160871 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00353338 Page 1 of 1
t ONE CIVIC SQUARE GEMPLER'S INC I CHECK AMOUNT: $144.81
,2a CARMEL, INDIANA 46032 PO BOX 5176
ro ��o JANESVILLEVN 53547 -5176 CHECK NUMBER: 160871
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
"1125 4238900 1011624755 144.8l'OTHER MAINT SUPPLIES
i
r
r
I
Order l3v Phone: 1 -800- 382 -8473 Gempler's
(31PEAMPLEDl Q Order Online: ��ww.Gemplers.c�un l, ii 39-1726218
Order I3v Fay: 1 -R00 GS "1'T l" St. S 476RT
C EIVED 1210 Founer St. Suite 1 SO
PO Buc 44993 Madison. AF'I U.S.A. 53717
Madison. NVI t ISA ;3744 -4993 JUN 0 6 2008
BY:
001798 PAGE 1 OF 1
6; CARMEL CLAY PARRS RECREATION S CARMEL CLAY PARRS RECREATION
ACCOUNTS PAYABLE H 1427 E 116TH ST
1427 E 116TH ST p' CARMEL IN 46032 -3455
r' CARMEL IN 46032 -3455 r
O '4
Drder No. P.O.:<No. Sold To No voice::: No. ►nvorce Date Due.Date
SCO3266044 SCHLAEGEL06022008 6260182 3 1011624755 06/02/2008 07/02/2008
buyer Carrier Freight Terms Ship Date Fayment<Terms
SCHLAEGEL,COURTNEY UPSGND LOCKED 06/02/2008 Net 30
QTY. QTY. UNIT`:
UNE PRODUCT t11U: DESCRIPTION B.O. SH {P U;Q.M AMOUNT AMOUNT
W 1 152126 PLANT TIE GUYING MATL ARBORT 0 4.00 RL 32.49 129.96
FUND
Z
DE's
LIFE J
r DESC I JUN 1 .1 2008
SUBTOTAL: 129.96
Thank you or your order. FREIGHT: 14.85
TAXES: 0.00
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 07/02/2008 144.81 USD
ORIGINAL
After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show proof of delivery.
TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER.
NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE
WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE; PRICES
PREVAILING ON TIME OF DELIVERY. THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE
WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED.
THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE
UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES
THAT LAB SAFETY SUPPLY, INC. IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS
OF THE STATE OF WISCONSIN AND IN A WISCONSIN FORUM.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
353338 Gempler's
Date Due
Acct 6260182
PO Box 5176
Janesville, WI 53547 -5176
Invoice I Description
Date
or note attached invoices) or bill(s)) Amount
144.81
612108 rope
Total 144.81
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
353338 Gempler's Allowed 20
Acct 6260182
PO Box 5176
Janesville, WI 53547 -5176 In Sum of
144.81
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept ept
1125 1011624755 4238900 144.81 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
19 -Jun 2008
Signature
144.81 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund