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193429 01/05/2011
CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1 ONE CIVIC SQUARE GRAINGER INC CHECK AMOUNT: $334.87 CARMEL, INDIANA 46032 DEPT 804572097 'c; �o PALATINE IL 60038 -0001 CHECK NUMBER: 193429 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 9415819458 32.04 OTHER MAINT SUPPLIES 651 5023990 9416232669 8.11 MATERIALS SUPPLIES 2201 4350100 9418341211 196.56 BUILDING REPAIRS MA 1205 4238900 9424991249 98.16 OTHER MAINT SUPPLIES ISRAZNGER. PAGE 1 OF 1 GRAINGER ACCOUNT NUMBER 813555497 l ldr INVOICE NUMBER 9416232669 9210 CORPORATION DR" INVOICE DATE 12/13/2010 INDIANAPOLIS, IN 46256 -1017 DUE DATE 01/12/2011 www.grainger.com AMOUNT DUE 8.11 SHIP TO CARMEL WASTEWATER PO NUMBER: JEFF 9609 HAZEL DELL PKWY CALLER: JEFF COOPER INDIANAPOLIS, IN 46280 -2935 CUSTOMER PHONE: (317) 571 -2634 ORDER /DELIVERY #:6150240558 INCO TERMS: FOB ORIGIN BILL TO MDG2010 00030432 1 MB 0382 CARMEL WASTEWATER UTILITY 760 3RD AVE SW STE 110 STE110 030432 THANK YOU! CARMEL, IN 46032 -2070 FEI NUMBER 36- 1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 -842 -2497 6Ai43 V BELT,36 IN,A34 1 8.11 8.11 MANUFACTURER 6A143 7 NUMBER OF PKGS. 0 WEIGHT: 0.25 INVOICE SUB TOTAL 8.11 DATE SHIPPED: 12113/2010 These items are sold for domestic consumption in the United States_ If exported, purchaser assumes full responsib for compliance with US export controls. r 1 PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U S. DOLLARS, AMOUNT DUE 8.11 GRAINGER STANDARD TERMS AND CONDITIONS A. SALES POLICY 4, Warranty Product Return, 1. Wholesale Only- Before returning any product, custumer shall fI) vrnte or Call the local Grainger branch from which The product was WVV Grainger. Inc_ Grainer") sells products for bush ess use to customers with proper hu mess Identification puehasecb (ill in the case of an intemet alder contact vcvvagmur got, Lon and provide the date. the original invoice ,.hich is required Irvin all customers prim to p,uchase- Terri the stock narober. and a description of the fit l: or (iil't Call Customer Care at 1- 888 -381 -8649, and provide 2. Prices. the date the original invoice nuntL+er, the storknumbec and a description of the defect_ Proof of purchase is rsquhed Prices listed are wholesale, no not Include faeEght, handling fees. !axes author duties, and are subject to correction nr in 311 cases. diange without noticc. Market senselive si rnntodlty produc[s+uifl b priced ar,rordinig to current marketcorditrcns. 5- Manufacturer's Warranty. Customer mould contact the local Grainger branch or Check Online at ,cvdw,grainger.com for currant pricing Export For informaton on a specific manufacturer's rorranty, please cmVacNhe local Grainger branch di call Customer Care orders may buuhject to other special pricing. Grainger reserves the right In accept or reject any ardor. or 1- 888 -361- 81549. 3. Sales Tax. 6. Product Compliance and Suitability. Customers are respansib!c for pryntent of all applicable edge and local taxes or for provured a °alid sales tax Jurisdictions have va. laws, codes and regulations governing construction, installation- anNoruse of pror is for exempllnn Certificate_ Wren placing an order, cusforaerShall wouute which products are tax exempt. a particular purpose. Certain products may plot be available for sale in all areas. Grainger does not guarantee 4. Payment and Credit Terms. compliance ar sunahilty of the products it sells raitn any lass, codes or regulations. nor dues Grainger accept Grainger accepts cash, checks. money orde €s, Visa, NlasferCard, and American Exerress_ For customers wirh responsibility for construCh011, installation andon use of a product It is customers responsibility to review the product us fail i is) add Grainger c red 1s payment :erns are its tIIFioj f30i days from I'na date el shipment or pick -up. All credit application and all applicable taws, codes and regula €ionsfor each relevanl jurisdiction to be sure that the construction. extended by Grainier to cirstonler, rand the limits of such csedil, Is at Grainger's sole discrelfon. and nay be. reduced installation. Ill use involving Hie products are compLant. Fit revoked by GnTnge, at any time for any reason. Grainger reserves the right to charge a rush orlenee lee for Late panneris. Grainger fearer reserves the right To cha,ge custunter a late payment fee it the rate of one and one -half D. PRODUCT INFORMATION percent (1 -rr2 of the, amount due for each fourth of purfioallfaieof hlit the amount due rP.main3 unpaid, or such 1. Catalog/Website Information. amount as luny be permitted under applicable law Anticipation and cash discounts are not allowed. Export orders Grainger reserves the right la correct publishing enas in Its raialoys orally of its v,ehs'des. Product depictions in the aro 5nLeflul not cp_eal export payment III and conditions- All payments must he made in U.5. dollars. Grainger catalog or websites are for ItH sloldhle purposes only. POSSesSRAI of or access :a ary G°dmgoI catalog, literaaure Or stroll IE't30life rigpt of Sef-ptf and deiucteoo for any souls o'rved by cu5lo lei to Grainger. If customer fails to make tveloste5 does not etas €huts the right to purchase products. payment syiihn IF 130f days ofsligir nit or pi or fails to comply with Graingere credit tenors, or falls to 2. Product Substitution. upir" dleq, wleassrranceoff u 1pe rlcrnancet oGrnnnenmiihfnareasonablefinaeolderrequestedbyGraingerl, ,such Products (and country of origin) nay be substitured and maq not be identical to catalog of websfte published Ill a6 ipfuttied in Gfdelool'a requeSU. Gryf'nger may deter shipments until such pay,nuot or compliance 1s made, descriptions and/or images. requite ;Ash of advance ter any Firthei %blo rfer s, demand imrttediafe payment of all amounts then owed elect to 3. Occupational Safety and Health Administration J "OSHA Hazardous Substance. oU,Sd calleqj action (.r„tuding withoul lifulLatio €r aflomeys' fees and any and all other associates' costs of Manorial Safety Data Sheets ('MSDS'] for OS`A def'med hazardous substances ere ptovared and xpp' _-d ov the cnllei:bonj. and ;"X nay, at Its op €ion, ranrel all colony part of nn unshipped order. manufacturers. GRAINGER MAKES No WARRANTIES AND EXPRLSSLY DISCLAIiviS ALL LIABILITY TO ANY CUSTOMER OR USER WITH RESPECT TO THE ACCURACY OF THE INFORMATION OR THE SUITABILITY OF THE Cuslor_rer agrees 10 assume responsibility for. and customer here8v unconditionally guarantees payment of, as RFCOMMENDATIONSIN ANY MSDG. CUSTOMER IS SOt.EtY RFSPONSIBLE FOR ANY RELIANCE ON OR USE OF ANY proveird harein all purchases made dg cisminer, its srbsdiaries and 71dillattlS. Each of cusioner's subsidiaries and INFORMATION, AND FOR USE OR APPLICATION OF ANY PRODUCT, affiliates parsbesnn Train Grainger vat: be joieny and Severally liable for purchases 6111 customer, and coeton;er is 4. MSDS and Proposition 65 Product Requests. also A,tnq ;is a cm or sum/ suasidiarms and afhllutes MSDS and a list of Proposition 65 produ cts are avaLrble h at the local r a, oyer tiEli ch, o;) by co,iou wig Granger. 5- Credit Balance. Dept, BI 1_5 Alto_ Eovrromnetal Health and Safety Uepl. 190 Grainger Parkway, Lake Forest, IL GU045 -52P1 U.S Customer agrees that any credit halance(s) Issued by Grainger vfll be applied to customer's account lrq by calling G'rainger's MSDS Request Line at i B77 286-9880; or Fv) by logging on to w:vtv.oraimger. con ,rid wnhm one I'f) year of vs issuance. IF CUSTOMER HAS NOT REQUESTED THE CREDIT BALANCE WITHIN ONE. (1) clicking on the 'Resources tab at the top of the page YEAR- ANY RENIAINING CREDIT BALANCE WILL BE CANCELLED. AND GRAINGER SHALL HAVE NO FURTHER 5. Important Notice to Federal Customers Re: Country of Origin. LIABILITY While ail products listed on GSA AdvaniageKI meet the requirements of the Trade Agreements Act FAA "1, as impdeinented by Federal Acquisitlun Recitations Part 25, other products said by Grainger clay not meet tire B. FREIGHT POLICY requirements. At The time of purchase Grainger will advise euetonaers with proper identiticatiar, as an authorized Prices starevl are FO P- oragin, freight prepaid to desFnation specified in the order. Cringer charges a shipping and schedule customer whether or not a vice uct Is "TAA- compliant." Any Federal customer purchasing a non- TAAstem will handling fee (wnlch includes rote €nil handllnay and related costs) do each order which is Applied of Goa of order and be making an `open Tiarkat' purwrase that nor covered ty any contract. Federal custoinecreare advised thatfhe open refleincin on customer's invoice. Receipts ter shipping and handling charges will net be twrnsbed. Grainger covers rill purchases are NOT GSA schedule purchases. By purchasing any product on the Open market the customer snrpprng and handiioo for standnid ground debvery for orders over US $1500 before ax and freight (including any back represents that it has authority to nuke such purchase and has scorched ,ith all applicable procurement regulations orders) C 0 D shipments are fur permitned. Other terms and cauditfmts clay apply for other than swadard delivery 6. Al Orders. Of: Pr F eight S a rj,cels f, uli. Lot 11 g ovithout limitation, expedited Same day drbvery. air freight IToIgIll collect. expaII It I the customers responsIbdrly 10 ap ✓se Grainger whether this order fs funded in any par b% €imds Imm cr, •e ?aced orders hazardous mare Flat, customer'^ carrier. shrpnanls outside the as ad I OU O US U S or after spacial handling by 1lie to the Aineocol Raiuvestment and Recovery Act "ARRA' earner Ale sherries inwriled fur Othel R muSt be paid Dy enstonler. Four surcharges may be applied. Title (Pub. L, No. 111 -5) (i_e.. Stimulus Funds). Upon request. Gra nger will provide country of origin nuormatkn sa that and risk of loss „as., To _usfmner upon lea (IN or SCip reran the carrel- If the produ[ is damaged in transit, customers !;ustorner may determine compliance w'uh elf applicable rrf1wfPmeets under ARRA Selion 1605 or any other onlc recoorsa,s to !ilea claim with tit, ca €der applicable regulations. C. WARRANTY POLICY E. GENERAL TERMS 1. LIMITED WARRANTY. f. Force Majeure. ALL PROD! CTS SOLO ARE WARRAitiTED BY GRAINGER ONLY TO CUSTOMERS FOR R (i1 RESALE, OR {ii) USE IN 6raingor shah not be liable for any delay In, or impairment ot, performance resulttn,g in,vhole or In raft fluid any farce BUSINESS. GOVERNMENT OR ORIGINAL EQUIPMr._IT MANLPAC URE. GRAINGER WARRANTS PRODUCTS irrejeit re event. including but not lior iTod to ants of Ron.lato, di s rupfimrs, acts Of oar. ac's of lerronsm ovliother aelTat AGAINST DEFECTS IN MATERIALS AND WORKMANSHIP UNDER NORMAL USE FOR A PERIOD OF ONE (1) YEAR or Ill reatened), goven4mental decrees or controls. insu Infections, epidemics, quarantines, shortages. connote nicatlon or AFTER THE DATE OF PURCHASE FROM GRAINGER. UNLESS OTHERt ^iISE STATED. PROVIDED THAT GRAINGER roj er fadurt;S fire, accident, explosion, inabiIity to procure 0 drip pitodnor a obtain permits and licenses, Irablfdy t© ACCEPTS THE PRODUCT FOR RETURN DURING THE LIMITED WARRANTY PERIOD, GRAINGER MAY, AT ITS procure supplies or raw materials, severe weather conditions_ ratastrophic Ennis, or any other jorctjot=i l nr cause GET ION: iij REPAIR: (nil REPLACE: OR (till REFUND THE AMOUNT PAID BI CUSTOMER. CUSTOMER MUST beyond the reasonable control of Grainger in the conduct of its business. RETURN THE PRODUCT TO THE APPROPRIATE GRAINGER SRRNCH UR AUTHORIZED SERVICE LOCATION, AS 2, Grainger's Performance of Services DESICNAI'ED BY GRAINGER, SHIPPING COSTS PRE °AID, GRAiNGER'S REPAIR, REPLACEMENT OR REFUND OF Custaner will hold harmless and inderonifv Grainger, its officers, directors, employees, scents, subcontractors or AMOLIf1TS PAID BY CUSTOMER FOR THE PRODUCT, SHALL BE CUSTOMER'S SOLE AND EXCLUSIVE REMEDY. represenlie ivesireinand against any and all claims, including foully Injury, death, or damage fo personal property, and all other losses. liabilities, obligations, demands. actions and expensei whether direct or mdireCt, kill or unknown, 2. WARRANTY DISCLAIMER. absolule or contingent, incurred by Grahlger related to the per €ormance of services for or storner (,ndi!dln avnnout a. NO WARRANTY DR AFFIRMAll OE FACT. EXPRESS OR IMPLIED- OTHER THAN AS SET' FORTH IN THE LIMITED Imitation, sethull m costs, attorneys' tees, and an, and ap Other expenses far defending any actions or threatened WARRANTY STATEMENT ABOVE S MADE OR AUTHORIZED BY GRAINGER. GRAINGER DISCLA1fVS ANY actions) arising out of. in whale or in pan, any act ar ontissldn Of CnSnul c its emnloyeas, agents. suhcaniraanrs or JAB lY FOR CLAIMS ARISING OUT OF PROOuu MISUSE IfviPFI PRODUCT SELECTION, IMPROPER rr,or_seniatives- riCTALtAIIOh PRODUCT MODIFICATION, NIISPEPAIR OR MISAPPLICATION GRAINGER EXPRESSL'f 3. Cancellation. ISIA Alf:!S ANY WARRANTY THAT THE PRODUCTS. Ill ARE MERCIANTARL?, Iii) FIT FOR A PARFICLI1 AR All p artrct order, a u_.lat:ons must be approved Grinr'tr anti nrec se stir t ie r srr,ckinr Urns and other cba pes Pl POSE: OR furl 00 NOl AN Wlt L IvOr INFRINGE UPON Oi HER'S €NTELLLCI LAL PROPERTY RICH TS 4. Product Return. h G3„I "krR IAAKES NO NAloRANT'ES TO THOSE DEFINED AS COF1SUNILRS IN THt MAGNUSON MOSS Piodt c mums must be n cbc v ldms o.le 111 yeei 'rain date, of re Cc Frosts Oticervise Ind_ rle.d CuSlonershocid vvARRAff '(FEDERAL PADS CO`Ah:ISS ON I14PROVEP6ENT ACT. call the local Grainger J,anc!I, or Is la 'N', grairrger.i for rnslruetions. Returned product must Us ur ofiLl packaging, unused, ondamugad, and in saleable clan lion. Proof of purchase is required in ail casts. 3. LIMITATION OF LIABILITY. GRAINGER FXPRESSLY DISCLAIMS ANY LIABILITY FOR CONSEOUFNTIAL. INCIDENTAL. SPECIAL, EXEMPLARY F. EXPORT SALES OR IUNITIVL DAPAAG69 GRAINGER 'S LIABILITY IN ALL CIRCUMSTANCES IS LIMIT ED TO, APcO SHALL NOT Orders for export sales a resit) ecttotheillconditionsf oundal .vw,..grainyercnm,;andcanhe ar -a ;ed h!xhcking EXCEED, TFIE PbRCliASE PRICEPAID FOR THE PRODUCT THAT GIVES R15ETO AMr' LIABIL1 fY, on the "Terms of Sale' Fink. A FULL STATEMENT OF GRAINGER'S TERMS AND CONDITIONS IS AVAILABLE ON www.graingef.com AND IS INCORPORATED BY RFEERENCE. VOUCHER 106815 WARRANT ALLOWED 351533 IN SUM OF GRAINGER INC DEPT. 804572097 PALATINE, IL 60038 -0001 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 9416232669 01- 7202 -06 Voucher Total 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 351533 GRAINGER INC Purchase Order No. DEPT. 804572097 Terms PALATINE, IL 60038 -0001 Due 'Date 12/27/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/27/201( 9416232669 $8.11 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 I1��ER® PAGE 1 OF 1 0 0 GRAINGER ACCOUNT NUMBER 854052545 r J INVOICE NUMBER 9424991249 5959 W. HOWARD STREET INVOICE DATE 12/27/2010 NILES, IL 60714 -4014 �ZU DUE DATE 01/26/2011 www.grainger.com AMOUNT DUE 98.16 SHIP TO CITY OF CARMEL BOARD OF PUBLIC WO PO NUMBER: 035669847 ONE CIVIC SQUARE DEPARTMENT: FACILITIES CARMEL, IN 46032 REQUISITIONER: JEFF BARNES CALLER: IEFF BARNES CUSTOMER PHONE: (317) 571 -2448 ORDER /DELIVERY #:6151159601 INCO TERMS: FOB ORIGIN BILL TO MDG2010 00006670 1 AB 0360 i�n�t�llltftlll�lil�i��fflt�� �llli��fill���i�lf�ttlfll CITY OF CARMEL /BOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL, IN 46032 -2584 006670 THANK YOU! FEI NUMBER 36- 1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1.877 -202 -2594 000001 3A326 HANDLE,BROOM 4 2,36 9.44 MANUFACTURER 3A326 000002 1ZCA4 FLOOR SQUEEGEE, DUAL BLADE, BLACK, 30 IN 4 22.18 88,72 MANUFACTURER 1ZCA4 U z I_ I JAN 0 2011 By NUMBER OF PKGS 0 WEIGHT 880 INVOICE SUB TOTAL 9816 DATE SHIPPED: 12/27/2010 CARRIER: UPS GROUND TRACKING NO 1Z6533410343714279 126533410343715992 These items are scld for domestic consumption in the United States, if exported, purchaser assumes full responsibility for com pliance with US export control PAYMENT TERMS NET 30 DAYS, PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U.S. DOLLARS- qMOUNT DUE 98.16 ISRAZNGER® PAGE 1 OF 1 i EM GRAINGER ACCOUNT NUMBER 854052545 INVOICE NUMBER 9415819458 2221 N. ELSTON 1~ i j INVOICE DATE 12/13/2010 CHICAGO, IL 60614 -2905 DUE DATE 01/12/2011 www.grainger.conn AMOUNT DUE 32.04 SHIP TO CITY OF CARMEL BOARD OF PUBLIC WO PO NUMBER: 035471390 ONE CIVIC SQUARE REQUISITIONER: JEFF BARNES CARMEL, IN 46032 CALLER: JEFF BARNES CUSTOMER PHONE: (317) 571 -2448 ORDER /DELIVERY# 6150157312 INCO TERMS: FOB ORIGIN BILL TO MDG2010 00030433 1 MB 0382 II' �II' II�' I�" �I�III�I��IIIIIIII�I 'I�'ll'I'lll'll CITY OF CARMEL /BOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL, IN 46032 -2584 030433 THANK YOU! FEI NUMBER 36- 1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 773 -486 -9933 gia-1 IM 4 000001 3VJD1 STROBE BEACON, E- 10,AMBER 1 732.04 32.04 MANUFACTURER E10AMH D L f L.I JAN 0 4 2011 By NUMBER OF PKGS: 1 WEIGHT 217 INVOICE SUB TOTAL 32.04 DATE SHIPPED: 12/13/2010 CARRIER. UPS GROUND TRACKING NO 1Z61X5870390196701 These items are sold for domestic consumption in the United States. If exported, purchaser assumes full responsibility for compliance with US export controls I PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U_S DOLLARS, AMOUNT DUE 32.04 VOUCHER NO. WARRANT NO. ALLOWED 20 Grainger IN SUM OF DEPT. 854052545 Palatine, IL 60038 -0001 $130.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1205 9415819458 42- 389.00 $32.04 1 hereby certify that the attached invoice(s), or 1205 9424991249 42- 389.00 $98.16 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 Tuesday, January 04, 2011 A( Director, Administration Title Cost distribution ledger classification if claim paid motor 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 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)) 12/13/10 9415819458 $32.04 12/27/10 9424991249 $98.16 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 t PAGE 1 OF 1 0 GRAZNGER, GRAINGER ACCOUNT NUMBER 854052008 111 INVOICE NUMBER 9418341211 9210 CORPORATION DR. INVOICE DATE 12/15/2010 INDIANAPOLIS, IN 46256 -1017 DUE DATE 01/14/2011 www.grainger.com AMOUNT DUE 196.56 SHIP TO CARMEL STREET DEPARTMENT PO NUMBER: TRUCK57 3400 W 131 ST CALLER: BRAD HENDERSON WESTFIELD, IN 46074 -0000 CUSTOMER PHONE: (317) 733 -2001 ORDER /DELIVERY #:6149875359 INCO TERMS: FOB ORIGIN BILL TO MDG2010 00033665 1 MB 0382 ���Iln�fi�IIIIIIiII�IIi�II�I�����I�Illiul�ll�li��llii CARMEL STREET DEPARTMENT 3400 W 131 ST WESTFIELD, IN 46074 -0000 033665 THANK YOU! 'El NUMBER 36- 1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 -842 -2497 r r r 3V987 IGNITOR,BALLAST 4 49.14 196.56 MANUFACTURER LI533 -H4 NUMBER OF PKGS: 0 WEIGHT: 1.40 INVOICE SUB TOTAL 196.56 DATE SHIPPED: 12115!2010 These items are sold for domestic consumption in the United States, if exported, purchaser assumes full responsibility for compliance with US export controls PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS, AMOUNT DUE 198.56 VOUCHER NO. WARRANT NO. ALLOWED 20 Grainger IN SUM OF Dept. 854052008 Palatine, IL 60038 -0001 $196.56 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 2201 9418341211 43- 501.00 $196.56 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 4 nl/ Monda Ja uary 3 2 1 r v SMeehco- mmais�'io'erer Title Cost distribution ledger classification if claim paid motor 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 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)) 12/15/10 9418341211 $196.56 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