAINGER ACCOUNT NUMBER 854052545
9210 CORPORATION DR. INVOICE NUMBER 9865620620
INDIANAPOLIS,IN 46256-1017 10/13/2015
www.grainger.com INVOICE DATE
DUE DATE 11/12/2015
AMOUNT DUE $238.80
SHIP TO
ATTN:JBARNES
CITY OF CARMEL PO NUMBER: WEB144615740
One Civic Square DEPARTMENT: FACILITIES
Carmel IN 4032 REQUISITIONER: JBARNES
CALLER: JEFF BARNES
CUSTOMER PHONE: 3175712443
ORDER NUMBER: 1246093338
INCO TERMS: FOB ORIGIN
BILL TO
CITY OF CARMEUBOARD OF PUBLIC WORK
1 CIVIC SQ
CARMEL IN 46032-2584
THANK YOU!
FEI NUMBER 36-1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 1PJJ3 HEADLAMP,LED,150 LM 4 59.70 238.80
MANUFACTURER#61301
Delivery#6304669921 Date Shipped:10/13/2015
Carrier.UPS GROUND NO:&Pkgs: Wt:1.920
Trk#:iZ3018W70315501438
Submittefl To
OV 02215
Building Maintenance Cie ak Treasurer
Account #
Department #--& s
INVOICE SUB TOTAL 238.80
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $238.80
VOUCHER NO. WARRANT NO.
ALLOWED 20
GRAINGER INC
DEPT 804491322 IN SUM OF$
PALATINE, IL 60038-0001
$238.80
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
9865620620 I 43-510.00 I $238.80 1 hereby certify that the attached invoice(s), or
1205 101
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
Monday, November 02, 2015
� I
Barb Lam4, Director
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoices)or bill(s))
10/13/15 9865620620 $238.80
1205 101
I 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
GRAINCER® PAGE 1 OF 1 • CE
GRAINGER ACCOUN'i NUMBER 813555497
INVOICE NUMBER 9867559396 =
9210 CORPORATION DR. INVOICE DATE 10/14/2015
INDIANAPOLIS, IN 46256-1017 DUE DATE 11/13/2015
www.grainger.com AMOUNT DUE 97.35
Ship to information is listed below PO NUMBER: S15516
in the description section CALLER: DUANE JARVIS
CUSTOMER PHONE: (317) 571-2634
BILL TO ORDER NUMBER: 1246241718
MDG2015 00010088 1 AB 0416 INCO TERMS: FOB ORIGIN
CARMEL WASTEWATER
9609 HAZEL DELL PKWY o
INDIANAPOLIS, IN 46280-2935
Interested in receiving invoices via email?
Sign up for paperless invoicing at:
www.grainger.com/paperiessinvoicing
THANK YOU! FEI NUMBER 36-1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
••
TOTALITEM# DESCRIPTION QUANTITY UNIT PRICE
The following items were shipped to:
DUANE JARVIS
CARMEL WASTEWATER
9609 HAZEL DELL PKWY 'k'k
INDIANAPOLIS IN 46280-2935
1AV08 JERSEY GLOVES,POLY/COTTON, L,BROWN,PR 4 0.39 1.56
MANUFACTURER# 1AVO8
2CUT4 SCREW-IN CFL,NON-DIMMABLE,2700K,13W 6 2.65 15.90
MANUFACTURER#2CUT4
2TFX1 SAFETY GLASSES,CLEAR,SCRATCH-RESISTANT 1 1.59 1.59
MANUFACTURER#A800
2VLZ8 DISPOSABLE GLOVES,NITRILE,L,BLACK,PK100 1 7.20 7.20
MANUFACTURER#N643
4T436 CHEMICAL RESISTANT GLOVE,31"L,SZ 10,PR 1 71.10 71.10
MANUFACTURER#9-430
Delivery#6304865922 Date shipped: 10/14/2015
Carrier: UPS GROUND No. of pkgs: 1 Wt: 3.81
Trk#: 1Z6Y07A40329402579
INVOICE SUB TOTAL 97.35
These items are sold for domestic consumption. IF exported,purchaser assumes full responsibility
1f6rcompnance wwith-Uii eXpo►f con[ro7s.DW6rsion contfaryio US iawpronlbiited.
PAYMENT TERMS NET 30 DAYS.PAY THIS INVOICE NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE 97.35
GRAINGER STANDARD TERMS AND CONDITIONS
A.SALES POLICY FOR PRODUCTS 4.Warranty Product Return.
Grainger sells its complete offering wholesale to business customers,while also serving individuals. Before returning any product,customer shall:(i)write or call the local Grainger branch from which the product was purchased;(if)in the case
1.Prices. of an internet order,contact Grainger by logging on to rwwrgraingencom,clicking an the"Contact Us"link at the bottom of the page,then
Prices listed are wholesale,do not include freight,handling fees,taxes,and/or duties,and are subject to correction or change without notice. clicking on the"Email US"I!nkand provide the date,file original invoice number,the stock number,and a description of the defect;or(iii)call
Market sensitive commodity products will be priced according to current market conditions.Customer should contact the local Grainger Customer Care at 1-888-351-8649,and provide the date,the original invoice number,the stock number,and a description of the defect.Proof
branch or check online at=N gradgercom for current pricing.Export orders maybe subject to other special pricing.Grainger reserves the of purchase is required in all cases.
right to accept or reject any order. 5.Manufacturer's Warranty.
2.Sales Tax. The manufacturers complete warranty for any product can be obtained free of charge by contacting the local Grainger branch or calling
Customers are responsible for payment of all applicable state and local taxes,or for providing a valid sales tax exemption certificate.When Customer Care at 1-888-361-8649.
placing an order,customer shall indicate which products are tax exempt. 6.Product Compliance and Suitability.
3.Payment and Credit Terms. Jurisdictions have varying laws,codes and regulations governing construction,installation,and/or use'of products for a particular purpose.
Grainger accepts cash,checks,money orders,Visa,MasterCard,and American Express.For business customers with established Grainger Certain products may not be available for sale in all areas.Grainger does not guarantee compliance or suitability of the products it sells with
credit,payment terms are net thirty(30)days from the dale of shipment or pick-up.All credit extended by Grainger to customer,and the any laws,codes or regulations,nor does Grainger accept responsibility for construction,installation and/or use of a product.It is customer's
limits of such credit,is at Grainger's sole discretion,and may be reduced or revoked by Grainger at any time,for any reason.Grainger responsibility to review the product application and all applicable laws,codes and regulations for each relevant jurisdiction to be sure that the
reserves the right to charge a convenience fee for late payments.Grainger further reserves the right to charge customer a late payment fee at construction,installation,and/or use involving the products are compliant.
the rate of one and one-half percent(1-1/2%)of the amount due for each month or portion thereof that the amount due remains unpaid,or 0.PRODUCT INFORMATION
such amount as may he permitted under applicable law.Anticipation and cash discounts are not allowed.Export orders are subject to special 1.Catalog/Web silo Information,
export payment terms and conditions.All payments must be made in U.S.dollars.Grainger shall have the right of set-off and deduction for Grainger is a distributor of products and information about the products in the Grainger catalog or web site is provided by the manufacturers
any sums owed by the customer to Grainger.If the customer fails to make payment within thirty(30)days of shipment or pick-up,or fails to and/or suppliers.Grainger reserves the right to correct publishing errors in its catalogs or any of its web sites.Product depictions in the
comply with Graingers credit terms,or fails to supply adequate assurance of full performance to Grainger within a reasonable fime after catalog or web sites are for illustrative purposes only.Possession of,or access to,any Grainger catalog,literature or web sites does not
requested by Grainger(such time as specified in Graingers request),Grainger may defer shipments until such payment or compliance is constitute the right to purchase products,
made,require cash in advance for any further shipments,demand immediate payment of all amounts then owed,elect to pursue collection Despite our efforts,occasional pricing errors may occur in the Grainger catalogs and web sites.Grainger reserves the right to cancel any and
action(including without limitation,attorneys'fees and any and all other associated costs of collection),and/or may,at its option,cancel all all orders resulting from such pricing errors,even if customer has received an order confirmation from Grainger.
or any part of an unshipped order. 2.Product Substitution.
Products(and country of origin)may be substituted and may not be identical to catalog or web site published descriptions and/or images.
Customer agrees to assume responsibility for,and customer hereby unconditionally guarantees payment of,as provided herein,all 3.Occupational Safety and Health Administration("OSHA")Hazardous Substance.
purchases made by customer,its subsidiaries and affiliates.Each of customer's subsidiaries and affiliates purchasing from Grainger will be Material Safety Data Sheets("MSDS")for OSHA defined hazardous substances are supplied by the manufacturers and/or suppliers.
jointly and severally liable for purchases with customer,and customer is also acting as agent for such subsidiaries and affiliates. GRAINGER MAKES NO WARRANTIES AND EXPRESSLY DISCLAIMS ALL LIABILITY TO ANY CUSTOMER OR USER WITH RESPECT TO THE
4.Credit Balance. ACCURACY OFTHE INFORMATION OR THE SUITABILITY OF THE INFORMATION IN ANY MSDS.CUSTOMER END USER IS SOLELY
Customer agrees that any credit balance(s)issued by Grainger will be applied to customer's account within one(1)year of its issuance. RESPONSIBLE FOR ANY RELIANCE ON OR USE OF ANY INFORMATION,AND FOR USE OR APPLICATION OF ANY PRODUCT.Send MSDS
requests to Grainger,Dept.1157,100 Grainger Parkway,Lake Forest,IL 60045 or log on to wwrgramgercom and click on"View the Material
B.FREIGHT POLICY Safety Data Sheet'or call 1-877286-9860.
Prices stated are F.O.B.origin,freight prepaid to destination specified in the order.Grainger charges a shipping and handling fee(which 4.California Proposition 55.
includes internal handling and related costs)on each orderwhich is applied at the time of order and reflected on customer's invoice. The State of California requires that certain wamings be given concerning products which contain chemicals subject to Proposition 65.A
Receipts for shipping and handling charges will not be furnished.Grainger covers shipping and handling for standard ground delivery for complete list of Proposition 65 regulated chemicals is available at wAvw.cehha.ca.gov.For identification of products which contain a chemical
orders over US$1500 before tax and freight(including any back orders).C.O.D.shipments are not permitted.Otherterms and conditions subject to Proposition 65,go to wsAv.grainger.com.Applicable Proposition 65 warning(s)are provided directly on the vnvvi.graingercom
may apply for other than standard delivery("Other Freight Services"),including without limitation,expedited same day delivery,air freight, product page and upon product purchase.
freight collect,export orders,hazardous materials,customers carrier,shipments outside the contiguous U.S.,or other special handling by 5.Important Notice to Federal Customers Re:Country of Origin.
the carrier.Any charges incurred for Other Freight Services must he paid by customer.Fuel surcharges may be applied.Title and risk of loss While products listed on GSA Advantage!@ meet the requirements of the Trade Agreements Act(`TAA'),as implemented by Federal
pass to customer upon tender of shipment to the carrier.If the product is damaged in transit,customers only recourse is to file a claim with Acquisition Regulations Part 25,other products sold by Grainger may not meet the requirements.At the time of purchase,Grainger will advise
the carrier. property identified and authorized schedule customers if a product is"TAA-compliant."Any federal customer purchasing a non-TAA item will
be making an"open market"purchase that is not covered by any contract.Federal customers are advised that the open market purchases are
C.PRODUCT WARRANTY POLICY NOT GSA schedule purchases.By purchasing any product on the open market,the federal customer represents that it has authority to make
1.SATISFACTION GUARANTEE TO ALL CUSTOMERS. such purchase and has complied with all applicable procurement regulations.
Customer should contact Grainger it not satisfied with a product for any reason.Grainger will promptly provide an exchange or refund it the E.GENERAL TERMS
product is returned within 30 days of delivery,in its original packaging and with proof of purchase from Grainger. 1.Force Majeure.
Grainger shall not be liable for any delay in,or impairment of,performance resulting in whole or in part from any force majeure event,
2.GRAINGER LIMITED WARRANTY FOR BUSINESSES. including but not limited to acts of God,labor disruptions,acts of war,acts of terrorism(whether actual or threatened),governmental decrees
ALL PRODUCTS SOLD TO BUSINESS CUSTOMERS ARE WARRANTED BY GRAINGER ONLY FOR USE IN BUSINESS,GOVERNMENT, or controls,insurrections,epidemics,quarantines,shortages,communication or powertelures,fire,accident,explosion,inability to procure
RESALE,OR ORIGINAL EQUIPMENT MANUFACTURE AGAINST DEFECTS IN WORKMANSHIP OR MATERIALS UNDER NORMAL USE FOR or ship product or obtain permits and licenses,inability to procure supplies or raw materials,severe weather conditions,catastrophic events,
ONE(1)YEAR AFTER DATE OF PURCHASE FROM GRAINGER.AT GRAINGER'S OPTION,THE EXCLUSIVE REMEDY FOR ANY PRODUCT IT or any other circumstance or cause beyond the reasonable control of Grainger in the conduct of its business.
DETERMINES TO BE DEFECTIVE IN WORKMANSHIP OR MATERIALS WILL BE REPAIR,REPLACEMENT OR REFUND OF THE PURCHASE 2.Grainiter's Performance of Services.
PRICE. Customer will hold harmless and indemnify Grainger,its officers,directors,employees,agents,subcontractors or representatives from and
against any and all claims,including bodily injury,death,or damage to personal property,and all other losses,liabilities,obligations,demands,
3.WARRANTY DISCLAIMER AND LIMITATION OF LIABILITY TO ALL CUSTOMERS. actions and expenses,whether direct or indirect,known or unknown,absolute or contingent,incurred by Grainger related to the performance
a.EXCEPT AS SET FORTH HEREIN AND WHERE APPLICABLE,NO WARRANTY OR AFFIRMATION OF FACT OR DESCRIPTION,EXPRESS of services for customer(including without limitation,settlement costs,attorneys'fees,and any and all other expenses for defending any
OR IMPLIED,IS MADE OR AUTHORIZED BY GRAINGER.GRAINGER DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTIES OF actions or threatened actions)arising out of,in whole or in part,any act or omission of customer,its employees,agents,subcontractors or
MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NONINFRINGEMENT OF INTELLECTUAL PROPERTY RIGHTS. representatives.
GRAINGER ALSO DISCLAIMS ANY LIABILITY FOR CLAIMS ARISING OUT OF PRODUCT MISUSE,IMPROPER PRODUCT SELECTION, 3.Cancellation.
IMPROPER INSTALLATION,PRODUCT MODIFICATION,MISREPAIR OR MISAPPLICATION. All product order cancellations must be approved by Grainger,and may be denied or subject to restocking fees and other charges.
4.Product Return for Business Customers.
Ir.GRAINGER EXPRESSLY DISCLAIMS ANY LIABILITY FOR CONSEQUENTIAL,INCIDENTAL,SPECIAL,EXEMPLARY,OR PUNITIVE For business customers,product returns,if allowed must be made within one(1)year from date of purchase,unless otherwise indicated.
DAMAGES TO THE EXTENT PERMISSIBLE.GRAINGER'S LIABILITY IN ALL EVENTS IS LIMITED TO THE PURCHASE PRICE PAID FOR Customer should go to www.gmingercomVeturns,for instructions.Returned product must be in original packaging,unused,undamaged,and
THE PRODUCT THAT GIVES RISE TO ANY LIABILITY. in saleable condition.Proof of purchase is required in all cases.Product returns may be denied or made subject to restocking fees and other
charges by Grainger.
F.EXPORT SALES
Orders for export sales are subject to the terms conditions foupd at vww.grainger com.and can be accessed by clicking on the"Terms of
Sale"link.
A FULL STATEMENT OF GRAINGER'S TERMS AND CONDITIONS IS AVAILABLE ON WWW.GRAINGER.COM AND IS INCORPORATED HERE BY REFERENCE.
PAGE 1 OF 1ORIGINAL
GRAZNGER®
GRAINGER ACCOUNT NUMBER 813555497
INVOICE NUMBER 9866971139 =
9210 CORPORATION DR. INVOICE DATE 10/14/2015
INDIANAPOLIS,IN 46256-1017 DUE DATE 11/13/2015
www.grainger.com AMOUNT DUE 409.07
Ship to information is listed below PO NUMBER: 515521
in the description section CALLER: DUANE JARVIS
CUSTOMER PHONE: (317) 571-2634
BILL TO ORDER NUMBER: 1246209506
INCO TERMS: FOB ORIGIN
MDG2015 00010088 1 AB 0416
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935
Interested in receiving invoices via email?
Sign up for paperless invoicing at:
www.grainger.com/paperiessinvoicing
THANK YOU 1 FEI NUMBER 36-1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
-• ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
The following items were shipped to:
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935
000001 36R990 CONTROL STATION,3 OVAL BUTTONS,NEMA 1 3 112.05 336.15
MANUFACTURER# LCE3
000002 6P006 PHOTOCONTROL,LOCKING,120VAC 2 14.28 28.56.
MANUFACTURER# LC4521C
000003 6P007 PHOTOCNTRL,1/2IN MALE PIPE THREAD,120V 2 13.58 27.16
MANUFACTURER# K4121C
000004 5C403 LAMP HOLDER,660 W LAMP 8 2.15 17.20
MANUFACTURER# 13357-NX
Delivery#6304804801 Date shipped: 10/14/2015
Carrier: UPS GROUND No. of pkgs: 1 Wt: 3.77
Trk#: lZ6Y07A40329293278
INVOICE SUB TOTAL 409.07
These items are sold for domestic consumption. If exported,purchaser assumes full responsibility
- --for-coi�pii�cewlirir`�eicp��lconfrol�.`Dlversloncontiarj7i[oU�i�wprohi6�i�ed:= -" - - `- — -"Y�JV
PAYMENT TERMS NET 30 DAYS.PAY THIS INVOICE NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE 409.07
GRAINGER STANDARD TERMS AND CONDITIONS
A.SALES POLICY FOR PRODUCTS 4.Warranty Product Return.
Grainger sells its complete offering wholesale to business customers,while also serving individuals. Before returning any product,customer shall:(i)write or call the local Grainger branch from which the product was purchased;(ii)in the case
1.Prices. of an internet order,contact Grainger by logging on to www.grainger.com,clicking on the`Contact Us"link at the bottom of the page,then
Prices listed are wholesale,do not include freight,handling fees,taxes,and/or duties,and are subject to correction or change without notice. clicking on the"Email US"link and provide the date,the original invoice number,the stock number,and a description of the defect;or(iii)call
Market sensitive commodity products will be priced according to current market conditions.Customer should contact the local Grainger Customer Care at 1-888-361-8649,and provide the dale,the original invoice number,the stock number,and a description of the defect.Proof
branch or check online at www.graingercom for current pricing.Export orders may be subject to other special pricing.Grainger reserves the of purchase is required in all cases.
right to accept or reject any order. 5.Manufacturer's Warranty.
2.Sales Tax. The manufacturers complete warranty for any product can be obtained free of charge by contacting the local Grainger branch or calling
Customers are responsible for payment of all applicable state and local taxes,or for providing a valid sales tax exemption certificate.When Customer Care at 1-888-361-8649.
placing an order,customer shall indicate which products are tax exempt.. 6 Product Compliance and Suitability.
3.Payment and Credit Terms. Jurisdictions have varying laws,codes and regulations governing construction,installation,and/or use of products for a particular purpose.
Grainger accepts cash,checks,money orders,Visa;MasterCard,and American Express.For business customers with established Grainger Certain products may not be available for sale in all areas.Grainger does not guarantee compliance or suitability of the products it sells with
credit,payment terms are net thirty(30)days from the date of shipment or pick-up.NI credit extended by Grainger to customer,and the any laws,codes or regulations,nor does Grainger accept responsibility for construction,installation and/or use of a product.It is customer's
limits of such credit,is at Grainger's sale discretion,and may be reduced or revoked by Grainger at any time,for any reason.Grainger responsibility to review the product application and all applicable laws,codes and regulations for each relevant jurisdiction to be sure that the
reserves the right to charge a convenience fee for late payments.Graingerfurther reserves the right to charge customer a late payment fee at construction,installation,and/or use involving the products are compliant.
the rate of one and one-half percent(1-1/2%)of the amount due for each month or portion thereof that the amount due remains unpaid,or D.PRODUCT INFORMATION
such amount as may be permitted under applicable law.Anticipation and cash discounts are not allowed.Export orders are subject to special 1.CatalooAVeb site Information.
export payment terms and conditions.All payments must be made in U.S.dollars.Grainger shall have the right of set-off and deduction for Grainger is a distributor of products and information about the products in the Grainger catalog orweb site is provided by the manufacturers
any sums owed by the customer to Grainger.If the customer fails to make payment within thirty(30)days of shipment or pick-up,or fails to and/or suppliers.Grainger reserves the rightto correct publishing errors in its catalogs or any of its web sites.Product depictions in the
comply with Grainger's credit terms,or tails to supply adequate assurance of full performance to Grainger within a reasonable time after catalog or web sites are for illustrative purposes only.Possession of,or access to,any Grainger catalog,literature or web sites does not
requested by Grainger(such lime as specified in Graingers request),Grainger may deter shipments until such payment or compliance is constitute the right to purchase products.
made,require cash in advance for any further shipments,demand immediate payment of all amounts then owed,elect to pursue collection Despite our efforts,occasional pricing errors may occur in the Grainger catalogs and web sites.Grainger reserves the right to cancel any and
action(including without limitation,attorneys'fees and any and all other associated costs of collection),and/or may,at its option,cancel all all orders resulting from such pricing errors,even if customer has received an order confirmation from Grainger.
or any part of an unshipped order. 2.Product Substitution.
Products(and country of origin)may be substituted and may not be identical to catalog or web site published descriptions and/or images.
Customer agrees to assume responsibility for,and customer hereby unconditionally guarantees payment of,as provided herein,all 3 Occupational Safety and Health Administration("OSHA"1 Hazardous Substance.
purchases made by customer,its subsidiaries and affiliates.Each of customer's subsidiaries and affiliates purchasing from Grainger will be Material Safety Data Sheets('MSDS")for OSHA defined hazardous substances are supplied by the manufacturers and/or suppliers.
jointly and severally liable for purchases with customer,and customer is also acting as agent for such subsidiaries and affiliates. GRAINGER MAKES NO WARRANTIES AND EXPRESSLY DISCLAIMS ALL LIABILITY TO ANY CUSTOMER OR USER WITH RESPECT TO THE
4.Credit Balance. ACCURACY OF THE INFORMATION OR THE SUITABILITY OFTHE INFORMATION IN ANY MSDS.CUSTOMER ENO USER IS SOLELY
Customer agrees that any credit balance(s)issued by Grainger will be applied to customer's account within one(1)year of its issuance. RESPONSIBLE FOR ANY RELIANCE ON OR USE OF ANY INFORMATION,AND FOR USE OR APPLICATION OF ANY PRODUCT.Send MSDS
requests to Grainger,Dept.1L57,100 Grainger Parkway,Lake Forest,IL 60045 or log on to www.gminger.com and click an"View the Material
B.RUM MUM Safety Data Sheet"-or calll-877-286-9860.
Prices stated are F.O.B.origin,freight prepaid to destination specified in the order.Grainger charges a shipping and handling fee(which 4.California Proposition 65.
includes internal handling and related costs)on each order which is applied at the time of order and reflected on customer's invoice. The State of California requires that certain warnings be given conceming products which contain chemicals subject to Proposition 65.A
Receipts far shipping and handling charges will not be furnished.Grainger covers shipping and handling for standard ground delivery for complete list of Proposition 65 regulated chemicals is available at ivrivi.cehha.ca.gov.For identification of products which contain a chemical
orders over US$1500 before tax and freight(including any back orders).C.O.D.shipments are not permitted.Other terms and conditions subject to Proposition 65,go to rwnv.graingeccom.Applicable Proposition 65 warning(s)are provided directly on the www.grainger.com
may apply for other than standard delivery("Other Freight Services"),including without limitation,expedited same day delivery,airfreight, product page and upon product purchase.
freight collect,export orders,hazardous materials,customers carrier,shipments outside the contiguous U.S.,or other special handling by 5.Important Notice to Federal Customers Re:Country of Origin.
the carrier.Any charges incurred for Other Freight Services must be paid by customer.Fuel surcharges may be applied.Title and risk of loss While products listed on GSA Advantage!®meet the requirements otthe Trade Agreements Act("TAA"),as implemented by Federal
pass to customer upon tender of shipment to the carrier.If the product is damaged in transit,customer's only recourse is to file a claim with Acquisition Regulations Part 25,other products sold by Grainger may not meet the requirements.At the time of purchase,Grainger will advise
the carrier. properly identified and authorized schedule customers if a product is"TAA-compliant."Any federal customer purchasing a non-TAA item will
he making an"open market"purchase that is not covered by any contract.Federal customers are advised that the open market purchases are
C.PRODUCT WARRANTY POLICY NOT GSA schedule purchases.By purchasing any product an the open market,the federal customer represents that it has authority to make
1.SATISFACTION GUARANTEE TO ALL CUSTOMERS. such purchase and has complied with all applicable procurement regulations.
Customer should contact Grainger if not satisfied with a product for any reason.Grainger will promptly provide an exchange or refund if the E.GENERAL TERMS
product is returned within 30 days of delivery,in its original packaging and with proof of purchase from Grainger. 1.Force Majeure.
Graingershall not be liable for any delay in,or impairment of,performance resulting in whole or in part from any force majeure event,
2.GRAINGER LIMITED WARRANTY FOR BUSINESSES. including but not limited to acts of God,labor disruptions,acts of war,ads of terrorism(whether actual orthreatened),governmental decrees
ALL PRODUCTS SOLD TO BUSINESS CUSTOMERS ARE WARRANTED BY GRAINGER ONLY FOR USE IN BUSINESS,GOVERNMENT, or controls,insurrections,epidemics,quarantines;shortages,communication or power failures,fire,accident,explosion,inability to procure
RESALE,OR ORIGINAL EQUIPMENT MANUFACTURE AGAINST DEFECTS IN WORKMANSHIP OR MATERIALS UNDER NORMAL USE FOR or ship product or obtain permits and licenses,inability to procure supplies or raw materials,severe weather conditions,catastrophic events,
ONE(1)YEAR AFTER DATE OF PURCHASE FROM GRAINGER.AT GRAINGER'S OPTION,THE EXCLUSIVE REMEDY FOR ANY PRODUCT IT or any other circumstance or cause beyond the reasonable control of Grainger in the conduct of its business.
DETERMINES TO BE DEFECTIVE IN WORKMANSHIP OR MATERIALS WILL BE REPAIR,REPLACEMENT OR REFUND.OF THE PURCHASE 2.Grainger's Performance of Services.
PRICE. Customer will hold harmless and indemnify Grainger,its officers,directors,employees,agents,subcontractors or representatives from and
against any and all claims,including bodily injury,death,or damage to personal property,and all other losses,liabilities,obligations.demands,
3.WARRANTY DISCLAIMER AND LIMITATION OF LIABILITY TO ALL CUSTOMERS. actions and expenses,whether direct or indirect,known or unknown,absolute or contingent,incurred by Grainger related to the performance
a.EXCEPT AS SET FORTH HEREIN AND WHERE APPLICABLE,NO WARRANTY OR AFFIRMATION OF FACT OR DESCRIPTION,EXPRESS of services for customer(including without limitation,settlement costs,attorneys'fees,and any and all other expenses for defending any
OR IMPLIED,IS MADE OR AUTHORIZED BY GRAINGER.GRAINGER DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTIES OF actions or threatened actions)arising out of,in whale or in part,any act or omission of customer,its employees,agents,subcontractors or
MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NONINFRINGEMENT OF INTELLECTUAL PROPERTY RIGHTS. representatives.
GRAINGER ALSO DISCLAIMS ANY LIABILITY FOR CLAIMS ARISING OUT OF PRODUCT MISUSE,IMPROPER PRODUCT SELECTION, 3.Cancellation.
IMPROPER INSTALLATION,PRODUCT MODIFICATION,MISREPAIR OR MISAPPLICATION. All product order cancellations must be approved by Grainger,and may be denied or subject to restocking fees and other charges.
4.Product Return for Business Customers.
b.GRAINGER EXPRESSLY DISCLAIMS ANY LIABILITY FOR CONSEQUENTIAL,INCIDENTAL,SPECIAL,EXEMPLARY,OR PUNITIVE For business customers,product returns,if allowed must be made within one(1)yearfrom date of purchase,unless otherwise indicated.
DAMAGES TO THE EXTENT PERMISSIBLE.GRAINGER'S LIABILITY IN ALL EVENTS IS LIMITED TO THE PURCHASE PRICE PAID FOR Customer should go to wnwr.prainoercomVeturns,for instructions.Returned product must be in original packaging,unused,undamaged,and
THE PRODUCT THAT GIVES RISE TO ANY LIABILITY. in saleable condition.Proof of purchase is required in all cases.Product returns may be denied or made subject to restocking fees and other
charges by Grainger.
F.EXPORT SALES
Orders for export sales are subject to the terms conditions found at tinvw.amingercom and can be accessed by clicking on the'Terms of
Sale"link.
1 A FULL STATEMENT OF GRAINGER'S TERMS AND CONDITIONS IS AVAILABLE ON WWW.GRAINGER.COM AND IS INCORPORATED HERE BY REFERENCE.
VOUCHER # 156519 WARRANT # ALLOWED
351533 IN SUM OF $
GRAINGER INC
DEPT. 804491322
PALATINE, IL 60038-0001
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9866971139 01-7202-06 $409.07
506
Voucher Total
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351533
GRAINGER INC Purchase Order No.
DEPT. 804491322 Terms
PALATINE, IL 60038-0001 Due Date 10/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/201: 9866971139 $409.07
I 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
Date Officer
GRAZNGERe PAGE 1 ORIGINAL INVOICE
/III GRAINGER ACCOUNT NUMBER 804491322
9210 CORPORATION DR. INVOICE NUMBER 9874965685
INDIANAPOLIS,IN 46256-1017 10/23/2015
www.grainger.com INVOICE DATE
DUE DATE 11/22/2015
AMOUNT DUE $209.25
SHIP TO
CARMEL WATER UTILITIES PO NUMBER: KR102315
4915 E 106TH ST CALLER: KEN RHODES
CARMEL IN 46033-0000 CUSTOMER PHONE: 3177332855
ORDER NUMBER: 1246912554
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL WATER UTILITIES
3450 W 131 ST ST
CARMEL IN 46074-8267
THANK YOU!
FEI NUMBER 36-1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 5TCU8 GEAR OIL PUMP,HAND OP,5 GAL,OUT SIZE 3 1 209.25 209.25
MANUFACTURER#5TCU8
Delivery#6305668443 Date Shipped:10/23/2015
Carrier:UPS GROUND No:of Pkgs:1 Wt:15.100
Trk#:1Z6Y07A40330456965
INVOICE SUB TOTAL 209.25
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENTSENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $209.25
VOUCHER # 153428 WARRANT# ALLOWED
351533 IN SUM OF $
GRAINGER, INC
DEPT 804572097
PALATINE, IL 60038-0001
,1
Carmel Water Utility {
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9874965685 01-6200-04 $209.25
f,
I
1:
i
i
i
,I
Voucher Total $209.25 !i
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
I
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351533
GRAINGER, INC Purchase Order No.
DEPT 804572097 Terms
PALATINE, IL 60038-0001 Due Date 10/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201! 9874965685 $209.25
I 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
/-�/?./rs C�-Ji✓' —
Date Officer
A � •
GRAIINGER9 PAGE 1 ORIGINAL INVOICE
II ryry�� / GRAINGER ACCOUNT NUMBER 847517521
INDIANAPOLIS,IN 46256-1017 �L �/ 1�w INVOICE NUMBER 9870577005
www.grainger.com INVOICE DATE 10/19/2015
c�
DUE DATE 11/18/2015
OCT 2 O 2015 AMOUNTDUE $47.35
SHIP TO
ATTN:JIM
MONON CENTER BY• PO NUMBER: XX-2861
Jim Ransford - PROJECT/JOB: XX-2861
1235 CENTRAL PARK DR E REQUISITIONER: XX-2861
CARMEL IN 46032-4421 CALLER: DAWN KOEPPER
CUSTOMER PHONE: 3175734026
ORDER NUMBER: 1246496657
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL CLAY PARKS&RECREATIONS
ADMINISTRATIVE OFFICE.
1411 E 116TH ST
CARMEL IN 46032-7611 THANK YOUI
FEI NUMBER 36.1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 6GRL8 ANUFACTURER#5PULLER;
U LLER;14 IN.L 1 24.16 24.16
M
2 18E837 GOOSENECK WRECKING BAR, -1/2 IN.W 1 13.23 13.23
MANUFACTURER#213
3 1TLC6 SKT CAP SCREW,FLAT,3/8-16X1,PK10 1 9.96 9.96
MANUFACTURER#1TLC6
Delivery#6305142767 Date Shipped:10/19/2015
Carrier:UPS GROUND No:of Pkgs:2 Wt:7.210
Trk#:1 Z6Y07A40329774445 1 Z6Y07A40329811798
INVOICE SUB TOTAL 47.35
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $47.35
PAGE1
GRAINGER ORIGINAL INVOICE
fill GRAINGER ACCOUNT NUMBER 847517521
9210 CORPORATION DR. INVOICE NUMBER 9873791017
INDIANAPOLIS,IN 46256-1017 . -.� -, INVOICE DATE 10/22/2015
www.grainger.com RIE°C EI VED 11/21/2015
DUE DATE
SHIP TO DC T 2 8 2015 AMOUNT DUE $86.55
ATTN:MIKE
PO NUMBER: XX-2866
MONON CENTER
Mike Kilpatrick �Y: PROJECT/JOB: XX-2866
1235 CENTRAL PARK DRE REQUISITIONER: XX-2866
CARMEL IN 46032-4421 CALLER: DAWN KOEPPER
CUSTOMER PHONE: 3175734026
ORDER NUMBER: 1246822113
[NCO TERMS: FOB ORIGIN
BILL TO
CARMEL CLAY PARKS&RECREATIONS
ADMINISTRATIVE OFFICE
1411 E 116TH ST "
CARMEL IN 46032-7611 THANK YOUI
FEI NUMBER 36-1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 5MW45 MANUFACTURER I-6IM-SCREWDRIVER,1 3/5 6 2.83 16.98
2 1YBR8 TORX INSERT BIT 1-1/4 IN,PK2 1 4.00 4.00
MANUFACTURER k 32485
3 1YBR9 SQUARE INSERT. I3248441N,PK2 1 4.00 4.00
MANUFACTURER#
4 1YBT1 INSERT BIT,1-1/4 IN,PK2 6 4.00 24.00
MANUFACTURER#32482
5 1YBT2 INSERT BIT,1-1/4 IN PK2 6 4.00 24.00
MANUFACTURER#32483
6 24Z454 RAZOR SCRAPER,1-1/2 IN.W,5-1/2 IN.L 1 13.57 13.57
MANUFACTURER#13070
Delivery#6305543685 Date Shipped:10/22/2015
Carrier:UPS GROUND No:of Pkgs:1 Wt:1.110
Trk#:1 Z6Y07A40330282394
INVOICE SUB TOTAL 86.55
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT ME $86.55
GRANGER. PAGE 1 ORIGINAL INVOICE
I111 I Iti GRAINGER ACCOUNT NUMBER 847517521
9210 CORPORATION DR. _______-- INVOICE NUMBER 9873791009
INDIANAPOLIS,IN 46256-1017 j 10/22/2015
www.grainger.com f' EC IT � INVOICE DATE 11/21/2015
DUE DATE
SHIP TO O 2 $ 2015 AMOUNT DUE $84.42
ATTN:JIM RANSFORD PO NUMBER: JIM RANSFORD
CARMEL CLAY PARKS&REC PROJECT/JOB: JIM RANSFORD
JIM RANSFORD BY:
1411 E 116TH ST REQUISITIONER: JIM RANSFORD
CARMEL IN 46032-7611 CALLER: JIM RANSFORD
CUSTOMER PHONE: 3178487275
ORDER NUMBER: 1246503286
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL CLAY PARKS&RECREATIONS
ADMINISTRATIVE OFFICE
1411 E 116TH ST
CARMEL IN 46032-7611 THANK YOUI
FEI NUMBER 36.1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION. QUANTITY UNIT PRICE TOTAL
LINE#
0 44645353 P TRAP 11,14 CAST BODY W DEEP ESC 3 28.14 - 84.42
LOW LEAD"N/A"
MANUFACTURER#Z870OD-PC
INVOICE SUB TOTAL 84.42
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $84.42
GRAZNGER, PAGE 1
ORIGINAL INVOICE
I l» 847517521
GRAINGER ACCOUNT NUMBER
9210 CORPORATION DR. 434079 9875
INDIANAPOLIS,IN 46256-1017 INVOICE NUMBER 875 3/2015
www.grainger.com =2-6
DUE INVO DAICE TE 11/22/2015 11/22/2015
AMOUNT DUE $74.40
ATTNSHIP TMARY MONON CENTERPO NUMBER: XX-2887
Mary EvansPROJECT/JOB: XX-2887
1235 CENTRAL PARK DR E REQUISITIONER: XX-2887
CARMEL IN 46032-4421CALLER: DAWN KOEPPER
CUSTOMER PHONE: 3175734026
ORDER NUMBER: 1246929501
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL CLAY PARKS 8.RECREATIONS
ADMINISTRATIVE OFFICE
1411 E 116TH ST
CARMEL IN 46032-7611
THANK YOU!
FEI NUMBER 36.1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 5LE24 MANUFAC`fUkALKALINE CI604BKD 6 12.40 74.40
Delivery#6305698646 Date Shipped:10/23/2015
Carrier:UPS GROUND NOW Pkgs:1 Wt:7.500
Trk#:1 Z6Y07A40330499197
r
INVOICE SUB TOTAL 74.40
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary td US law prohibited.
PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $74.40
GRAINGER PAGE 1 ORIGINAL INVOICE
f I - GRAINGER ACCOUNT NUMBER 847517521
9210 CORPORATION DR. 9875927213
INDIANAPOLIS,IN 46256-1017 INVOICE NUMBER
www.grainger.com INVOICE DATE 10/26/2015
DUE DATE 11/25/2015
SHIP TO =BY:----
AMOUNT DUE $22.07
ATTN:JIM
MONON CENTERPO NUMBER: XX-2890
Jim Ransford PROJECT/JOB: XX-2890
1235 CENTRAL PARK DR EREQUISITIONER: XX-2890
CARMEL IN 46032-4421CALLER: DAWN KOEPPER
CUSTOMER PHONE: 3175734026
ORDER NUMBER: 1247007426
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL CLAY PARKS&RECREATIONS
ADMINISTRATIVE OFFICE
1411 E 116TH ST
CARMEL IN 46032-7611 THANK YOUI
FEI NUMBER 36-1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643
PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL
LINE#
1 11RVD7 SPLIT RING HANGER SIZE 1-1/4 IN 3 3.14 9.42
MANUFACTURER#4950125EG
2 6P005 PHOTOCONTROL,FIXED,I 20VAC 1 12.65 12.65
MANUFACTURER#K4021
Delivery#6305775475 Date Shipped:10/26/2015
Carrier:UPS GROUND No:of Pkgs:1 Wt:0.660
Trk#:1 Z6Y07A40330599785
INVOICE SUB TOTAL 22.07
These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US
export controls.Diversion contrary to US law prohibited.
PAYMENTTERMS Net 30 days-PAY THIS INVOICE.NO STATEMENTSENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $22.07
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.
319510 Grainger Terms
Dept 804491322 Date Due
Palatine, IL 60038-0001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/19/45 987057705 Maintenance supplies xx2861 $ 47.35
10/22/15 9873791017 Maintenance supplies xa2866 $ 56.00
10/22/15 9873791017 Maintenance supplies xx2866 $ 30.55
10/22/15 1 9873791009 _ Maintenance supplies xx2861- $ 84:42 -
10/23/15 9875434079 Batteries for Fitness Equipment xx2887 $ 74.40
10/26/15 9875927213 Maintenance supply parts xx2890 $ 22.07
Total $ 314.79
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
319510 Grainger Allowed 20
Dept 804491322
Palatine, IL 60038-0001
In Sum of$
$ 314.79
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. %CCT#rrITLE AMOUNT Board Members
Dept#
1093 987057705 4350000 $ 47.35 1 hereby certify that the attached invoice(s), or
1093 9873791017 4235000 $ 56.00 bill(s) is(are)true and correct and that the
1093 9873791017 4238000 $ 30.55 materials or services itemized thereon for
1093 9873791009 4350000 $. 84.42 which charge is made were ordered and
1096-22 9875434079 4239039 $ 74.40 received except
1093 9875927213 4350000 $ 22.07
October 28, 2015
Signature
$ 314.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund