191275 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 809401 CHECK AMOUNT: $442.76
CHICAGO IL 60680 -9401 CHECK NUMBER: 191275
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
651 5023990 9702661 192.91 MATERIALS SUPPLIES
651 5023990 9702662 249.85 OTHER EXPENSES
ORIGINAL INVOICE
0 LAWSONN Products
wn Co rporate
mmuo",/L" Vernon Hills, /L°Faim"m.wJ
�flo.wv"��� GA* Mississau vNT
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CITY OF CARMEL
SH/PPm �p� INVOICE
TO: WATER—WASTEWATER 02 4 48 lO CARMEL DUl
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARMEL
SOLD
TO WATER—WASTEWATER
760 3RD AVE 8W ST[ llO
CXRMEL IN 46032 DUNS NO, 00-543-8890 0101
F[O' I.D. #8O—O496603
GSA GS-06F-0027L
CUSTOMER ORDER NO.IBUYERS NAME 013FID DER
BUYER:JEFF COOPER
83841 13 OZ NET WT GASKET REMOVER 6.60 EA 6 6 39.6o
85565 4x]/4x3/8 REINFORCED CENTER WHEEL 5-16 EA 6 6 30.96
91110 3/4-10 18-8 ST/ST HEX NUT 1.98 EA 10 10 19.80
91117 3/4 18-8 ST/ST FLAT WASHER 128.00 c 10 10 12.80
91625 3/8X2-1/4 ST/ST WEDGE ANCHOR BOLT 3.82 EA 10 10 38.20
g1628 3/8X5 ST/ST WEDGE ANCHOR BOLT 5.76 EA 5 5 28.80
3oo6 AGC 30 FUSE .40 EA 10 10 4.00
86o65 22-18 GA VINYL INSUL RNG TNG TERM 20-79 C 50 50 10.40
94610 8.0 NYLON CABLE TIES 10.69 C 100 100 io.69
94611 11-75 NYLON CABLE TIES 27-00 C 100 100 27-00
18326 3/4x3/4 SHARKBITE 90 DEG ELBOW 8.51 EA 2 2 17.02
FRT. CHRIGS. 10-58
Please note our new remittance address and niw Fed ID#
PAY THIS INVOICE BY
DS
EXCLUDING CREDIT CAR
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED CID CANCELLED
ORIG INVOICE
0 �m� LAWS��N Products Des Plaines, u -Corporate xo���u
Addison, /L *Vernon Hills, u" Fairfield, m
Reno, I°Suv�� GA- Mississauga, oNT
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CITY OF CARMEL
SHI,PEo Al �r� INVOICE N IN ICE DATE
m' WATER-WASTEWATER D2� 92487 lO CARM[L OOl
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
RE
ROOM
CITY OF CARMEL
SOLD
TO: WATER-WASTEWATER
760 3RD AVE SW 6TE llU
CARM[L IN 46032 DUNS NO. 00-543-88gU 0101
FED. |'D' #8U-0496603
ssu���-no�uoor�
BUYER:JEFF COOPER
CONTROL ROOM
25282 NYLON INSUL SPO TERM 30-31 C 25 25 7.58
5816 VINYL INSUL BILK SPID TERM 15.81 C 50 50 7.91
86o6o NYLON INSUL QUICK SLIDE 26.42 C 25 25 6.61
82925 NYLON INSUL QUIK SLIDE 26.42 C 25 25 6.61
97544 NYLON INSUL PIGTAIL CONN 9.34 C 50 50 4.67
84238 18-8 ST/ST FLAT WASHER 8.95 C 2 5 0 250 22-38
DEPT: LABRATORY
SF10678 TABLETS DECONGESTANT 5.69 EA 1 1 5.69
SF10676 MULTI SYMPTM COLD TABLETS 10-79 EA 1 1 10-79
SF10080 CHERRY COUGH DROPS 6.69 EA 1 1 6.69
DEPT: SHOP
SF10051 INSTANT COLD SPRAY 5.09 EA 1 1 5.09
95645 -RECIPROCATNG SAW BLADE 4.62 EA 5 5 23.10
80739 U TYPE SPEED NUT .51 EA 2 25 12-75
CASH DISCOUNT IF YOU SALES OR USE TAX OTHER
EXCLUDING CREDIT CARDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
41 DETACH w^
RETURN LOWER PORTION
CITY OF CARMEL 01 0297464 92487 9702661 10/15/2010
REMIT TO:
LAVVSON PRODUCTS, INC. To ENSURE PROPER CREDIT PLEASE RETURN THIS PORTION
vmr* voum p4nwsw��
P.O. BOX 809�Ol
~7
CHICAGO |L 60688-9401
L
umoumT pA|o
IF AMOUNT pA|o IS NOT AMOUNT ous pLsxos EXPLAIN ON nsVsnas.
We accept
THANK YOU FOR YOUR BUSINESS
I r
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r°n,m~, of anoQnmu// n-mAA-S;0Q-7AAx%
ORIGINAL INVOICE
0 �m� LAWSON Products
Des num�./L' Corporate xvmwm,*
Addison, u° Vernon Hills /+FaimomwJ
Reno, NV°Suw�d, GA- Mississau ENT
wwwJawson products. com PAGE 2 MRM881
CITY OF CARMEL
ompPE" WATER-WASTEWATER 02 CARMEL 0Dl
4609 HAZEL DELL PKWY
INDIANAPOLIS IN 4628O
MITI
ANC
CITY OF CARM[L
SOLD
TO WATER-WASTEWATER
760 3RD AVE SW 3TE 110
CARM[L IN 46832 DUNS NO. 00 0101
F[O' |-O. #8O-O496608
oo�#ms-ooF000rL
NfPP9D
on isj
Jwq
FRT. CHRGS. 13-57
Please note our new remittance address and n(!w Fed ID#
SALES OR USE TAX
OTHER
CASH DISCOUNT IF YOU 0:i: __4
PAY THIS INVOICE BY
EXCLUDiNG CREDIT CARDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 Di
VOUCHER 106461 WARRANT ALLOWED
r
354612 IN SUM OF
LAWSON
e
PO Box 809401
Chicago, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9702661 01- 7202 -06 $192.91
K LI
Voucher Total �92-f1
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 10/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
101221201( 9702661 $192.91
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