188890 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 809401 CHECK AMOUNT: $131.47
'o+ CHICAGO IL 60680 -9401 CHECK NUMBER: 188890
CHECK DATE: 8/18/2010
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9461445 131.47 MATERIALS SUPPLIES
ommmAL INVOICE
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CITY OF CARMEL
oonvm WATER-WASTEWATER 02 CARMEL 001
O3 HAZEL DELL PKWY
6
|ND|8NAPUL|3 IN 46280
CITY OF CARMEL
SOLD
TO: WATER-WASTEWATER
760 3RD AVE 5W ST[ 110
CARMEL IN 46032 DUNS NO' 00 0101
FED. I.D. #8O-0496603
GSA #sn-ueF-uo2rL
.11C RER: CUSTOMER OROER NO.1BUYERS NAME :SALE 1 10. DATE SHIPPED-. a'OUR�ORDER:
Md :21
BUYER:JEFF COOPER
95137 SOLID WIRE END BRUSH 8.74 EA 1 1 8.74
95138 SOLID WIRE END BRUSH 10.27 EA 1 1 10.27
95139 SOLID WIRE END BRUSH 13-12 EA 1 1 13-12
89208 KNOTTED WIRE END BRUSH 18.14 EA I 1 18.14
91976 CRIMPED WIRE CUP BRUSH 12-93 EA 3 3 38-79
892o6 CIRCLR FLARE END BRUSH 15.21 EA 1 1 15.21
91987 ST/ SOLID END BRUSH 18.99 EA 1 1 18.99
FRT. CHRIGS. 8.21
Please note our new remittance address and n(w Fed ID#
CU
'ASH DISCOUNIf IF Y
SALES OR USE TAX OTHER
EXCLUDING CREDIT CARDS
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED C/O CANCELLED 0 1 21 )17
VOUCHER 105989 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
9461445 01- 7202 -06 $131.47
Voucher Total $131.47
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
354612
LAWSON Purchase Order No.
PO Box 809401 Terms
Chicago, IL 60680 Due Date 8/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/2010 9461445 $131.47
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