192009 11/23/2010 F CITY OF CARMEL, INDIANA VENDOR: 00350716 Page 1 of 1
0 ONE CIVIC SQUARE BRUSKE PRODUCTS CHECK AMOUNT: $143.39
CARMEL, INDIANA 46032 Po Box 669
7447 DUVAN DR
CHECK NUMBER: 192009
TINLEY PARK IL 60477 -0669
CHECK DATE: 11123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 794276 143.39 SMALL TOOLS MINOR E
Telephone 708/532 -3800
FAX 1 -800- 821 -0411 ORIGINAL Duns'No.05- 945 -9653 f i
VENDOR NO: NV
BRUSKe PRODUCTS
D I V I S I O N O F B R U S K e e f1 T e R P R 15 e S, I n C. TERMS
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL 60477 -0669 N E.7 3 0 ,I#
SOLD TO: SHIPPED TO:
CA'R STREET DEPA? TiMEN.T': 3T?.EET DE'PARTM,. NT
3400IA4.. 1:31.ST. STREET 543D 0 W. 1 3.1.5 T :.S-TR2�7
WE S T F I E L 5 1N, 4607' WEST FIELU, :?I .46074
A 1 F S'TEwART
X1311 Z 1 f/D l iD t32229� )65 VE'118 JEFF �S PRE ?AY a .AD
ORDERED SHIPPED QTY. B.O. ITEM DESCRIPTION UNIT PRICE EXTENDED, PRICE DISCOUNT NET PRICE
G 608 .e 6 5 0
6D" HANDLE 151.1
,WITH METAL THREADED
2.-. 4120' 5.00
ORANGE' TRUCK' WASH: WINDOW
:RUS Dui, BLOCK'
2 603 v 8. 16 .00 a I 6. 00
WOOD" H At�I�
2 30 1.6U O
BRACE TO
21, f r J yyam�,, y
36 "FL 0OR f3Ril5: UE'
FLAGGED lis`R UL'✓N
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE. 3 m 9 1 M
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. 1
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. a 0 D
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. 1 46.39
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bruske Products
IN SUM OF
P. O. Box 669
Tinley Park, IL 60477 -0669
$143.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 794276 42- 380.00 $143.39 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
/Thursday] November 18, 201C
Street Commiss ouier
i t<
Street CoTltie Issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/09/10 794276 $143.39
1 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
,20
Clerk- Treasurer