155309 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1
ONE CIVIC SQUARE GRAINGER
1 CARMEL, INDIANA 46032 DEPT 854052008 CHECK AMOUNT: $160.83
PALATINE IL 60038 -0001 CHECK NUMBER: 155309
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 9524145142 160.83 REPAIR PARTS
I
GZG PAGE 1 OF 1
GRAINGER ACCOUNT NUMBER 854052008
INVOICE NUMBER 9524145142
9210 CORPORATION DR. INVOICE DATE 12/13/2007
INDIANAPOLIS, IN 46256 -1017 DUE DATE 01/12/2008
AMOUNT DUE 160.83
SHIP TO C
PO NUMBER: SHOP
CARMEL STREET DEPARTMENT CALLER: GARYJONES
3400 W 131 ST CUSTOMER PHONE: (317) 571 -2637
WESTFIELD, IN 46074 -0000 DELIVERY NUMBER: 6059681177
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00040103 1 MB 0360
CARMEL STREET DEPARTMENT
3400 W 131 ST
WESTFIELD, IN 46074 -0000 040103 THANK YOU
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 842 -2497
4HA38 PUMP,ROTARY,15 GPM 1 7477.22 77.22 MANUFACTURER 4HA38
3KR76 CADDY,DRUM 1 83.61 83.61
MANUFACTURER LO -DC -PU
NUMBER OF PKGS: 0 WEIGHT: 68.15 INVOICE SUB TOTAL 160.83
DATE SHIPPED: 12/1312007
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS. I AMOUNT DUE 160.83
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.
n Payee
L ra'c iti Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
I LOC. 83
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
SoL� t 51, 1 E tpo, fj� 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
20
Sig ture
�0 rn nl LLA�,( &rr
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund