183215 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00350716 Page 1 of 9
ONE CIVIC SQUARE BRUSKE PRODUCTS CHECK AMOUNT: $492.20
CARMEL, INDIANA 46032 PO BOX 669
7447 DUVAN DR CHECK NUMBER: 183215
TINLEY PARK IL 60477 -0669
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 511979 781673 442.30 BRUSHES
651 5023990 511979 782071 49.90 BRUSHES
Telephone 7081532 -3800.
FAX 1 800.821 0411 ORIGINAL INVOICE
Duns No. .05-945-8653
1�
VENDOR NO:
BRUSKe PRODUCTS 411
DIVISION OF BRUSK a enTeRPR ISeS, Inc.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL. 60477.0669 ET 30 DAY S
SOLD TO: SHIPPED TO:
CARMEL WAS T8TWAT'E
ATT6Ne ACC0JJNTS' PAYA:-3LE IRECHIVIlNC3: JOE": FAUCETT.
76 THIRD;-AVENUE S Ws SUITE 1.10 X609 HAZE LL" PARKWAY.:
.INDIANAPOLIS, F'IN..46032 INDIANAPOLIS `IN 4.6230
I I I
800367. 02/22/10 0526 ?6 BK X3,+5 S 1197.9. B 1', UPS: PREPAY, ADD
ORDERED SHOIPPED QTY. B.O. ITEM NCI./ DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
1 1 49336, 44.30 4 1 4403
30 °:CURVEA ENDS. S
f:
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE.
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE.
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees.:' 5 a 6
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7 and:12 of the Fair Labor Standards
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. 00
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. 4 9 v 9 D
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
Telephone 7081532-3800
FAX 1- 800 -821 -0411 ORIGINAL INVOICE
Duns No. 05. 945.8653 S 16 7
VENDOR NO:
BRUSKR PRODUCTS 2/
DIVIS10N OF B.RU SK a enTeRPRISe s, Inc.
P.O. BOX 669 7447 D,UVAN DR. TINLEY PARK, 1L. 60477.0669
NET.
SOLD TO: SHIPPED TO:
C: RMEL WAST'ETWATER TREATMENT CAS VIEL. ;1A— STEWkTER. TREATMENT
ATTN:ACCOUNTS PAYA8Ll~ I?ECEIVINGi JOE FAUCETT
760 THIRD k VFNU SWp` SUITy 110 9609 I•I:AZEL';DELI_ PARKWAY.
INDIANA.PO ISa IN 4;032 IN- 462SO
r I 1 I -r
800367; (J2t`C ?l1�9 U�2��v �11�7'9 UPS PRE-- P A,Y ADf
TY ORDERED SHIPPED QTY. B.O. ITEM NO. DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
2 2 4071 F P 33 0' 167 ?s; 67 .,60/
10 VAT USH Wl3 HOLIE
022 NYLON
2 C4533024 1 5 70: :3 6 40 3 9 4Ci✓
MUL TI- LEVEL, SLUT S 8 BRUSH
(9-412 'Z)
2 4120 5 m 00 on
01RAfil Xw,f AND. W'I;t n0
BRUSH
4 3 1 49336 44.30 1 32. 90 132.9
a. yt' :URVED E D` t ate 9 1
4 'al 7 L 4 I a 2 3.60 to 23. 9 O
60'sf X '1 `7 11 WOOD MI N
HA NDLE-
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE,
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE. 5 11 0 111 A l
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7 -and 12 of the Fair Labor Standards
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
Telephone 7081532-3800 e
FAX 1,-800 821.0411 ORIGINAL INVOICE
Duns No. 05- 945 -8653
INVOICE DA
VENDOR NO:
BR USA a PRODUCTS 0/r1
DIVISION OF BRUSK a enTeRPRIses, Inc. kyj
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL:' 60477.0669 N E,T DAY
SOLD TO: SHIPPED TO:
CARM'reL WASTETWATER, TREATMENT, CIARNMEL WASI EWATER TREATMENT
ATTjk1:ACC01;t TS' PAYASL RCCEIVING: JOE. EAU'C`„TT
7 0 THIRD. AVENUE SW; :BUTTE 1U 950' HAZEL.; DELL: PARKW Y
".j INDIANAPOLIS, IN 46032... T:N.DTANAPOL 1Sx IN .46280
`ORDER CUSTOMER NO. LOC.
0037 02122 05269 Ka5: 7S, 9 UPS FAY.. A D D
ORDERED SHIPPED OTY. B.O. ITEM NO. DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
2 2 4 218 1 L.00 70i. 00 X0.001
BLACK COUNTER- DUSTEP.. �l�00
2 481 1 2 2$m 26.40 1
TIED METAL. SA`lCK.' Couiv DUSTER:
s. 4741, 2.10 12.60 .1���0
FINE 83 ..SS ;WELDER US 14
4 3 9 t v` 9.60 3:.40 3F.Q40
PIPE
4 4 1920 5 12.70 30. so
PIPE DUSTE R"
54 WOOD. ;�AP6 "DLCn
4 4 4450 11.20
SURGICAL HAti) ECRU 8, '07 1LITY
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE. o 4 4 i Q
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER 30 DAYS. FROM INVOICE DATE. f3
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees. FREIGHT
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7 and 12 of the Fair Labor Standards
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. sALEs TAX Olw
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. 4 2 a 30
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER. ]ED
VOUCHER 105014 VV AR- -.RANT ALLOWED
IN SUM OF
350716
BRUSKE PRODUCTS
PO BOX 669
7447 DUVAN DR
TINLEY PARK, IL 60477 -0669
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
j'k 781673 01- 7202 -06 $424.90
781673 01- 7202 -06 $17.40
7�ze,s o [.��2•oL `�9.ab
I�
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
350716
BRUSKE PRODUCTS Purchase Order No.
PO BOX 669 Terms
7447 DUVAN DR Due Date 3/5/2010
TINLEY PARK, IL 60477 -0669
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2010 781673 $442.30
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
I (i,�
Date Officer