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260189 06/28/16
(9, CITY OF CARMEL, INDIANA VENDOR: 370440 rarrar ONE CIVIC SQUARE GRAINGER CHECKAMOUNT: S 1,709.44CARMEL, INDIANA 46032 DEPT 804491322 CHECK NUMBER: 260189 PALATINE IL 60038-0001 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238000 854052545 '" _296.33 SMALL TOOLS & MINOR E 1205 4238900 854052545 "^ 25.43 OTHER MAINT SUPPLIES 1206 4350400 9127867704 `' 8.64 GROUNDS MAINTENANCE 2201 4238900 9128233286 = 42.08 OTHER MAINT SUPPLIES 651 5023990 9128384006 - 96.80 OTHER EXPENSES 651 5023990 9128384014 - 68.44 OTHER EXPENSES 1206 4350400 9128784361 ` 89.63 GROUNDS MAINTENANCE 1206 4350400 9128784379 -8.64 GROUNDS MAINTENANCE. 651 5023990 9131226392 - 56.04 OTHER EXPENSES 651 5023990 9131966369 249.65 OTHER EXPENSES 651 5023990 9133428921 ~•46.40 OTHER EXPENSES 651 5023990 9133734765 - 194.09 OTHER EXPENSES 651 5023990 9134425496 - 22.46 OTHER EXPENSES 651 5023990 9135380625 319.68 OTHER EXPENSES 651 5023990 9135597418 ;147.01 OTHER EXPENSES 651 5023990 9140613713 - 55.40 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) GRAINGER INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DEPT 847517521 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL.60038-0001 rendered,by whom,rates per day,number of hour;,rate per hour,number of units,price per unit,etc. $296.33 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 854052545 42-380.00 $296.33 1 hereby certify that the attached invoice(s),or 6/27/16 854052545 $296.33 1205 101 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,June 27,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CRAI MER) PAGE 1 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 854052545 9210 CORPORATION DR. INVOICE NUMBER 9138036950 INDIANAPOLIS,IN 46256-1017 06/13/2016 www.grai-nger.com INVOICE DATE DUE DATE 07/13/2016 SHIP TO AMOUNT DUE $296.33 ATTN:J BARNES CITY OF CARMEL PO NUMBER: WEB855423333 One Civic Square DEPARTMENT: FACILITIES Carmel IN 4032 REQUISITIONER: J BARNES CALLER: JEFF BARNES CUSTOMER PHONE: 3175712443 ORDER NUMBER: 1264675751 INCO TERMS: FOB ORIGIN BILL TO CITY OF CARMEUBOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL IN 46032-2584 THANK YOUI FEI NUMBER 38-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# 1 5VUC4 SCREW EXTRACTORIDRILL SET,35 PCS 1 296.33 296.33 MANUFACTURER#11135Z Delivery#6327408014 Date Shipped:06/13/2016 Carrier.UPS GROUND No:of Pkgs:1 Wt:3.400 Trk#A Z6Y07A40357402089 ubm tt d o Pyilding Maintenance JUN 2 0016 # gd C1 mrk i r s s u re r INVOICE SUB TOTAL 296.33 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 $296.33 GRAZNGERe PAGE 1 ORIGINAL INVOICE f<<fI GRAINGER ACCOUNT NUMBER 854052545 9210 CORPORATION DR. INVOICE NUMBER 9138036950 INDIANAPOLIS,IN 46256-1017 06/13/2016 www.grainger.com INVOICE DATE DUE DATE 07/13/2016 AMOUNT DUE $296.33 SHIP TO ATTN:J BARNES CITY OF CARMEL PO NUMBER: WEB855423333 One Civic Square DEPARTMENT: FACILITIES Carmel IN 46032 REQUISITIONER: J BARNES CALLER: JEFF BARNES CUSTOMER PHONE: 3175712443 ORDER NUMBER: 1264675751 INCO TERMS: FOB ORIGIN BILL TO CITY OF CARMEUBOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL IN 46032-2584 THANK YOUI FEI NUMBER 36-1160280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# 1 5VUC4 SCREW EXTRACTOR/DRILL SET,35 PCS 1 296.33 296.33 MANUFACTURER#11 135Z Delivery#6327408014 Date Shipped:06/13/2016 Carrier:UPS GROUND No:of Pkgs:1 Wt:3.400 Trk#:1Z6Y07A40357402089 JUN 2 0 016 Building Maintenance P@04FtM@nt I C I a rk re,-a s u re r INVOICE SUB TOTAL 296.33 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 $296.33 it PLEA DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT , BILL TO: REMIT TO: GRAINGER CITY OF CARMEUBOARD OF PUBLIC WORK DEPT.804491322 1 CIVIC SQ PALATINE, IL 60038-0001 CARMEL IN 46032-2584 UNITED STATES OF AMERICA 804491322913803695010000296331000000010000000100000016071336 X ACCOUNT NUMBER DATE INVOICE NUMBER AMOUNT DUE 854052545 06/13/2016 9138036950 $296.33 FOR COMMENTS OR CHANGE OF ADDRESS,ENTER INFORMATION ON REVERSE SIDE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GRAINGER INC DEPT 847517521 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL 60038-0001 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $25.43 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 854052545 42-389.00 $25.43 1 hereby certify that the attached invoice(s),or 6/27/16 854052545 $25.43 1205 101 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,June 27,2016 7 � 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer GRAINGER PAGE 1 ORIGINAL INVOICE /it GRAINGER ACCOUNT NUMBER 854052545 9210 CORPORATION DR. 2462 INDIANAPOLIS,IN 46256-1017INVOICE NUMBER 913936/39362016 www.grainger.com INVOICE DATE DUE DATE 07/14/2016 SHIP TO AMOUNT DUE $25.43 ATTN:J BARNES CITY OF CARMEL PO NUMBER: WEB855602427 One Civic Square DEPARTMENT: FACILITIES Carmel IN 4032 REQUISITIONER: J BARNES CALLER: JEFF BARNES CUSTOMER PHONE: 3175712443 ORDER NUMBER: 1264816394 INCO TERMS: FOB ORIGIN BILL TO CITY OF CARMEUBOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL IN 46032-2584 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 14A794 BULK W BBING�10 23FT X4 0/4 IN,375LB 1 25.43 25.43 MANUDelivery#6327574718 Date Shipped:06/14/2016 Carrier:UPS GROUND No:of Pkgs:1 Wt:1.000 Trk#AZ6Y07A40357547281 Su fitted `o Building Maintenance J JN 2 0 20IS Account # 8 Department Clea Trey ulcer INVOICE SUB TOTAL 25.43 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 $25.43 PLEASE DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT AL BILL TO: REMIT TO: GRAINGER CITY OF CARMEUBOARD OF PUBLIC WORK DEPT.804491322 1 CIVIC SQ PALATINE,IL 60038-0001 CARMEL IN 46032-2584 UNITED STATES OF AMERICA 80449132291393624621❑000025431000000010000000100000016071475 X ACCOUNT NUMBER DATE INVOICE NUMBER AMOUNT DUE 854052545 06/14/2016 9139362462 $25.43 FOR COMMENTS OR CHANGE OF ADDRESS,ENTER INFORMATION ON REVERSE SIDE 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 6/16/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/16/2016 9135597418 $147.01 hereby certify that the attached invoice(s), or bill(s) is(are)true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer PAGE 1 OF 2 O • INVOICE CRAl11TCER® GRAINGER ACCOUNT NUMBER 813555497 /III INVOICE NUMBER 9135597418 9210 CORPORATION DR. INVOICE DATE 06/09/2016 INDIANAPOLIS, IN 46256-1017 DUE DATE 07/09/2016 www.grainger.com AMOUNT DUE 147.01 Ship to information is listed below PO NUMBER: 516153 in the description section DEPARTMENT: DISPENDING MACHINE 4 PROJECT/JOB: 5780890 BILL TO REQUISITIONER: JEFF COOPER C CALLER: BLAINE MALLABER — MDG2016 00007509 1 AB 0399 CUSTOMER PHONE: (999)999-9999 ORDER NUMBER: 1264483666 INCO TERMS: FOB ORIGIN 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/paperlessinvoicing =_ THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 P• ITEM# DESCRIPTIONQUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to. DISP MACH 4566 CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000001 41F710 K01-25887430 KNOT WIRE END BRUSH,STEEL,1 1 16.92 16.92 CUST PART#4F710 DISP MACH 4566 KNOT WIRE END BRUSH STEEL MANUFACTURER# 10027 000002 4VAW6 K01-25436325 SAFETY GLASSES,SLVR MIRROR, 3 9.10 27.30 CUST PART#4VAW6 MACH SAFETY GLASSES SLVR MIRROR SCRTCH-R MANUFACTURER#4VAW6 000003 1YAF3 K01-25887427 HIGH VISIBILITY VEST,CLASS 1 22.28 22.28 CUST PART# 1YAF3 DISP MACH 4566 HIGH VISIBILITY VEST CLAS MANUFACTURER# 1YAF3 000004 21VIDA6 KO1-25436312 LEATHER GLOVES,SINGLE PALM, 1 4.06 4.06 CUST PART#2MDA6 CONTINUED INVOICE SUB TOTAL 147.01 These items are sold for domestic consumption. If exported,purchaser assumes full responsibility 'orcompliance with US export controls. Diversion contrary to US law prohibitied.-- — VOICE NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE 147.01 1VC DADTT PAGE 1 OF 1 OGRAl11TC,ER® � INVOICE GRAINGER ACCOUNT NUMBER 813555497 — I IIF INVOICE NUMBER 9131226392 9210 CORPORATION DR. INVOICE DATE 06/06/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/06/2016 www.grainger.com AMOUNT DUE 56.04 i. Ship to information is listed below PO NUMBER: 516169 in the description section CALLER: DUANE JARVIS CUSTOMER PHONE: (317) 571-2634 BILL TO ORDER NUMBER: 1264135448 MDG2016 00007258 1 AB 0399 INCO TERMS; FOB ORIGIN 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/paperlessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 DESCRIPTIONPO ITEM QUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 'k* 000001 4ZR97 DISC BACKUP PAD,4-1/2 DIA,HOOK AND LOO 1 36.18 36.18 MANUFACTURER# 14111 000003 40K305 FACIAL TISSU E,WHITE,FLAT BOX,200 SHEET 6 3.31 19.86 MANUFACTURER#8540-00-281-8360 Delivery# 6326759066 Date shipped: 06/06/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 4.51 Trk#: 1Z6Y07A40356583716 INVOICE SUB TOTAL 58.04 PAGE 1 OF 1 ORIGINAL INVOICE CRAINGER® GRAINGER ACCOUNT NUMBER 813555497 — �III� INVOICE NUMBER 9135380625 9210 CORPORATION DR. INVOICE DATE 06/09/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/09/2016 www.grainger.com AMOUNT DUE 319.68 Ship to information is listed below PO NUMBER: 516183 v in the description section CALLER: DUANE JARVIS CUSTOMER PHONE: (317) 571-2634 BILL TO ORDER NUMBER: 1264469446 — MDG2016 00007509 1 AB 0399 INCO TERMS: FOB ORIGIN =_ 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/paperlessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 DESCRIPTIONPO ITEM# QUANTITY UNIT PRICE TOTAL The following items were shipped to: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000001 21T081 TRI-BALL BALL MOUNT,1 7/8,2,2 5/16 I 4 79.92 319.68 MANUFACTURER#80791 Delivery#6327126732 Date shipped: 06/09/2016 Carrier: UPS GROUND No. of pkgs: 0 Wt: 71.40 Trk#: 1 Z3018W70329211154 1 Z3018W70329212395 INVOICE SUB TOTAL 319.68 These items arP snld fnr rinmacfir rnncumnfinn 1Farnnrfad rorr6aear accumac fill roennnci6ilih. PAGE 1 OF 1 ORIGINAL INVOICE GRAINGER® GRAINGER ACCOUNT NUMBER 813555497 — ����� INVOICE NUMBER 9134425496 9210 CORPORATION DR. INVOICE DATE 06/09/2016 INDIANAPOLIS, IN 46256-1017 DUE DATE 07/09/2016 www.grainger.com AMOUNT DUE 22.46 Ship to information is listed below PO NUMBER: 516169 in the description section CALLER: DUANE JARVIS CUSTOMER PHONE: (317) 571-2634 BILL TO ORDER NUMBER: 1264135448 MDG2016 00007509 1 AB 0399 INCO TERMS: FOB ORIGIN 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/paperlessinvoicing THANK YOU! FEI NUMBER 36.1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 _ '• DESCRIPTION QUANTITY UNIT PRICE TOTAL. The following items were shipped to: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000002 34NN34 AIR FILTER,ELEMENT ONLY,PANEL,9-29/32I 1 22.46 22.46 MANUFACTURER#PA5722 INVOICE SUB TOTAL 22.46 These items are sold for domestic consumption. If exported,purchase CRAINC;ER® PAGE 1 OF 1 O • INVOICE /III GRAINGER ACCOUNT NUMBER 813555497 —_ INVOICE NUMBER 9140613713 9210 CORPORATION DR. INVOICE DATE 06/15/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/15/2016 www.grainger.com AMOUNT DUE 55.40 Ship to information is listed below Po NUMBER: 516208 in the description section DEPARTMENT: FASTENERS PROJECT/JOB: 5796220 BILL TO REQUISITIONER: JEFF COOPER CALLER: DUANEJARVIS — MDG2016 00000500 1 AT 0399 CUSTOMER PHONE: (317) 571-2634 ORDER NUMBER: 1264881868 INCO TERMS: FOB ORIGIN 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! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 The following items were shipped to: FASTENERS KEEPSTOCK CARMEL WASTEWATER 9609 HAZEL DELL PKWY ** INDIANAPOLIS IN 46280 000001 13G204 K01-25255892 DISP.GLOVES,NITRILE,2XL,BL 3 11.70 35.10 CUST PART# 13G204 CRIB MANUFACTURER# N645 000002 3AVT8 K01-19973870 HHCS,5/8-11X2-1/2,SS,18-8(3 1 13.63 13.63 CUST PART#3AVT8 BIN 02-3-1-F MANUFACTURER# U51000.062.0250 000003 22UE23 K01-21144696 FLAT WASHER,BOLT 7/16,STL,1 1 6.67 6.67 CUST PART#22UE23 BIN 01-H-1-C MANUFACTURER#U38130.043.0001 Delivery#6327720931 Date shipped: 06/15/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 7.70 Trk#: 1Z6Y07A40357716795 INVOICE SUB TOTAL 55.40 PAGE 2OF2 O �ICE CRAINCER® GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9135597418 9210 CORPORATION DR. INVOICE DATE 06/09/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/09/2016 AMOUNT DUE 147.01 BILL TO: CARMEL WASTEWATER C 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2935 SHIP TO: DISP MACH 4566 CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# MACH LEATHER GLOVES SINGLE PALM L PR MANUFACTURER#2MDA6 000005 1AGD3 KO1-25887433 DISPOSABLE RESPIRATOR,N95,P 1 20.35 20.35 CUST PART# 1AGD3 DISP MACH 4566 DISPOSABLE RESPIRATOR N95 MANUFACTURER#8210PLUS 000006 1AV08 K01-25233098 JERSEY GLOVES,PO LY/COTTON, 4 0.44 1.76 CUST PART# 1AV08 _— MACH JERSEY GLOVES POLY/COTTON L BROWN -MANUFACTURER-#-1-AV08' 000007 5H905 KO1-25887431 SPRAYPAINT,DARK MACHINE GR 2 10.31 20.62 CUST PART# 511905 DISP MACH 4566 SPRAY PAINT DARK MACHINE MANUFACTURER#V2187838 000008 2ELF4 KO1-25887425 LEATHER PALM GLOVES,L,GRAY, 1 11.44 11.44 CUST PART#2ELF4 DISP MACH LEATHER PALM GLOVES L GRAY PR MANUFACTURER# 1440L 000009 1YAF5 K01-25239125 HIGH VISIBILITY VEST,CLASS 1 22.28 22.28 CUST PART# 1YAFS MACHINE HIGH VISIBILITY VEST CLASS 1 2XL MANUFACTURER# 1YAF5 Delivery#6327206743 Date shipped: 06/09/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 5.36 Trk#: lZ6Y07A40357171856 4 0011951 P CRAl11TCER�: �IicL. wvuuv gramyercam�Call t-&00-GRAIPJGER(472-4543 Page 1 of 1 Include Stuffers "I" PACKING LIST WW GRAINGER DC BOX ID 0555374818 701 GRAINGER WAY PO Number S16169 MINOOKA IL 60447-9998 Delivery Number 6326759066 Account Number 813555497 hip TO Caller DUANE JARVIS CARMEL WASTEWATER PO Release Number 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Project/Job Number Department Order Date 06/06/2016 Ship Date 06/06/2016 Requisitioner Old TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326759066 on all remittance and correspondence. Your Order Number is: 1264135448 Quantity Shipped Back PO Line Item# Item Description Shipped from other ordered Tax Unit Price Total location 1 4ZR97 Disc Backup Pad,4-1/2 Dia,Hook and Loop 1 0 0 E 36.18 36.18 3 40KJ05 Facial Tissue,White,Flat Box,200 Sheets 6 0 0 E 3.31 19.86 34NN34 Air Filter,Element Only,Panel,9-29/32in 0 1 0 0.00 0.00 Subtotal 56.04 Tax Shipping 0.00 Total 56.04 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED.PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. GRAINC,ERQQ Click:www.grainger.com I Call:1-800-GRAINGER(472-4643) Page 1 of 1 PACKING LIST 8211 Bavaria Rd. BOX ID U209145 832-A Macedonia OH 44056-2259 PO Number 516183 A/P Delivery Number 6327126732 Ship To: Grainger Account Number 0813555497 CARMEL WASTEWATER Caller DUANE JARVIS PO Release Number Project/Job Number 9609 HAZEL DELL PKWY Department INDIANAPOLIS IN 46280 Order Date& Time 06/09/2016 Ship Date 06/09/2016 Requisitioner Vendor Number _ Sold TO: Employee Contact ACLNT200 CARMEL WASTEWATER Carrier UPS GROUND Order Type SH Debit/ Credit Code Z001 9609 HAZEL DELL PKWY Cartons in this Shipment 2 INDIANAPOLIS IN 46280-2935 Please reference A/P DELIVERY NUMBER 6327126732.on all remittance and correspondence. Your Order Ntunber is: 1264469446 Shipped Quantity from other Back- PO Line Item # Item Description Shipped location ordered Tax Unit Price Total 10 21 T081 Tri-Ball Ball Mount 1 7/8 2 2 5/ 4 0 0 E 79.92 319.68 Subtotal: 319.68 SALE GOVEMNED SOLELY 13Y%%,NVG CURRENT TERMS OF SALE.INCORPORATED HEREIN. AVAILABLE AT GRAINGER.COM.INCLUDING\VAIZRANTY AND DAkIAGES LIMITS&DISCLAIAfl,;RS. + Tax: THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF IMPORTED + Shipping: PI rRCHASER ASSU�II S FULL RESPONSIBILi,r,,,FOI2 COivll'LIANCE NYTI'H US E.\-PORT CONTROLS. Total: 319.68 GRAnvGSR� Click:www.grainger.com Call:1-800-GRAINGER(472-4643) Page 1 of 2 f I„' � � Include Stuffers PACKING LIST WW GRAINGER DC BOX ID 0875956813 701 GRAINGER WAY PO Number S16153 MINOOKA IL 60447-9998 Delivery Number 6327206743 Account Number 813555497 hip TO Caller BLAINE MALLABER CARMEL WASTEWATER PO Release Number 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Project/Job Number 5780890 Department DISPENDING MACHINE 4 Order Date 06/09/2016 ATTN: DISP MACH 4566 Ship Date 06/09/2016 Requisitioner JEFF COOPER Old TO Employee Contact S_ITCJOBS CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN, 46280-2935 Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6327206743 on all remittance and correspondence. Your Order Number is: 1264483666 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 1 4F710 Knot Wire End Brush,Steel,1-1/8 In. 1 0 0 E 16.92 16.92 4F710 Parent ID:K01-25887430 disp mach 4566 Knot Wire End Brush Steel 1-1/8 In. 2 4VAW6 Safety Glasses,Slvr Mirror,Scrtch-Rsstnt 3 0 0 E 9.10 27.30 4VAW6 / Parent ID:K01-25436325 •'/ Mach Safety Glasses Slvr Mirror Scrtch-Rsstnt 3 1YAF3 High Visibility Vest,Class 1,L,Lime 1 0 0 E 22.28 22.28 1YAF3 �� Parent ID:K01-25887427 disp mach 4566 High Visibility Vest Class 1 L Lime 4 2MDA6 �LeatherGloves,Single Palm,L,PR 1 0 0 E 4.06 4.06 2MDA6 Parent ID:K01-25436312 Mach Leather Gloves Single Palm L Pr 5 1AGD3 Disposable Respirator,N95,PK20 1 0 0 E 20.35 20.35 1AGD3 ✓ Parent ID:K01-25887433 disp mach 4566 Disposable Respirator N95 Pk20 6 1AV08 Jersey Gloves,Poly/Cotton, L,Brown,PR 4 0 0 E 0.44 1.76 1AV08 Parent ID:K01-25233098 Mach Jersey Gloves Poly/Cotton L Brown Pr 7 51-1905 Spray Paint,Dark Machine Gray,15 oz. 2 0 0 E 10.31 20.62 5H905 Parent ID:K01-25887431 disp mach 4566 Spray Paint Dark Machine Gray 15 Oz. Continued SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS 8 DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. CRA11110ER® Click:www.grainger.com ICall:1-800-GRAINGER(472-4643) Page 2 of 2 /l"f Include Stuffers Include Stuffers PACKING LIST WW GRAINGER DC BOX ID U875956813 701 GRAINGER WAY PO Number S16153 MINOOKA IL 60447-9998 Delivery Number 6327206743 Account Number 813555497 hip To Caller BLAINE MALLABER CARMEL WASTEWATER PO Release Number 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Project/Job Number 5780890 Department DISPENDING MACHINE 4 Order Date 06/09/2016 Ship Date 06/09/2016 Requisitioner JEFF COOPER Old To Employee Contact S_ITCJOBS CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 Cartons Shipped 11 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6327206743 on all remittance and correspondence. Your Order Number is: 1264483666 PO Line Item# Item Description Quantity Shipped Back Shipped from other ordered Tax Unit Price Total location 8 2ELF4 Leather Palm Gloves,L,Gray,PR 1 0 0 E 11.44 11.44 2ELF4 Parent ID:K01-25887425 disp mach Leather Palm Gloves L Gray Pr 9 1YAF5 High Visibility Vest,Class 1,2XL,Lime 1 0 0 E 22.28 22.28 1YAF5 Parent ID:K01-25239125 Machine High Visibility Vest Class 1 2xl Lime Subtotal 147.01 Tax Shipping 0.00 Total 147.01 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GRAINGER DEPT 804510162 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show;kind of service,where performed,dates service PALATINE, IL 60038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Payee $42.08 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 9128233286 42-389.00 $42.08 1 hereby certify that the attached invoice(s),or 6/2/16 9128233286 $42.08 2201 201 2201. 201 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 Tuesday,June 14,2016 e street cr)mmisslomer 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer GRAZNGER® PAGE 1 OF 1 ORIGINAL GRAINGER ACCOUNT NUMBER 854052008 INVOICE NUMBER 9128233286 9210 CORPORATION DR. INVOICE DATE 06/02/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/02/2016 www.grainger.com AMOUNT DUE 42.08 Ship to information is listed below PO NUMBER: ]IM HOBBS in the description section CALLER: ]IM HOBBS CUSTOMER PHONE: (317)733-2001 BILL TO ORDER NUMBER: 1263825988 C MDG2016 00007373 1 AB 0399 INCO TERMS: FOB ORIGIN CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL, IN 46074-8267 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 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to: CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL IN 46074-8267 ** 5LTR4 WALL RACK, HARD HAT 2 14.35 28.70 MANUFACTURER# 5LTR4 5LTR5 WINDOW MOUNT KIT, PK3 2 6.69 13.38 MANUFACTURER# 5LTR5 Delivery# 6326435422 Date shipped: 06/02/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 1.10 Trk#: 1Z6Y07A40356248892 •J INVOICE SUB TOTAL 42.08 Page 1 of 1 Click:wwkv.grainger.com I Call:1-800-GRAINGER(472-4643) GRAINGER) Include Stuffers ""' PACKING LIST WW GRAINGER DC BOX ID 0556680364 701 GRAINGER WAY PO Number JIM HOBBS MINOOKA IL 60447-9998 Delivery Number 6326435422 Account Number 854052008 hip TO. Caller JIM HOBBS CARMEL STREET DEPARTMENT PO Release Number 3400 W 131 ST ST CARMEL IN 46074-8267 Project/Job Number Department Order Date 06/02/2016 Ship Date 06/02/2016 Requisitioner old To Employee Contact BR2AMC CARMEL STREET DEPARTMENT Carrier UPS GROUND 3400 W 131 ST ST CARMEL IN 46074-8267 Order Type Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326435422 on all remittance and correspondence. Your Order Number is: 1263825988 Quantity Shipped Back PO Line Item# Item Description Shipped from other ordered Tax Unit Price Total location 5LTR4 Wall Rack, hard Hat 2 0 0 E 14.35 28.70 5LTR5 Window Mount Kit, PK3 2 0 0 E 6.69 13.38 Subtotal 42.08 Tax Shipping 0.00 Total 42.08 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GRAINGER IN SUM OF$ CITY OF CARMEL DEPT 804491322 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL 60038-0001 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Payee $89.63 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 9127867704 43-504.00 $8.64 1 hereby certify that the attached invoice(s),or 6/2/16 9127867704 $8.64 1206 101 1206 101 9128784361 43-504.00 $89.63 bill(s)is(are)true and correct and that the 6/3/16 9128784379 ($8.64) 1206 101 1 materials or services itemized thereon for 1206 1 101 9128784379 43-504.00 ($8.64) 6/3/16 9128784361 $89.63 1206 I I 101 I which charge is made were ordered and 1206 101 received except jTueay,Jun 20 Street Commissioner 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CRAINCSR® PAGE 1 OF 1 ORIGINAL GRAINGER ACCOUNT NUMBER 854052008 — INVOICE NUMBER 9128784361 9210 CORPORATION DR. INVOICE DATE 06/03/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/03/2016 www.grainger.com AMOUNT DUE 89.63 Ship to information is listed below PO NUMBER: 2410DEPTH in the description section CALLER: MIKE KALOGEROS CUSTOMER PHONE: (317)443-0841 BILL TO ORDER NUMBER: 1263909182 INCO TERMS: FOB ORIGIN — MDG2016 00005751 1 AB 0399 CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL, IN 46074-8267 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 DESCRIPTIONPO ITEM# QUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to: CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL IN 46074-8267 4LTK5 FLOAT BALL,ROUND,SS,6 IN 1 89.63 89.63 MANUFACTURER#GRT6OS418A Delivery#6326464603 Date shipped: 06/03/2016 INVOICE SUB TOTAL 89.63 CRAINCSR® PAGE 1 OF 1 ORIGINAL GRAINGER ACCOUNT NUMBER 854052008 CREDIT MEMO NUMBER 9128784379 9210 CORPORATION DR. CREDIT MEMO DATE 06/03/2016 INDIANAPOLIS, IN 46256-1017 ORIGINAL INVOICE 9127867704 www.grainger.com CREDIT AMOUNT 8.64CR Ship to information is listed below PO NUMBER: MIKE KALOGEROS in the description section CALLER: MIKE KALOGEROS CUSTOMER PHONE: (317)443-0841 BILL TO ORDER NUMBER: 1263902887 — MDG2016 00005751 1 AB 0399 INCO TERMS: FOB ORIGIN CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL, IN 46074-8267 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 CREDIT MEMORANDUM CALL 1-800-472-4643 DESCRIPTIONPO ITEM# QUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to: CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL IN 46074-8267 'k'k 3FXE7 FLOAT BALL,ROUND,PLASTIC,4 IN 1 8.64 8.64 MANUFACTURER#3FXE7 Delivery#4025003567 Date shipped: 06/03/2016 INVOICE SUB TOTAL 8.64 CRAINCER® PAGE 1 OF 1 O ■ INVOICE GRAINGER ACCOUNT NUMBER 854052008 INVOICE NUMBER 9127867704 9210 CORPORATION DR. INVOICE DATE 06/02/2016 INDIANAPOLIS, IN 46256-1017 DUE DATE 07/02/2016 www.grainger.com AMOUNT DUE 8.64 Ship to information is listed below PO NUMBER: MIKE KALOGEROS in the description section CALLER: MIKE KALOGEROS CUSTOMER PHONE: (317)443-0841 p BILL TO ORDER NUMBER: 1263825658 IC INCO TERMS: FOB ORIGIN — MDG2016 00007373 1 AB 0399 =_ CARMEL STREET DEPARTMENT 3400 W 131ST ST _ CARMEL, IN 46074-8267 Interested in receiving invoices via email? Sign up for paperless invoicing at: www.grainger.com/paperlessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 -• ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# The following items were shipped to: CARMEL STREET DEPARTMENT 3400 W 131ST ST CARMEL IN 46074-8267 3FXE7 FLOAT BALL,ROU N D,PLASTIC,4 IN 1 8.64 8.64 MANUFACTURER#3FXE7 Delivery#6326421233 Date shipped: 06/02/2016 INVOICE SUB TOTAL 8.64 GRAZNGER,. Return Receipt /III 9210 CORPORATION DR INDIANAPOLIS,LI This O S IN 4 i a r 6256s receipt ln :::>;:>:>,><°»< >X.; <'> > > >»> <>:< > >>'>< > >`>» >> > p _ formation ................._ Ph : (317) 842-2497 only. Do not Grainger Document Number 1263902887 Fax: (317) 594-0345 deduct from your Creation Date 06/03/2016 payment. Original Grainger EIN Number 36-1150280 credit memo will PO # MIKE KALOGEROS follow in the mail. PO Create Date :::. ............ PO Release# Customer Inforrnati.ion ::€ : :>:>:>>:> :>::. "'' ' '` Customer Number 854052008 CARMEL STREET DEPARTMENT Department Number 3400 W 131 ST ST Project/Job Number CARMEL IN 46074-8267 Requisitioner Name Attention Caller MIKE KALOGEROS Telephone Number 3174430841 Page 1 2 Btflirng Infarr»atlnn ........................ .. . 9 CARMEL STREET DEPARTMENT 3400 W 131 ST ST CARMEL IN 46074-8267 tDll ;;:.......:«::.;:. . :.; ......:.:::......:,:.. CARMEL STREET DEPARTMENT Freight forwarder: 3400 W 131 ST ST : ._. CARMEL IN 46074-8267 We will deliver according to the following terms and conditions: Incoterm0 2010: FOB ORIGIN Freight Terms: Prepaid Carrier: Payment Terms: Net 30 days after invoice date Special Instructions: e' Ma er i> ` :::::> r� i. :>: :><. .ice a '.:i ©: �. m ....... . t .>fa . I esc. .ton.:::>::::......::>::€:;::;:>: x :e teai:..........:....0 ua»t t ...:»>::Uii t :°>... . . tot 1...n.US ........ ..............................................................................................................................................................................Y.................................................................................................. C <> S ` r' Isis ``%i {i%ij% E ' 3i' > ><iii<><iiisiyiir< ' >Sc? > < a22crY2r?i<<` < .:::::::..::.:..;: ::..::::::::..:; . ..::.. del date. 10 3FXE7 Float Ball,Round,Plastic,4 In 1.00 EA 8.64 8.64 Mfg Brand Name: GRAINGER APPROVED Manufacturer Part No: 3FXE7 Sub Total 8.64 (CARMEL STREET DEPARTMENT MIKE KALOGEROS 06/02/2016 12:31 XSXJ035 I 1 OF 1 3400 W 131ST ST DBT/CRD CODE SALES ORDER NUMBER DELIVERY CARMEL IN 46074-8267 Z001 11263825658 6326421233 CALLER REQUISITIONER BRANCH ADDRESS MIKE KALOGEROS 9210 CORPORATION DR. TELEPHONE NUMBER PROJECT/JOB NUMBER INDIANAPOLIS IN 46256-1017 3174430841 317-842-2497 SHIP TO PO RELEASE NUMBER CHECK NUMBER CHECK A=NTASH RECD/PAID TRANS TYPE . . WC> CARMEL STREET DEPARTMENT SPECIAL INSTRUCTIONS N OIC WILL LL 3400 W 131ST ST SALES TERMS AND CONDITIONS ON REVERSE SIDE CARMEL IN 46074-8267 _ THANK YOU FOR YOUR ORDER CARRIER NAME #OF BOXES FREIGHT TERMS DATE SHIPPED/PICKED UP ATTENTION NONE PPD ITEM DESCRIPTION ITEM NUMBER SHIP OTY BACKORDER MESSAGE TAX UNIT PRICE TOTAL Float Ball,Round,Plastic,4 In 3FXE7 1 E 8.64 8.64 L° [� -aye DL.1 o AWA Upon the return for credit and or rept ment of the above listed I certify that ill am purchasing the material(s)as"materials SHIPPING 0.00 Grainger pnoducl(s),customer wartam nd represents that no property of trade as defined in the Hazardous Materials Regulations damage or personal Injury has restated from use of returned products) GRAINGER. Tile 49 ofthe Code of Federal Reg Y principal n l intend to use TAX 0.00 and customer further agrees that N vn'll not assert any claim against W.W. the materia(s)in direct support of m husiness Grainger,Inc.,its subsidiaries and divisions or its suppliers In any suit (which is not transportation),and I do not intend to resell the TOTAL 8.64 involving the above listed product(s). �'�,� C vC o material,or transport them in a vehicle other than my own. These items are sold for domestic consumption in the SAP DELIVERY CRY United States.If exported,purchaser assumes full 6326421233 responsibility for compliance with US export controls. Visit our web site @ v v v.grainger.com I IIIIII VIII(III'VIII VIII VIII III'(IIT(III'(III'(III(III CARMEL STREET DEPARTMENT 2410DEPTH 06/03/2016 07:01 IXJXL181 11 OF 1 3400 W 131 ST ST DBT/CRD CODE SALES ORDER NUMBER DELIVERY CARMEL IN 46074-8267 Z001 11263909182 16326464603 CALLER REQUISITIONER BRANCH ADDRESS MIKE KALOGEROS 9210 CORPORATION DR. TELEPHONE NUMBER PROJECT/JOB NUMBER INDIANAPOLIS IN 46256-1017 3174430841 317-842-2497 SHIPTO PO RELEASE NUMBER CHECK NUMBER CHECKAMOUNT CASH RECD/PAID TRANSTYPE CARMEL STREET DEPARTMENT SPECIAL INSTRUCTIONS N OI E W LL F LL 3400 W 131 ST ST SALES TERMS AND CONDITIONS ON REVERSE SIDE CARMEL IN 46074-8267 THANK YOU FOR YOUR ORDER rN'O RRIER NAME #OF BOXES FREIGHT TERMS DATE SHIPPED/PICKED UP ATTENTION NEPPD ITEM DESCRIPTION ITEM NUMBER SHIP CITY BACKORDER MESSAGE TAX UNIT PRICE TOTAL Float Ball,Round,SS,6 In 4LTK5 1 E 89.63 89.63 Upon the return for credit and or r a ment of the above listed I certify that if I am purchasing the material(s)as"materials SH I ING 0.00 Grainger pmduct(s),customer Warta end represents that no property of trade"as defined in the Hazardous Materials Regulations damage or personal injury has resulted from use of retumed produd(s) GRAl11TGEtR TNa 49 of the Code of Federal Regulations.l intend to use T,,,� 0.00 and customer further agrees that it will net essert any claim against W.W. (t the materia(s)In direct support of my principal business Grainger,Inc.,Its subsidiaries and divisions or its suppliers in any suit (which is not transportation),and I do not intend to resell the TOTAL 89.63 involving the above listed product(s). material,or transport them In a vehicle other than my own. These terns am said for domestic consumption in the SAP DELIVERY United States.If exported,purchaser assumes full 6326464603 responsibility for compliancewith US export controls. Visit our web site @ wnwv.grainger.com I IIIIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII 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 6/13/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/13/2016 9131966369 $249.65 hereby certify that the attached invoice(s), or bill(s) is (are)true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer CRAINGER® PAGE 101`1 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9133428921 9210 CORPORATION DR. INVOICE DATE 06/08/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/08/2016 www.grainger.com AMOUNT DUE 46.40 Ship to information is listed below PO NUMBER: 516155 in the description section CALLER: DUANE JARVIS CUSTOMER PHONE: (317) 571-2634 C BILL TO ORDER NUMBER: 1264334321 MDG2016 00000623 1 AT 0399 INCO TERMS: FOB ORIGIN 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! FEI NUMBER 36-1150280 _ FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 .• • • TOTAL The following items were shipped to: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000001 45EL42 SURFACE CONDITIONING DISC,4 IN.,COARSE 10 4.64 46.40 MANUFACTURER# 54224 Delivery#6326990589 Date shipped: 06/08/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 0.10 Trk#: 26Y07A40356858358 INVOICE SUB TOTAL 46.40 CRAZNGER® PAGE 1 OF 2 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9128384014 9210 CORPORATION DR. INVOICE DATE 06/02/2016 INDIANAPOLIS, IN 46256-1017 DUE DATE 07/02/2016 www.grainger.com AMOUNT DUE 68.44 Ship to information is listed below PO NUMBER: 516163 in the description section DEPARTMENT: FASTENERS PROJECT/JOB: 5742406 = BILL TO REQUISITIONER: JEFF COOPER CALLER: DUANEJARVIS = MDG2016 00000318 1 AT 0399 CUSTOMER PHONE: (317) 571-2634 ORDER NUMBER: 1263900353 INCO TERMS: FOB ORIGIN C 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/paperlessinvoicing THANK YOU! FEI NUMBER 36-1950280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 ITEM# 'DESCRIPTION QUANTITY UNIT ORICE TOTAL LINE# The following items were shipped to: FASTENERS KEEPSTOCK CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000001 22TN74 K01-21144734 HHCS,MS-1.25X30MM,SS,GR A2, 1 31.05 31.05 CUST PART#22TN74 BIN 01-L-1-C MANUFACTURER# M51010.080.0030 000002 1EAF7 K01-19973836 SPLIT LOCK WASHER,BOLT 3/8, 1 18.72 18.72 CUST PART# 1EAF7 BIN 02-F-1-C MANUFACTURER# DHL038N000OZ-PK100 000003 26WC34 K01-21144682 FLAT WASHER,BOLT M6,A2 SS,1 1 2.02 2.02 CUST PART# 26WC34 BIN 01-N-1-E MANUFACTURER# M51420.060.0001 000004 1WB44 HEX NUT,18-8 SS,5/8-11,PLAIN,PK25 1 16.65 16.65 MANUFACTURER# U51080.062.0001 CONTINUED INVOICE SUB TOTAL 68.44 GRAINGER® PAGE 2 OF 2 ORIGINAL GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9128384014 9210 CORPORATION DR. INVOICE DATE 06/02/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/02/2016 AMOUNT DUE 68.44 BILL TO: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2935 SHIP TO: FASTENERS KEEPSTOCK CARMEL WASTEWATER = 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 DESCRIPTIONPO ITEM# QUANTITY UNIT PRICE TOTAL LINE# Delivery#6326459805 Date shipped: 06/02/2016 Carrier: UPS GROUND No. of pkgs: 1 Wt: 4.35 Trk#: 1Z6Y07A40356287546 Page 1 of 1 Click:tivww.grainger.com jCall 1-800-GRAINGER(472-4643} RAZNGER,, Include Staffers PACKING LIST WW GRAINGER DC BOX ID 0664701153 701 GRAINGER WAY PO Number S16163 MINOOKA IL 60447-9998 Delivery Number 6326459805 hlp TO Account Number 813555497 Caller DUANE JARVIS CARMEL WASTEWATER 9609 HAZEL DELL PKWY PO Release Number INDIANAPOLIS IN 46280 Project/Job Number 5742406 Department FASTENERS Order Date 06/02/2016 ATTN: FASTENERS KEEPSTOCK Ship Date 06/02/2016 Requisitioner JEFF COOPER old To Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 i Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326459805 on all remittance and correspondence. Your Order Number is: 1263900353 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 1 22TN74HHCS,M8-1.25x30mm,SS,GrA2,Plain,PK50 1 0 0 E 31.05 _ 31.015 22TN74 Parent ID:K01-21144734 BIN 01-L-1-C 2 1EAF7 ,/ Split Lock Washer,Bolt 3/8,Steel,PK100 1 0 0 E 18.72 18.72 1 EAF7 Parent ID:K01-19973836 BIN 02-F-1-C 3 26WC34 ,t ' Flat Washer,Bolt M6,A2 SS,12mm ODRK50 1 0 0 E 2.02 2.102 26WC34 Parent ID:K01-21144682 BIN 01-N-1-E 4 1WB44 Vo" Hex Nut,18-8 SS,5/8-11,Plain,PK25 1 0 0 E 16.65 16.6(1 Subtotal 68.44 Tax Shipping 0.00 Total 68.44 i SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE.INCORPORATED HEREIN.AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. CRAZNGER.-, Click:www.grainger.com I Call:1-800-GRAINGER(472-4643) Page 1 of 1 I l,l Include Stuffers PACKING LIST WW GRAINGER DC BOX ID U556680517 701 GRAINGER WAY PO Number S16163 MINOOKA IL 60447-9998 Delivery Number 6326390054 Account Number 813555497 hlpTO Caller DUANE JARVIS CARMEL WASTEWATER PO Release Number 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Project/Job Number 5696971 Department FASTENERS Order Date 06/02/2016 ATTN: FASTENERS KEEPSTOCK Ship Date 06/02/2016 Requisitioner JEFF COOPER Old TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280=2935 Debit/Credit Code Z001 Cartons Shipped 2 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326390054 on all remittance and correspondence. Your Order Number is: 1263868884 PO Line Item# Item Description Quantity Shipped Back Shipped_ from other ordered Tax Unit Price Total -location -- - - - 1 13G204 Disp. Gloves,Nitrile,2XL,Black,PK100 2 0 0 E 11.70 23.40 13G204 Parent ID:K01-25255892 Crib 2 2VLZ9 Disposable Gloves,Nitrile,XL,Black,PK100 10 0 0 E 7.34 73.40 2VLZ9 Parent ID:K01-25255890 Crib Subtotal 96.80 Tax Shipping 0.00 Total 96.80 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. PAGE 1 OF 1 ORIGINAL CRAINGER® GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9128384006 9210 CORPORATION DR. INVOICE DATE 06/02/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/02/2016 www.grainger.com AMOUNT DUE 96.80 Ship to information is listed below PO NUMBER: S16163 in the description section DEPARTMENT: FASTENERS PROJECT/JOB: 5696971 BILL TO REQUISITIONER: JEFF COOPER CALLER: DUANE JARVIS = MDG2016 00000318 1 AT 0399 CUSTOMER PHONE: (317)571-2634 ORDER NUMBER: 1263868884 INCO TERMS: FOB ORIGIN 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/paperlessinvoicing THANK YOU 1 FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 TOTALPO ITEM# DESCRIPTION QUANTITY UNIT PRICE LINE# The following items were shipped to: FASTENERS KEEPSTOCK CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 000001 13G204 K01-25255892 DISP. GLOVES,NITRILE,2XL,BL 2 11.70 23.40 CUST PART# 13G204 CRIB MANUFACTURER# N645 000002 2VLZ9 KO1-25255890 DISPOSABLE GLOVES,NITRILE,X 10 7.34 73.40 CUST PART#2VLZ9 CRIB MANUFACTURER# N644 Delivery#6326390054 Date shipped: 06/02/2016 Carrier: UPS GROUND No. of pkgs: 2 Wt: 18.80 Trk#: 1Z6Y07A40356285404 1Z6Y07A40356285806 INVOICE SUB TOTAL 96.80 PAGE 1 OF 1 O • INVOICE CR1�111�CER® GRAINGER ACCOUNT NUMBER 813555497 — 11111 INVOICE NUMBER 9133734765 9210 CORPORATION DR. INVOICE DATE 06/08/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/08/2016 www.grainger.com AMOUNT DUE 194.09 Ship to information is listed below PO NUMBER: 516179 in the description section CALLER: DUANE JARVIS CUSTOMER PHONE: (317) 571-2634 BILL TO ORDER NUMBER: 1264326620 MDG2016 00000623 1 AT 0399 INCO TERMS: FOB ORIGIN 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/paperlessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 - .• DESCRIPTIONQUANTITY UNIT PRICE TOTAL — LINE# The following items were shipped to: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 'I`* 000001 2ZLP9 V7400 ALKYD ENAMEL,SAFETY ORANGE,1 GAL 2 78.17 156.34 MANUFACTURER#245477 000002 1XRJ6 PAINT BRUSH,2IN.,9-1/2IN. 5 1.98 9.90 MANUFACTURER# 1XRJ6 000003 1XRJ5 PAINT BRUSH,1-1/2IN.,9IN. 5 2.81 14.05 MANUFACTURER# 1XR15 000004 1OD445 PAINT BRUSH,lIN.,7-3/4IN. 5 2.76 13.80 MANUFACTURER# 1OD445 Delivery#6327021187 Date shipped: 06/08/2016 Carrier: UPS GROUND No. of pkgs: 2 Wt: 19.60 Trk#: 26Y07A40356895148 26Y07A40356900873 INVOICE SUB TOTAL 194.09 CRAI�TCER�- Click:Hrovw.grainger com(Call:1-800-GRAINGER(472-4643) Page 1 of 1 R; Include Stuffers ""l PACKING LIST WW GRAINGER DC BOX ID U557513183 701 GRAINGER WAY PO Number S16179 MINOOKA IL 60447-9998 Delivery Number 6327021187 Account Number 813555497 hip TO Caller DUANE JARVIS CARMEL WASTEWATER PO Release Number 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Project/Job Number Department Order Date 06/08/2016 Ship Date 06/08/2016 Requisitioner Old TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 Cartons Shipped 2 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6327021187 on all remittance and correspondence. Your Order Number is: 1264326620 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 1 2ZLP9 V7400 Alkyd Enamel,Safety Orange,1 gal. 2 0 -__ 0 - E -78.17 -156.34 2 1XRJ6 Paint Brush,2in.,9-1/2in. 5 0 0 E 1.98 9.90 3 1XRJ5 Paint Brush,1-1/2in.,9in. 5 0 0 E 2.81 14.05 4 100i445 Paint Brush,1in.,7-3/4in. 5 0 0 E 2.76 13.80 Subtotal 194.09 Tax Shipping 0.00 Total 194.09 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS 8 DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. 59'662 1V1018nS 3310ANI a3/1NI1NOD 9TOZ/LO/90 :paddtys a;e(3 tbTLZ089Z£9#tiaAllaa Z9TLZT #21Rmj-ov:mNVW Z9'L9 LZ'TT 9 9/a321'OT X tT':)USVId'N9IS AL3dVS 3aI3 689H8£ i�00000 V9Ze6199e0VVL0X9Z1 :#�11 967 :3M T :s6jd;o 'ON aNnod!)Sdn :jat»eJ 9i0Z/ZO/90 :paddtys ale(] £Z88S£9Z£9 #Nanttaa vm7s #,d3,dnnV3f1NVW Ot"9-V ti9'tl OT 3SdV00''NI b'JSIO 9NINOLLICIN00 3JVdbf1S Zt,I3Sti 500000 Z9iLZT # d3dni-ov-AnNVW LZ'TT LZ'TT T 8/03a'01 X VT':)USVId'N9IS hL3dVS Td I3 689H8£ 100000 17TLZOT #21321f11.ov:mNVW V9'LT TVV V M 'NI S'H 'NI Z/T-£'139VI kB=IVS ZHOWT £00000 SV99#'83,dniz)Vdf1NVW ZT'£6 ZT'£6 T OOSHd'AINn'o'doo O/M'9a££'S9flld W3 TII3Z Z00000 MOSS #21321f11JV3f1NVW 09'£T 09'£T T SZ>Id'9V1 GOA NOLLJ3dSNI HS/HSVM 31.3 TTSZ8 T00000 08Z96 NI SIIOdVNVIONI 1kM>Id 113013ZVH 6096 2131VM31SVM 13WdVJ :o;paddtys alane swa;1 6utrno11o;ayl Ivioi • NOU14SK •. EV9V-ZLV-008-6 JJd31Nf1000V HO 3010ANI SIH11f108V SNousi lb mV 803 0OZ0911-9e a3ewnN 133 j n0A 31 mi 6utotonutssatiaded/wo:)•ja6ulea6•Mnnnn :;e 6ulotonut ssapaded joj do u61S Lllewa etA Saotonut 6ulnta:)9J ul pa;sa.]aJul S£6Z-08Z9V NI 'SIIOdVNVI(3NI AMAd 1134-13Z`dH 6096 2131b'M91SVM I3W'dVO 66£0 9V T LSL80000 9T0Z9aW NIDINO 90d :SWd31 0JNI ZZb6Z8£9ZT :2139Wf1N d3x210 01III9 b£9Z-TLS UTE) :3NOHd dgwo-Lsn:) SIMVI3NVfla :d31IVJ uol;aas uol;dp3sop ay;ul p SST9TS :2139Wm Od enolaq polsll sl uop w�o;ul of d148 S9'6bZ 3f14 1Nnowv woo•j96utej6•rmmm 9TOZ/LO/LO 31da 3f1a LTOT-9SM, NI'SIIOdVNVIONI 91OZ/LO/90 31V0 30IOANI as NOUV'dOd'dO:)OTZ6 69£996T£T6 dgew 1N 3:)IOANI �Nil/ L6VSSS£TS 2139Wf1N 1Nno:)Dv b3JNIV-dE) Z d 0 1 9 E)Vd UmISAWY39 PAGE 2 OF 2 ORINVOICE GRAINCER® GRAINGER ACCOUNT NUMBER 813555497 — I1111 INVOICE NUMBER 9131966369 9210 CORPORATION DR. INVOICE DATE 06/07/2016 INDIANAPOLIS,IN 46256-1017 DUE DATE 07/07/2016 AMOUNT DUE 249.65 BILL TO: CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2935 SHIP TO: CARMEL WASTEWATER 9609 HAZEL DELL PKWY — INDIANAPOLIS,IN 46280 '• DESCRIPTIONQUANTITY UNIT PRICE TOTAL Carrier: UPS GROUND No. of pkgs: 1 Wt: 1.92 Trk#: 1Z6Y07A40356552570 2 0013991 P Page 1 of 1 �i�A�a�G��r: (,licl.��tirov�a�.grainyer corn I Call 1-800-GRAINGER i472-4G43! r 11I' � � Include Stuffers PACKING LIST WW GRAINGER DC BOX ID 0555374530 701 GRAINGER WAY PO Number S16155 MINOOKA IL 60447-9998 Delivery Number 6326358823 hip TO Account Number 813555497 Caller DUANE JARVIS CARMEL WASTEWATER 9609 HAZEL DELL PKWY PO Release Number INDIANAPOLIS IN 46280 Project/Job Number Department Order Date 06/02/2016 Ship Date 06/02/2016 Requisitioner Old TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326358823 on all remittance and correspondence. Your Order Number is: 1263829422 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 1 8Z511 Eye Wash/Sh Inspection Rcd Tag,PK25 1 0 0 E 13.60 13.60 2 2FLL1 Ear Plugs,33dB,W/o Cord,Univ,PK500 1 0 0 E 93.12 93.12 3 1M131-12 Safety Label,3-1/2 In. H,5 In. W 4 0 0 E 4.41 17.64 4 38H689 Fire Safety Sign,Plastic,14 x 10,Red/Blk 1 0 6 E 11.27 11.27 5 45EL42 Surface Conditioning Disc,4 in.,Coarse 10 0 0 E 4.64 46.40 Subtotal 182.03 Tax Shipping 0.00 Total 182.03 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE.INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM.INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. GRAZNGERR Click:www.grainger.com I Call 1-800-GRAINGER(472-4643) Page 1 of 1 „'r, Include Stuffers PACKING LIST WW GRAINGER DC BOX ID 0663284001 701 GRAINGER WAY PO Number S16155 MINOOKA IL 60447-9998 Delivery Number 6326802714 Account Number 813555497 hip TO Caller DUANE JARVIS CARMEL WASTEWATER 9609 HAZEL DELL PKWY PO Release Number INDIANAPOLIS IN 46280 Project/Job Number Department Order Date 06/02/2016 Ship Date 06/07/2016 Requisitioner Old TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL PKWY Order Type SH INDIANAPOLIS IN 46280-2935 Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326802714 on all remittance and correspondence. Your Order Number is: 1263829422 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location - 4 381-1689 Fire Safety Sign,Plastic,14 x 10,Red/Blk 6 0 0 E 11.27 67.62 1MBH2 Safety Label,3-1/2 In. H,5 In.W 0 0 4 0.00 0.00 2FLL1 Ear Plugs,33dB,W/o Cord,Univ,PK500 0 0 1 0.00 0.00 45EL42 Surface Conditioning Disc,4 in.,Coarse 0 0 10 0.00 0.00 8Z511 Eye Wash/Sh Inspection Rcd Tag,PK25 0 0 1 0.00 0.00 Subtotal 67.62 Tax Shipping 0.00 Total 67.62 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS: Click:www.grainger.com I Call:1-800-GRAINGER(472-4643) Page 1 of 1 CRAl11�C,ER-,�, Include Stuffers PACKING LIST WW GRAINGER DC BOX ID 0401088977 701 GRAINGER WAY PO Number S16155 MINOOKA IL 60447-9998 Delivery Number 6326990589 Account Number 813555497 hip TO CARMEL WASTEWATER Caller DUANE JARVIS 9609 HAZEL DELL PKWY PO Release Number INDIANAPOLIS IN 46280 Project/Job Number Department Order Date 06/08/2016 Ship Date 06/08/2016 Requisitioner OICI TO Employee Contact PIACLNT200 CARMEL WASTEWATER Carrier UPS GROUND 9609 HAZEL DELL- PKWY INDIANAPOLIS IN 46280-2935 -Order Type--SH=-- — - - — — — Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6326990589 on all remittance and correspondence. Your Order Number is: 1264334321 PO Line Item# Item Description Quantity Shipped Back Shipped from other ordered Tax Unit Price Total location 1 45EL42 Surface Conditioning Disc,4 in.,Coarse 10 0 0 E 4.64 46.40 Subtotal 46.40 Tax Shipping 0.00 Total 46.40 SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER.COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES.IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS.