190842 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
is 0 CHECK AMOUNT: $835.15
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 190842
CHECK DATE: 10113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9630316 90.65 OTHER EXPENSES
651 5023990 9635392 744.50 OTHER EXPENSES
ORIGINAL INVOICE
0A. LAWSON Products
owpw~^./L -Corporate Head
Addison, /L -Vernon Hills, /L" Fairfield, a
Reno, mv"Su°�� GA* Mississau oNT
vxvvw.|oweom products. corn PAGE l MRM831
CITY OF CARM[L
»m'PE» WATER-WASTEWATER 02 CARMEL 001
91 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARMEL
SOLD
TO: WATER-WASTEWATER
7 3RD AVE SW STE 110
CARM[L IN 46032 DUNS N0' 00- 543 88gO 0101
FED. I.D. #8O-0496603
CUSTOMER ORDER NO./BUYERS NAME
JEFF COOPER ':RYAN Fr:
UNIT ORD :A
PMU
BUYER:JEFF COOPER
64008ml2 TYPE 1 CUT OFF WHL 4.60 EA 12 12 55.20
60773 TYPE I CUT OFF WHIL 6.82 EA 4 4 27.28
FRT. CHRGS. 8.17
Please note our new remittance address and i Fed ID#
CASH DISCOUNT IF YOU
PAY THIS INVOICE BY
TERMS: 1% TEN DAYS NET 30 DAYS
N/C NO CHARGE BID BACK ORDERED CIE) CANCELLED
ORIGINAL INVOICE
0 L•A4WSON Products
DesPlaines ,IL GorporateHeadquarters
Addison, IL •Vernon Hills, IL- Fairfield, NJ
Rena, NV •Suwanee, GA* Mississauga, ONT
www.Iawsonproduets.com PAGE 1 MRii
CITY OF CARMEL y qq
SHTPO: WATER- WASTEWATER 0297 DN 92487 9 35392 9/27 CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS 46280.............
CITY OF CARMEL :P: Q RO;X $0+0
SOLD
TO: WATER WASTEWATER CM CAGO I L 606$0 =9! 01,„
760 3RD AVE SW STE 110
CARMEL IN 46032 DUNS NO. 00- 543 -8890 0101
FED. I.D. #8o- 0496603
GSA GS- 06F -0027L
CUSTOMER ORDER N0.lBUYERS NAME
.CARRIER :'I _I
SALES AGENT:
DATE SHIPPED OIIH{I1#DER:N{I>
5122 RYAI�.WQLFE:% 0
2 20:10 MRM82.
b. falF:ai- E4i. +R it ...............::;:ji;: 2`>iia>i>i:fii:ii ciii f fi [:i: :i[:i>i:i[:;
..............................P C 13ht1 M#i >S# PP u l3tll�FTi;
BUYER:JEFF COOPER
SN 5003 50LB BAG MELT TRIPLE 12.87 EA 50 50 643.50
FRT. CHRGS. 101.00
Please note our new remittance address and n w Fed ID#
CASH DISCO YOU
S ALE OTHER S OR USE TAX
0 ER
NT IF OU
U
PAY THIS INVOICE BY
EXCLUDING RE1IIT CARDS C C S
TOTAL AMOUNT
T �CIAIQE DAYS NET 30 DAYS
ACK ORDERED CID CAN CELLED 7
-r
r
VOUCHER 106331 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
9635392 01- 7202 -06 $643.50
9635392 01- 7202 -06 $101.00
6�D31 b o(�°1zo2.0 x(0,65
515
Voucher Total 4.50
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 10/5/2010
Invoice Invoice Description
ate Number or note invoice(s) bill(s)) Amount
10/5/2010 9635392 $744.50
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 Off i r