166402 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
j' ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 Po Box 909401 CHECK AMOUNT: $8.21
CHICAGO IL 60690 -9407
.o. CHECK NUMBER: 166402
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
651 5023990 9243298 8.21 MATERIALS SUPPLIES
LAWSOIV Products ORIGINAL INVOICE
Des Plaines, IL Corporate Headquarters
Addison, IL e Vernon HiPs, IL Fairfield, NJ
Reno, NV •Suwanee, GA- Mississauga, ONT
www.lawsonproducts.com PAGE 1 MRL194P
CITY OF CARMEL
SHIPPED AC 0 T N0. INVO CE N0. INV DATE
To: WATER WASTEWATER 0297 92487 92+3298 5/20!2010 CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
i U N
SUM
CITY OF CARMEL
4 E3; Ov $144.1.
SOLD
rO: WATER- WASTEWATER CN 1 CAG4 1 l >606$4 94a1F;
760 3RD AVE SW STE 110
CARMEL IN 46032 DUNS NO. 00- 543 -8890 0101
FED. I.D #80- 0496603
GSA GS- 06F -0027L
CARRfER. CUSTOMER ORDER NO.IBUYERS NAME sU S!iAG NT rQATE'S}IIPAED OUR ORDER'N0.
LAP S 1 16 'Ry -Ak::: WOLF E:':.... 0 2; 2E 1L
f3��i T#�71V::':::' i 3YE CE:.::..::: #I I:: 11�q ;mil E� J[+F
BUYER:REPLACEMENT
91395 ST /ST NYL INS NUT N /C -2 100 100 N/C
FRT. CHRGS. 8.21
Please note our new remittance address and n w Fed I D#
DI DISCOUNT CASH SCOU OU
SALES LES OR USE TAX OTHER D
P
AYTHIS INVOICE BY
EXCLUDING CREDIT CARDS C C 5
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED CID CANCELLED
VOUCHER 105542 WARRANT ALLOWED
`354612 IN SUM OF
LAWSON
PO Box 809401
Chicago, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9243298 01- 7202 -06 $8.21
Voucher Total $8.21
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)' ,F
ACCOUNTS PAYABLE VOUCHER f-
9
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
354612
LAWSON Purchase Order No.
PO Box 809401 Terms
Chicago, IL 60680 Due Date 5/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/25/2010 9243298 $8.21
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