HomeMy WebLinkAbout194670 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $322.69
CHICAGO IL 60674 CHECK NUMBER: 194670
CHECK DATE: 2/16/2011
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0118497 41.23 OTHER EXPENSES
651 5023990 132930 281.46 OTHER EXPENSES
ORIGINAL INVO
LAWSON Products
Des Plaines, IL- Corporate Head rte
Admm^.v, Vernon Hills, u" Fairfield m
Reno, NV" Suwannee, GA* Mississau oNT
vvvvwJomm»mnprmductm.00mn PAGE l MRN203
CITY OF CARMEL
SHIPPED WATER-WASTEWATER O2 CARMEL DOl
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 4628O
CITY OF CARMEL
oom
/u WATER-WASTEWATER
760 3RD AVE 3W STE llO
CARMEL IN 46032 DUNS NU. 00 0101
FED. I.D. #8U-0496603
GSA #mm-osF-nourL
CUSTOMER ORDER NO./BUYERS NAME 'DATE., SHIPPEQ::.:'�:.'..1 ma U I ORDE R: NO,
JEFF COOPER
BUYER:JEFF COOPER
54474 NON-CHLOR BRAKE KLEAN 2.5 EA 12 12 30-00
FRT. CHRGS. 11.23
Please note our new remittance address and n(w Fed 10#
CASH DISCOUNT FYOU
SALES OR USE TAX OTHER
PAY THIS INVOICE By
EXCLUDING CREDIT CA
RDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BIC BACK ORDERED CID CANCELLED 41.23
VOUCHER 107071 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
0118497 01- 7202 -06 $41.23
Voucher Total $41.23
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 2/9/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/912011 0118497 $41.23
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
'Z a--'AX'
Date Officer
0 n
w
ORIGINAL INVOICE
LAWSON Products
Des Plaines, IL Corporate Headquarters
Addison, IL Vern on Hills, IL• Fairfield, NJ
Rena, NV •Suwanee, GA* Mississauga, ONT
www.lawsonproducts.com PAGE 1 MRN191
CITY OF CARMEL
SHIPPED
TOED WATER WASTEWATER 02974 0132930 2/03/2011 CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
�tN
DIU
CITY OF CARMEL
SOLD
TO: WATER WASTEWATER CH1 CAGEI .I.L ..,1iQ68€3 94a
760 3RD AVE SW STE 110
CARMEL IN 46032 DUNS NO. 00 543 8890 0101
FED. I.D #8o- 0496603
GSA GS- 06F -0027L
CA3iREER CUSTOMER ORDER NO.IBUYERS NAME SALE$ AGENT_ OATS SHIPPED flUN tll#DEfi 1t0
S12391 RYAN Q2.0 20:1.1 MRNI..�...
B...................................:.::::.,...........................:::.: :.::::.�:::.:�F�G=
4c
BUYER:,JEFF COOPER
91093 3/4 -10X3 18 -8 ST /ST CAPSCREW 3.89 EA 10 10 38.90
95138 3/4 INCH SOLID WIRE END BRUSH 7.28 EA 1 1 7.28
95139 1 INCH SOLID WIRE END BRUSH 8.38 EA 1 1 8.38
DD 1021 BOX TORQUE W /HOS CONT PUMP 59 .72 EA 1 1 59 .72
DD 1050 BOX HOSE FOAMER HOSE FORMER 36 .33 EA 1 1 18.17
DL 1210 04 4X1GA WASH N WAX LUSTERIZER 31.81 GA 4 4 127.24
FRT. CHRGS. 21.77
Please note our new remittance address and n w Fed I D#
CASH DIS SCOU TIFtiOU
S R
SALE E TAX T
D US 0 HER
'ii iii:' %`i`'r
i [i6?Fi..`f+:i
PAY THIS INVOICE
ed,
Ex L DIN
C U G CREDIT CARD
S
Ah'�
TOTAL t3,. NT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED CID CANCELLED 281.46
VOUCHER 107105 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
132930 01- 7202 -06 $281.46
Voucher Total $281.46
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 2/9/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2011 132930 $281.46
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with 1C 5- 11- 10 -1.6
Date Officer