158901 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1
ONE CIVIC SQUARE GRAINGER INC
CARMEL, INDIANA 46032 DEPT 804572097 CHECK AMOUNT: $1,543.21
ti l oh PALATINE IL 60038 -0001 CHECK NUMBER: 158901
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT P.O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4238900 8611525321 66.60 OTHER MAINT SUPPLIES
1047 4238000 9604202276 191.88 SMALL TOOLS MINOR E
1047 4237000 9604202300 211.59 REPAIR PARTS
1047 4237000 9608119831 142.98 REPAIR PARTS
1047 4237000 9608119849 31.68 REPAIR PARTS
905 4237000 9610199011 51.66 REPAIR PARTS
601 5023990 9610240260 179.86 OTHER EXPENSES
601 5023990 9610645708 380.26 OTHER EXPENSES
601 5023990 9611038820 68.90 OTHER EXPENSES
1120 4231100 9613416248 217.80 BOTTLED GAS
PAGE 1 OF 1
GRAINGER 1
GRAINGER ACCOUNT NUMBER 813555497
/III INVOICE NUMBER 9610645708
5959 W. HOWARD STREET INVOICE DATE 04/08/2008
NILES, IL 60714 -4014 DUE DATE 05/08/2008
AMOUNT DUE 380.26
SHIP TO
PO NUMBER: S11125
CARMEL WASTEWATER CALLER: JEFF COOPER
9609 HAZEL DELL PKWY CUSTOMER PHONE: (317) 571 -2634
INDIANAPOLIS, IN 46280 -2935 DELIVERY NUMBER: 6069487608
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00040137 1 MB 0360
CARMEL WASTEWATER UTILITY
760 3RD AVE SW STE110
CARMEL, IN 46032 -2584 040137 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1- 877 202 -2594
•e
IH376 SWITCH, A 2 190.13 380.26
MANUFACTURER HU362
1 1 1 1
NUMBER OF PKGS: 0 WEIGHT: 30.42 INVOICE SUB TOTAL 380.26
DATE SHIPPED: 04/08/2008
CARRIER: UPS GROUND
TRACKING NO: IZ6533410375261234
PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U.S. DOLLARS. AMOUNT DUE 380.26
PLEASE DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT.
SALES, FREIGHT AND WARRANTY TERMS AND CONDITIONS
Wholesale Only. Grain sells products for business see to eustomeoi ,with business idertihcadon. Idon9ficadurl Insead of through the sclieda,ii, FeCoral customers are advised tfiat aped market pa e N0 GSA Sched,ie
required from all customers, Possession of fir access to, or 3rainri catalog, literature or viettsltes does nor cdnst purchases. By ptirchasi ig any item or open market c istomer represents that it hfiS autilontw to :rake such
title the right to purchase from WV4 Grainger: one- (Grainger] Grainger reserves the light to cornet Publishing errors. Purchase and has compii_d'oath all :,pliable procurement l ir amons.
All references herein to the tern 'products" shall include sec icds Provided by Grainger. Electronic and Photographic Cleaning Fluids Customers. it is a violation of Federal lax to sell, distrib.ie.. or offer to
Prices. Pnoce dsfed are wholesale do riot include freight, handling fees- or taxes and /or duties, and are subject to sei, or distribute any chlorofluorocarsori or aerosol hydroch omfloorccarba,n contairmno ,.Inning Fred for electronic
correction of Chu tge without notice- Market Sens( ive Oom eodt, items will be p. iced according to current mariret an equipment to any on who is riot a commercial user of this product. The ,_u- ii *Dr violating t has Pro
cor,dlttons I;bitlon can be an to 525,000 per sal„ 1 tdivrnals purchasing snort or oducts most present proof of their commercial
Sales Tax. Custorre s are responsible wr all applicable tares or for Providing e.:aM saes tax exemp[on certificate status in Pconcin e with 40 CFR 82.68ia) of rc).
Payment Tenths- Grainger cee a. sh ,.lee. ks .coney dree Vi> MasterCard acid Artier an Express Far customers A 'Contm�rcial User.` as defined in he rogoraii it, means a person fiat use,, ti product fbe purchase,r's rusiness,
with established Grainger credit, Pa m r tarns are net 30 days fi )fir the late of shipmont or pick up. Anticipat en. and or se Is Is another person and has one of the to lowing iden: ucation num;_rs. Federal einployer idantiFcamir fir. it-
cash discounts are riot allor-ed E port orill may be subbed snecild export pays e iL terms and conditions All pay- Per a State "ins tax ex mp €orr. number; Local business license number; Government cunt ar,t number.
marts must he In U S. dollars. G, rin r shah have the right of set -off and deduction for any owns owed. If customer Refrigerant Customers. Effective No✓embes 14, 1994, in accardarce vvi.h the Fedora r�c i Air Act sale of Gass i
ails to olat, payr tart thin ff=ir- I ay'. Gr poor ma s r Shfpn'er�ts unu� such payment is made or ray at CFCs and Glass (HCF i retligeran, :III be restricted to resale pun i ses and r t o certified plofesswr al service tech
Its nation canoe; rill or an. Part of unshipped order. molars. To purchase regulated •evigerant products. all cus'.9niers must present a certif aron card or sign,.; s a.-rnera
Credit Balance Customer an ees that an, e- dR baiances I,sueo :kill be applied t i,hln are (1, year of Its issuance of resale to coatpiete the purchase.
IF NOT APPLIED OR REQUESTED ,JITMN ONE (1 YEAR, ANY BALANCE REMAINING WILL BE SUBJECT TO Sourced Product. Grainger may p croa produci not avadahie through the Grainger Catalog or ava-labL on
CANC- I 1 ATION, AND GRAINGER a MALL HAVE NO FURTHER LIAR 11' wtrow.graing ,ern for a customer tram other sources (Sourced P pductj. Grainger reserves fie riglli accept Or eject
Freight Policy and Shipping Charges. Products are shipped EO.B slapping point nt. re,g costs and hrhd(n.g ti =,es any request or order. Sourced Product priced according to current market conditions fo spot buy s tuatoos on a
a,
paid t, a fnga .and charged to the customer Orders over 51500 Orc'u hrg any backorders] are shipped fro ght free- Per order basis Sourced Product is snipped EC B. shipping pout, voth freight and handl rg es paid by r.ainger and
C.O.D. sirments arr no! permitted. Othor terms and condi may apply for froigot cc le i, export orders, hazardous charged to ht,, cu;. me Shipments is locations onside at tn, corult United Sates are the reshonsi duty of the
male us spec gal handling or shipnents cufside the contiguous United States. Any extra charges incurred inn add( customer. Ay charges for adbitio al services, such as hazardous nianicads, customer's carrier, prentirion freig'nt or
Penal services, such as custom, s carrier or special handling by the carrier, must be. Paid by the customer. Title and soecial ha f .ling are paid by customer. A Returned Goods Aunhorization, IRGAj roust t ssued by Grainger pner to
risk of Pass to the customer upon tender of shipment w t Ihe caner ;t produc. is damaged in transit, customer Inning any Sourced Product. A rests king fee rl apply to any returned Sourced Product. Spel,i,.i manwachared
must file c laro with the eerier, and cusfdru lingineered products are sold on a 'FINAL SALE I basis only and no changes, canes lat.ons. retu,' s,
refunds. or ned s are al owed GRAINGER 'S STANDARD WARRANTY TERMS AS SET f ORTh ABOb DO NOT APPLY
GRAINGER LIMITED WARRANTY TO SOURCE[- PRODUCT GRAINGER O THE FULLEST EXTENT PERMITTER_ PASSES THROUGH TO CUSTOMER ANY
LIMITED WARRANTY. ALL PRODUCTS SOLD ARE WARRANTFt BY GRANGER ON A, -E
ONLY TO CUSTOMERS FOR RPS, AND AL f� L ANITACTURER AND SUP Pt !FR PRODUCT WARRA(1f'sES-
USE IN BUS!NJFSS OR ORIGINAL ct PMENT 'And FACT RE AGAINST DEFECTS IN �IGRKNIAIvSHIP OR tA.4T RIALS ADDITIONAL TERMS
UNDER N FIVAL USE FOR Or�J It' AR AFTER DA OF PUPOr ASE FnOM GRAINGER. ANY PRODUCT DFTER"Pfar..D
BY GrAftJGER TO Br DcFECTIbc IN MATER AL OR WORK ✓iiNSH(P AND RETURNED TO A GRAINGER BRANCH OR Force Majeure. G <tinger shall ,tot he ab an delay in o i rpainnent of performance resulfing in r.sole or :r par,
AUTriOR =Z- D SERV LOCAT Cra.. AS GRAINGER DESIGNA�ES, S "IPPING COSTS PREPAID, WiLL BE, AS THE tram any force majewe event me rtling but not limited to, Acts of God, l abor disruptions, shor a +lability to
EXCL, ,t 1, REtNEO`t. REPAIRED �F. REPLFCED. OR AT GRAr lGER'S OPTION, THE PURCHASE PRICE REFtJPIDFp. Procure fc c f c:, supplies cr :a:v materials, severe weather co ,,:itions, or Pty other c, umsta.;es Jr cause beyond
WARRANTY DISCLAIMER. NO WARRAs kY OR AFFIRMATION OF FACT, EXPRESS OR IMPLIED, OTHER THAN AS SE 1 ontrol of r r: inqer in the conduct of its nr,San2ss.
FORTH IFd THE UNITED WARRANTY STATEMENT ABOVE IS MADE OR AUTHORIZED BY GRAINGER- GR ANGER Product Substitution. Products may be substituted and may riot av,ays exacfv a?at.h .a„if)g desrimions and/or
DISCLAIMS ANY LABILITY FOR PRODUCT DEFECT CLAIMS THAT ARE DUE TO PRODUCT MISUSE. IMPROPER images.
PRODUCT SPLECTION OR MISAPPLICATION, AND ANY DCSCR!PTION DOES NOT EXPRESS OR IMPLY A WARRANTY Cancellation. Any cancellation must be approved by Grainger aod stay he subject Lo stocking arid other cr arres.
THAT THE PRODUCTS ARE MERCHANTABLE OR FIT FOR A PARTICULAR PURPOSE Product Return. iati you local branch or instruct ors. Proof of purchase is required.
LIMITATION OF LIABILITY. ANY LIABILITY FOR CONSEQUENTIAL, INCIOENTAL SPECIAL_ EXEMPLARY OR f uril FIVE Availability. Certain products may no. be available for sale in at
DAMAGE IS i_XPRESSLY DISC AIMED. GRA :LAGER'S LIABII Div IN ALL EVENTS IS L:P';PFED T0, AND SHALL. NOT
EXCEED T HE PURCHASE PRICE PAID t OR THE PRODUCT THAT GIVES RISE TO ANY LIABILITY. Assignment. a ustorner shall not as r,, any order or any interest o v .h, u. tl ?e pv e. i ::en consen of Griinge,.
Any actual or adarninted assignment +nthout Grainger's prior ten consent snail ervtle G linger to cancel sue` order
Manufacturers' Warranty. For lif.,rnaiion on mznufactu s cr ies, please contact ;pour local hianch or contact upon notice to eu;tomer.
Customer Care at 1-888-361-86 Electronic Data Interchange. If Grainger and cistomer have ncioutv agreed to use j n Eectonic Data. 'at rc ?lance
Prompt Disposition. Graing: id crake a good faith effor icr Prornot correction or oahin adjrstm ent with respect to (FD,) system fib facilitate purchase and sate iransac:ions cu ram fu agrees .hat it w 11 not coolest a an coa,hact of
ally product vvirich r ngves to be detecfve oitflin warranty f rrlod. Before returning any prods 1 bean@ or call the sale resulfing front an EDI transacto n under t pro v visions of any la. re'.ating to whether agreements must bit in rimi
Graingarmancrijoni which the o od act Ives pPrchased, or connect Customer Care at 1 833 361 8649, giving dare and me or signed t by 'he party to be bound thereby o. (ii) the ado i lbiliry or copies of EDI cords under the business
number f rigm'it invoice, and de,cribrig defect. records exce(uon to the hearsay rule. the best evidence !Life or ady other similar rule, on the bass th,t such records
Product Suitability. Many states and bc ;alfties have codes and regulations governing sales construction. installation, %ere not originated or maintained in docunieotary form. Grainger and customer will neuRbate and agree on technical
and use of producls for certain owp Ises, which may var those in neighboring areas. While Grainger attempts standards and menders to use in making EDI purchases, and will use reasonable seer: iy Procedures to protect ED1
to assure that its products corniav with such codes. I t cannot guarantee compliance, and cannot be responsible for now records from improper access. The business records maintained by Grainger regarding EDI purchases made by
the product is installed or used. Before purchase and use of a product, please review the product application, and customer shall be controlling.
national and local cores and regulations, to be sure that the product. idsaLation. and use riil, comply with them. Modification of Terms. Graingers acceptance of anv order is aJbPect to customers assert to all of the terns and
No Warranties to Consumers. Grainger makes no warranties to those defined as consumers in the Magnuson v✓loss conditions set conch in Graingers ackhov.lodgment, and customer's assent to these Lrms and conditions snail be
Wanarty- Federal Trade Commission improvement Act. presumed from customer's receipt of Graingers acknowledgment, or from customer's a oeptanee of all or any part of
PRODUCT INFORMATION the goods or services roJered. No ad +.lion or modf;caboo of ie.r,s and conditions shall Le binding upon Grainger
OSHA Hazardous Substance. Material Safety Data Sheets (NISDS) for OSHA defined hazardous substances are pre unless agreed to by Grainger fit vrdu g 'f a purchase order at ntCCei con esponcerce contains terms or conditions
d end supplied mamrfacll rers. The in(onnation err recommendations contained or the 6.1SDS are believed b� co tt ar to the terms and conditions rout aired in Graingers a khcv.:edgrneht [-nonagons acceptance o, an,� order �taIl
pa pl not be construed as assent to any add'nonal terms and cond (inns nor will va at conehtune a waiver h.• Grainger of ring
Grainger to be accurate Grainger, hosever makes no war an uith kles s respect to the accuracy of the information or the of the turns aad conditions cpntamer in Graingers acknowl ^dameni-
suitab P t of tap r commendations Customer is solely responsible for any reliance on or use of any information, and g
for use or ip of anv product Grainger Wise aims any and all liability to any uses: Materials of Trade. Customer represent„ that if it is purchasing goods as its "materials or as defined in the
C alifornia Proposition 65. The .,.ate ct .,afiornia r2 uirec that c,,ri«in �rrarnin s be given roncernind products sul eel Hazardous Materials rials Regulations in Title 49 of the Core of Federal Regulations, that the goods �w11 be used in direct
o Pr rni Pro o For products L at e, or d a is er D s /th i the to'iaa.ing be g ig e apply: T p support of i business which is not transportation, and that -uch gored, stall not be resold or transport sin vemcle
4 This product contains a Product know r to tae Stan, of Ca'iforri t to cruise ca icei. other than r ✓ned b ✓itself.
W'; ruing: This product ccrtifi is a cl o oval knolvo to tl e S €ate of California to cause I;nth defects or other Waiver, Choice of Law and Venue The failure c` either party to assint a right hereunder or to insist upon compliance
reprodocti;e I,! T. vvith any icr a it condition will _not i,r Ctufe a server of W,)P ;r e d se r; sut eq �erS. nerpe f7r n ;%a o`
t. r list at Proposition 65 uronuco are a:.ailab.e a. r "AL !sea' urge J.aul t a, cm tr q Grainga,. Dept. a y sJch teint o' cond�td b, the rm x p rig. i I t nsachci s t. I ;o reed by tI
B2.K05. 100 G,ai e .,.ps of tr.. 5 Lno!s,
MSDS and ,ng,r Parx:,a;, Lake Forest, IL 60045-5201 U S.A. or calling i- S4......i 1313. .tlaia'r�g d u,r Cf et la.:. file_. and cur, cif— I be lit Cook C..!o Slate o Profs.
Important Notice to Fedferal Customers Re: Country of Origin. rno products '.i -fed or) GSA AJ ci lace: reef fi -P No Third Party Benefit The Proa'.s r s, s. red asove are the sole Le refit lire p,,, rs re efo fr for 'ic
eqc, c _ire 5f the Trade ei.Gen rs Act (T A`. by FAR Part 25, of ter m orncts may not meet fa,.,;e ben.. its of clam, upon any person or enfil', ndt a pat, liete
Gra, ye, -nili ado_ cuadnrnar, .;rupc,l/ id nbt ;,i ;t; then ?seSves as Ai. ho (zed Schedule Purchasers at Complete Agreement The terms and conditions it Graingers forrts icknc view uerv, ga,faiions. invoices. :,rebsites
the Time c` curc`ias ",LI ethe, an a_i t i., ti.., a,gmpliant:' Custon ors seeking to purchase non -U.A items err Il be gi�der� and catalog sales terms and conditions are Incorporated herein b, core, lire, and constitute the entire and exclusive
the oppo tun',ty to pt chase ar alto naive (ten or to purchase the non -TAA item through an "open market' purchase agreement behmeen customer and Grainger.
25493 1001
I
�R�1lNGER® PAGE 1 O F 1 Mw
GRAINGER ACCOUNT NUMBER 813555497
I1 ak �a 114y INVOICE NUMBER 9611038820
455 KNIGHTSBRIDGE PKWY �g� INVOICE DATE 04/09/2008
LINCOLNSHIRE, IL 60069 -3614 DUE DATE 05/09/2008
y /6/68 AMOUNT DUE 68.90
SHIP TO
PO NUMBER: SOURCING QUOTE
CARMEL WASTEWATER PO RELEASE: KEVIN
9609 HAZEL DELL PKWY CALLER: KEVIN BUHMANN
INDIANAPOLIS, IN 46280 -2935 CUSTOMER PHONE: (317) 571 -2634
DELIVERY NUMBER: 1054098455
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00040800 1 MB 0360
1 1111111111 IIIIi II "III'IIII'I"If II'I 11111 1111111111111 [gall I
CARMEL WASTEWATER UTILITY
760 3RD AVE SW STE110
CARMEL, IN 46032 -2584 040800 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 847- 793 -6444 e
•e
000000 10976315 CAPACITOR 2 34.45 68.90
MANUFACTURER 7C100M40RA
NUMBER OF PKGS: 0 WEIGHT: 0.00 INVOICE SUB TOTAL 68.90
CARRIER: UPS GROUND
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS AMOUNT DUE 68.90
AL-E-&.S.E a HTHIS PORTION AND RETURN WITH YOUR PAYMENT.
PAGE 1 O F 1
RA��GE®
GRAINGER ACCOUNT NUMBER 813555497
INVOICE NUMBER 9610240260
5959 W. HOWARD STREET INVOICE DATE 04/07/2008
NILES, IL 60714 -4014 DUE DATE 05/07/2008
AMOUNT DUE 179.86
SHIP TO
PO NUMBER: JEFF
CARMEL WASTEWATER CALLER: JEFF COOPER e
9609 HAZEL DELL PKWY CUSTOMER PHONE: (317) 571 -2634
INDIANAPOLIS, IN 46280 -2935 DELIVERY NUMBER: 6069386019
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00038673 1 MB 0360
CARMEL WASTEWATER UTILITY
760 3RD AVE SW STE110
CARMEL, IN 46032 -2584 038673 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT TFIIS INVOICE OR ACCOUNT CALL 1- 877 202 -2594
o o
jll
�k k
o'D
7 76AO77 RETAIN RING,INT,BORE DIA 4 1/4 IN 2
P 11.60
MANUFACTURER 5DY61
WHEEL, GRINDING, 7IN 10 5.31 53.10
MANUFACTURER 662529 -40148
4WE17 BLADE,BAND SAWBIMETAL 2 36.05 72.10
MANUFACTURER 7'9 ZWEFRI4MAT
4X388 BLADE,44 7/8 IN,PK3 2 21.53 43.06
MANUFACTURER ZWEP441418MC
NUMBER OF PKGS: 0 WEIGHT: 13.40 INVOICE SUB TOTAL 179.86
DATE SHIPPED: 04/07/2008
CARRIER: UPS GROUND
TRACKING NO 1Z6533410375180698 IZ6533410375201325
PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS AMOUNT DUE 179.86
VOUCHER 085287 WARRANT ALLOWED
351533 IN SUM OF
GkAINGER INC
DEPT. 804572097
Pt ALATI N E, IL 60038 -0001
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9610240260 01- 7202 -06. $179.86
g611035i6lo oi.7202.06. 6 �,qb
P
ol lly5
((,5'7 05 0(.72oZ:0G 3so.26
V
Voucher Total 6
lost 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, ti
price per unit, etc.
Payee
351533
GRAINGER INC Purchase Order No.
DEPT. 804572097 Terms
PALATINE, IL 60038 -0001 Due Date 4/15/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/15/2008 9610240260 $179.86
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 r.
Date Officer
PAGE 1 OF 1
111A® GRAINGER ACCOUNT NUMBER 804510162
INVOICE NUMBER 9613416248
455 KNIGHTSBRIDGE PKWY INVOICE DATE 04/11/2008
LINCOLNSHIRE, IL 60069 -3614 DUE DATE 05/11/2008
AMOUNT DUE 217.80
SHIP TO p
PO NUMBER: GARY CARTER
CARMEL FIRE DEPT CALLER: GARY CARTER
2 CIVIC SQ CUSTOMER PHONE: (317) 571 -2443
CARMEL, IN 46032 -7543 DELIVERY NUMBER: 1054260619
INCO TERMS: FOB ORIGIN
BILL TO
MOG2005 00036331 1 MB 0360
CARMEL FIRE DEPT
2 CIVIC SQ
CARMEL, IN 46032 -7543 036331 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 847 793 -6444
Im
s
000000 70JL3 CCAL GAS CO 100 PPM AIR 17 L DO 6 36.30 217.80
MANUFACTURER 17L -46
NUMBER OF PKGS. 0 WEIGHT. 0.00 INVOICE SUB TOTAL 217.80
CARRIER: UPS GROUND
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS AMOUNT DUE 297.80
VOUCHER NO. WARRANT NO.
ALLOWED 20
Grainger
IN SUM OF
Dept. 804510162
Palatine, IL 60038
$217.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 9613416248 42- 311.00 $217.80 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
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))
04/11/08 9613416248 Bump Gas for HM Detectors $217.80
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
PAGE 1 O F 1
GRINGE(J
GRAINGER ACCOUNT NUMBER 847517521
INVOICE NUMBER 9604202276
9210 CORPORATION DR. INVOICE DATE 03/31/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 04/30/2008
AMOUNT DUE 191.88
SHIP TO
PO NUMBER: 03310802MS
JEREMY KERR CALLER: JEREMY KERR
CARMEL CLAY PARKS REC CUSTOMER PHONE: (317) 848 -7275
1427 E 116TH STREET DELIVERY NUMBER: 6068750851
CARMEL, IN 46032-2070 INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00038556 1 MB 0360
CARMEL CLAY PARKS RECREATIONS ADMINIST
1411 E 116TH ST
CARMEL, IN 46032 THANK YOU! e
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 842 -2497
5YE68 THERMOMETER,INFRARED 2 95.94 191.88 E=
MANUFACTURER FLUKE- 62 /WWG
RE CEIVED RJE EI EIS
APR 7 -200 AP 9 -208
BY:
3g 0t�`; �I23�cY�o
NUMBER OF PKGS: 0 WEIGHT: 2.08 INVOICE SUB TOTAL 191.88
DATE SHIPPED: 03/31/2008
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S DOLLARS. J AMOUNT DUE 191.88
GR INGER. PAGE 1 OF 1
111 GRAINGER ACCOUNT NUMBER 847517521
INVOICE NUMBER 9604202300
9210 CORPORATION DR. INVOICE DATE 03/31/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 04/30/2008
AMOUNT DUE 211.59
SHIP TO e
PO NUMBER: 03310803MS
CARMEL CLAY PARKS REC CALLER: JEREMY KERR
1427 E 116TH STREET CUSTOMER PHONE: (317) 848 -7275
CARMEL, IN 46032 -2070 DELIVERY NUMBER: 6068778203
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00038556 1 MB 0360
CARMEL CLAY PARKS RECREATIONS ADMINIST
1411 E 116TH ST
CARMEL, IN 46032 038556 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 842 -2497
•o
7 5LE25 BATTERY,AA,1.5V,PK24 2 14.74" 29.48
MANUFACTURER PC1500TC24
BATTERY,AAA,1.5V,PK24 1 15.42 15.42 MANUFACTURER PC2400TC24
5LE21 BATTERY,D,1.5V,PK12 1 13.49 13.49
MANUFACTURER PC1300
3WA31 BATTERY C, 1.5V,PK6 2 6.65 13.30
MANUFACTURER AL -C
6A833 FUSE,TIME DELAY,35 A 10 13.99 139.90
MANUFACTURER FRS -R -35
I
RECEIVED
APR 7 2008
l 'f 2.3�i c
NUMBER OF PKG& 0 WEIGHT: 10.84 I<ECE INVOICE SUB TOTAL 211.59
DATE SHIPPED: 03/31/2008
APR 1 0 2008
By:
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS
AA90UNT DUE 219.59
PAGE 1 OF 1 p O
GRAINGER ACCOUNT NUMBER 847517521
19 INVOICE NUMBER 9608119849
I
9210 CORPORATION DR. g INVOICE DATE 04/04/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 05/04/2008
7APR 0 2008 1 AMOUNT DUE 31.68
SHIP TO PO NUMBER: JEREMY KERR
JK PROJECT /JOB: JK
CARMEL CLAY PARKS REC REQUISITIONER: JEREMY KERR
1427E 116TH STREET �f CALLER: JEREMY KERR
CARMEL, IN 46032 -2070 t�`. J1� 1 CUSTOMER PHONE: (317) 848 -7275
1� DELIVERY NUMBER: 6069288097
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00036160 1 MB 0360
CARMEL CLAY PARKS RECREATIONS ADMINIST
1411 E 116TH ST
CARMEL, IN 46032 036160 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT 1 HIS INVOICE OR ACCOUNT CALL 317- 842 -2497 e
e e e e
5LNO2 HEX KEY SET,8 PIECES 1 31.68 31.68
MANUFACTURER 90100
NUMBER OF PKGS: 0 WEIGHT: 0.70 INVOICE SUB TOTAL 31.68
DATE SHIPPED: 04/04/2008
PAYMENT TERMS NET 30 DAYS_PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U.S. DOLLARS, I AMOUNT DUE 31.6$
PAGE 1 OF 1
GRAINGER ACCOUNT NUMBER 847517521
1II INVOICE NUMBER 9608119831
9210 CORPORATION DR. INVOICE DATE 04/04/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 05/04/2008
AMOUNT DUE 142.98
SHIP TO
PO NUMBER: 040108MS
JEREMY KERR CALLER: JEREMY KERR
CARMEL CLAY PARKS REC CUSTOMER PHONE: (317) 848 -7275
1427 E 116TH STREET DELIVERY NUM
CARMEL, IN 46032 -2070 INCO TERMS: RR$ OE3 IVED
BILL TO AP 2009
MDG2005 00036160 1 MB 0360
I I III 11 I I I I I I I I I I I I I I I I ill By:
CARMEL CLAY PARKS RECREATIONS ADMINIST jq
1411 E 116TH ST f 7 e_
CARMEL, IN 46032 THANK YOU •Y
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317- 842 -2497
771 MIRROR,HALF DOME,ACRYLIC,26 IN,HARDBOARD 2 59.54 119.08
MANUFACTURER DHB2612
RN2 MIRROR,QUARTER DOME, 18 DIA X 9 IN H 1 23.90 23.90
MANUFACTURER DHB1814
NUMBER OF PKG& 0 WEIGHT: 12.12 INVOICE SUB TOTAL 14298
DATE SHIPPED: 04/02/2008
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U.S. DOLLARS,
AMOUNT DUE 142.98
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.
Grainger
Dept. 847517521 Date Due
Palatine, IL 60038 -0001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/31/08 9604202276 Thermometer 191.88
3/31/08 9604202300 Batteries, Fuses 211.59
4/4/08 9608119849 Hex Key Set 31.68
4/4/08 9608119831 Mirrors 142.98
Total 578.13
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
Voucher No. Warrant No.
Allowed 20
Grainger
Dept. 847517521
Palatine, IL 60038 -0001 In Sum of
578.13
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9604202276 4238000 191.88 1 hereby certify that the attached invoice(s), or
1047 9604202300 4237000 211.59 bill(s) is (are) true and correct and that the
1047 9608119849 4237000 31.68 materials or services itemized thereon for
1047 9608119831 4237000 142.98 which charge is made were ordered and
received except
22 -Apr 2008
Si atu e
578.13 Busine s S es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
GRANGER PAGE 1 OF 1 0
GRAINGER ACCOUNT NUMBER 804513497
INVOICE NUMBER 9611525321
9210 CORPORATION DR. INVOICE DATE 04/09/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 05/09/2008
AMOUNT DUE 66.60
SHIP TO
PO NUMBER: ROBERT
CARMEL POLICE DEPARTMENT CALLER: ROBERT ROBINSON
3 CIVIC SQ CUSTOMER PHONE: (317) 571 -2500
CARMEL, IN 46032 -2584 DELIVERY NUMBER: 6069551527
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00040804 1 MB 0360
CARMEL POLICE DEPARTMENT
3 CIVIC SQ
CARMEL, IN 46032 -2584 040804 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317 842 -2497
•e
o e e ,k,k
3VK17 LAMP,F34CW /RS /WM /ECO 60 1.11 66.60
MANUFACTURER F34CW /RS /WM /ECO
NUMBER OF PKGS: 0 WEIGHT: 36.00 INVOICE SUB TOTAL 66.60
DATE SHIPPED: 04/09/2008
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLAR AMOUNT DUE 66.60
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
W 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
Grainger Purchase Order No.
Dept 804513497 Terms
Palatine, IL 60038 -0001 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/9/08 9611525321 payment for li htbulbs 66.60
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
G rainger IN SUM OF
Dept. 804513497
Palatine, IL 60038 -0001
66.60
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 8611525321 389 66.60, 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
April 24 20 08
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PAGE 1 OF 1
IGRA
"A„ l GRAINGER ACCOUNT NUMBER 854052545
INVOICE NUMBER 9610199011
9210 CORPORATION DR. INVOICE DATE 04/08/2008
INDIANAPOLIS, IN 46256 -1017 DUE DATE 05/08/2008
AMOUNT DUE 51.66
SHIP TO
PO NUMBER: GOLF COURSE
CARMEL BOARD OF PUBLIC WORK REQUISITIONER: DAVID TRICE
1 CIVIC SQ CALLER: DAVID TRICE
CARMEL, IN 46032 -2584 CUSTOMER PHONE: (317) 571 -2443
DELIVERY NUMBER: 6069484293
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00040138 1 MB 0360
CITY OF CARMEL /BOARD OF PUBLIC WORK
1 CIVIC SQ
CARMEL, IN 46032 -2584 040138 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317- 842 -2497
•o
o
o•o
4HA30 PUMP,PISTON, 8 OZ I F2 25.83 51.66
MANUFACTURER 4HA30
04 -25 -08 PO1: 9 IN
I :09 IN
NUMBER OF PKGS: 0 WEIGHT: 5.20 INVOICE SUB TOTAL 51.66
DATE SHIPPED: 04/08/2008
PAYMENT TERMS NET 30 DAYS. PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS.
AMOUNT DUE 51.66
PACKING LIST
SOLD TO ACCOUNT iP,.URCHASEORDFR ORDER DATE AND TIME EMPLOYEE PAGE NO
CARMEL BOARD Wp GOLF CO 04/08/2008 11:34 BR2AM OF 1
1 CIVIC SQ DEPARTMENT NUMBER DBT /CRD CODE SALES ORDER NUMBER DELIVERY NUMBER
CARMEL IN 46032 Z001 1054856407 6069484293
CALLER REQUISITIONER BRANCH ADDRESS
DAVID TRICE DAVID TRICE 9210 CORPORATION DR.
TELEPHONE NUMBER PROJECT /JOB NUMBER INDIANAPOLIS IN 46256-1017
3175712443 317- 842 -2497
SHIIP 7p .z PO RELEASE NUMBER CHECK NUMBER CHECK AMOUNT CASH RECD /PAID TRAINS TYp�:
CARMEL BOARD .OF PU..BLIO WO �O
SPlCikl Ihi$TRUGTtpN$ INVOICE WILL FOLLOW
1 CIVIC SQ SALES TERMS AND CONDITIONS ON REVERSE SIDE
C1 TN 46.032 THANK YOU FOR YOUR ORDER 11.11,
CARRIER NAME N of BOXES FREIGHT TERMS DATE SHIPPED /PICKED UP
ATTENTION NONE PPD
ITEM DESCRIPTION ITEM NUMB R SHIP TY BACKORDER MESSAGE TAX I UNIT PRICE TOTAL
Pump,Piston, 8 Oz 4HA 30 E 25.83 51.66
"I
x XX X X X X XX X
l 1
Upon the return for credit and /or replacement of the above I certify that if I am purchasing the material(s) as
listed Grainger product(s), customer warrants and represents "materials of trade" as defined in the Hazardous
that no property damage or personal injury has resulted from Materials Regulations in Title 49 of the Code of
use of returned product(s) and customer further agrees that Federal Regulations. I intend to use the material(s) TOTAL 51.66
it Will not assert any claim against W.W. Grainger, Inc., its in direct support of my principal business (which is
subsidiaries and divisions or its suppliers in any suit not transportation), and I do not intend to resell the
involving the above listed product(s). DIV of W.W.GRAINGER, INC. material, or transport them in a vehicle other than
SAP DELIVERYmyo -n.
6069484293
111111 11111 1111111111 11111 11111 11111 11111 11111 11111 1111 1111 Visit our web site www.grainger.com
SALES, FREIGHT AND WARRANTY TERMS AND CONDITIOr
SALES POLICY No Warranties to Consurri Grainger r kes no warranties to those defined as consumers in the
Magnuson -Moss Warranty Federal Trade Commission Improvement Act.
Wholesale Only. Identification required from all customers. Possession of our wholesale catalog does OSHA Hazardous Substance California Proposition 65 Product Information. Material Safety
not constitute the right to purchase from W.W.GRAINGER, INC. (GRAINGER). Data Sheets (MSDS) for OSHA defined hazardous substances and a list of products known to the State
Prices. All prices are net wholesale prices. Market Sensitive Commodity items will be priced according of California to cause cancer or reproductive harm are available at your local Grainger branch, or by
to current market conditions. contacting Grainger, Dept. B2.C8, 10u Grainger Parkway, Lake Forest, IL. 60045 -5201 U.S.A. The
information and recommendations contained on the MSDS supplied by the manufacturer are considered
Sales Tax. Grainger is required to charge applicable state and local tax on every item for which sales to be accurate and reliable. Grainger, however, makes no warranty with respect to the accuracy or reli-
tax exemption certification has not been provided. When ordering please indicate clearly which items ability of the information or the suitability of the recommendations. Grainger disclaims any and all liability
are tax exempt. to any user thereof.
Payment Terms. For customers with established credit, terms are net thirty (30) days from date of ship- ADDITIONAL TERMS
ment. If credit is not established, please include payment with order or purchase through Visa,
Mastercard or American Express. Cash or anticipation discounts are not allowed. All payments must be Force Majeure. Grainger shall not be liable for any delay in or impairment of performance resulting in
in U.S. dollars. Grainger shall have the right of set -off and deduction for any sums owed. If Customer whole or in part from Acts of God, labor disruptions, shortages, inability to procure product, supplies or
fails to make payment within thirty (30) days, Grainger may defer shipments until such payment is raw materials, severe weather conditions, or any other circumstances or cause beyond the control of
made, or may, at its option, cancel all or any part of unshipped order. Grainger in the conduct of its business.
Credit Balance. Customer agrees that any credit balance(s) issued will be applied within one (1) year Cancellation. Any cancellation must be approved by Grainger, and may be subject to restocking and
of its issuance. IF NOT APPLIED OR REQUESTED WITHIN ONE (1) YEAR, ANY BALANCE(S) other charges.
REMAINING WILL BE SUBJECT TO CANCELLATION, AND GRAINGER SHALL HAVE NO FURTHER Assignment. Customer shall not assign any order or any interest therein without the written consent of
LIABILITY. Grainger. Any actual or attempted assignment without Grainger's prior written consent shall entitle
FREIGHT POLICY Grainger to cancel such order upon notice to customer.
Shipping Charges. Unless otherwise stated, freight and shipping fees will be charged for shipments to a ELECTRONIC DATA INTERCHANGE. If Grainger and customer have mutually agreed to use an
Customer's place of business anywhere in the contiguous United States, using a carrier of our choice. Electronic Data Interchange (EDI) systems to facilitate purchase and sales transactions, customer agrees:
Other terms apply to Alaska, Hawaii, Puerto Rico, and export orders. Contact your local branch for that it will not contest (i) any contract of sale resulting from an EDI transaction under the provisions of
further information. Any extra charges incurred for additional services, such as customer's carrier or special any law relating to whether agreements must be in writing or signed by the party to be bound thereby;
handling by the carrier, must be paid by the customer. Items backordered from an order qualifying for or (ii) the admissibility of copies of EDI records under the business records exception to the hearsay
prepaid shipping charges will be shipped prepaid. Title and risk of loss pass to customer upon tender of rule, the best evidence rule or any other similar rule, on the basis that such records were not originated
the shipment to the common carrier. If product is damaged in transit, customer must file claim with the or maintained in documentary form. Grainger and customer will negotiate and agree on technical stan-
carrier. cards and methods to use in making EDI purchases, and will use proper security procedures to protect
EDI records from improper access. The business records maintained by Grainger regarding EDI put
GRAINGER LIMITED WARRANTY chases made by customer shall be controlling.
LIMITED WARRANTY. ALL PRODUCTS SOLD ARE WARRANTED BY GRAINGER ONLY TO CUS- Modification of Terms. Grainger's acceptance of any order is subject to customer's assent to all of the
TOMER FOR RESALE OR FOR USE IN BUSINESS OR ORIGINAL EQUIPMENT MANUFACTURE, terms and conditions set forth in Grainger's documentation, and purchaser's assent to these terms and
AGAINST DEFECTS IN WORKMANSHIP OR MATERIALS UNDER NORMAL USE FOR ONE YEAR conditions shall be presumed from purchaser's receipt of Grainger's acknowledgment, or from purchas-
AFTER DATE OF PURCHASE FROM GRAINGER, UNLESS OTHERWISE STATED. ANY PART er's acceptance of all or any part of the goods or services ordered. No addition or modification of terms.
WHICH IS DETERMINED BY GRAINGER TO BE DEFECTIVE IN MATERIAL OR WORKMANSHIP and conditions shall be binding upon Grainger unless agreed to by Grainger in writing. If a purchase
AND RETURNED TO A GRAINGER BRANCH OR AUTHORIZED SERVICE LOCATION, AS order or other correspondence contains terms or conditions contrary to the terms and conditidns con
GRAINGER DESIGNATES, SHIPPING COSTS PREPAID, WILL BE, AS THE EXCLUSIVE REMEDY, tained in Grainger's acknowledgment, Grainger's acceptance of any order shall not be constriied as
REPAIRED OR REPLACED, AT GRAINGER'S OPTION. assent to any additional terms and conditions, nor will that constitute a waiver by Grainger of any of the
WARRANTY DISCLAIMER. NO WARRANTY OR AFFIRMATION OF FACT, EXPRESS OR M terms and conditions contained in Grainger's acknowledgment.
IMPLIED
THAN AS SET FORTH IN THE LIMITED WARRANTY STATEMENT ABOVE IS MADE OR Complete Agreement. The terms and conditions in Grainger's forms, acknowledgments, invoices, quo-
AUTHORIZED BY GRAINGER. GRAINGER DISCLAIMS ANY LIABILITY FOR PRODUCT DEFECT cations, and catalog sales terms and conditions, are incorporated herein by reference and constitute the
CLAIMS THAT ARE DUE TO PRODUCT MISUSE, IMPROPER PRODUCT SELECTION OR MISAP- entire and exclusive agreement between purchaser and Grainger.
PLICATION, AND ANY DESCRIPTION DOES NOT EXPRESS OR IMPLY A WARRANTY THAT THE Materials of Trade. I certify that I am purchasing the materal(s) as "materials of trade' as defined in
PRODUCTS ARE MERCHANTABLE OR FIT FOR A PARTICULAR PURPOSE. the Hazardous Materials Regulations in Title 49 of the Code of Federal Regulations. I intend to use the
LIMITATION OF LIABILITY. ANY LIABILITY FOR CONSEQUENTIAL AND INCIDENTAL DAMAGES material(s) in direct support of my principal business (which is not transportation), and I do not intend to
IS EXPRESSLY DISCLAIMED. GRAINGER'S LIABILITY IN ALL EVENTS IS LIMITED TO, AND resell the material, or transport them in a vehicle other than my own.
SHALL NOT EXCEED, THE PURCHASE PRICE PAID. Waiver, Choice of Law and Venue. The failure of either party to assert a right hereunder or to insist upon
Prompt Disposition. Grainger will make a good faith effort for prompt correction or other adjustment compliance with any term or condition will not constitute a waiver of that right or excuse any sub
with respect to any product, which proves to be defective within warranty period. Before returning any sequent nonperformance of any such term or condition by the other party. All transactions shall be gov-
product, write or call the Grainger branch from which the product was purchased, giving date and num- erned by the laws of the State of Illinois, excluding conflict of law rules, and venue shall be in Cook
bar of original invoice, and describing defect. County. State of Illinois.
Product Suitability. Many localities have codes and regulations governing sales, construction, installa- No Third Party Benefit. The provisions stated above are for the sole benefit of the parties hereto, and
lion, and /or use of products for certain purposes, which may vary from those in neighboring areas. confer no rights, benefits or claims upon any person or entity not a party hereto.
While Grainger attempts to assure that its products comply with such codes, it cannot guarantee compli-
ance, and cannot be responsible for how the product is installed or used. Before purchase and use of a 23731 0801
product, please review the product application,and local codes and regulations and be sure that the
product, installation, and use will comply with them.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995)
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))
--08
Total S�
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
/L 3 000
6 VZ
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
370 (P6 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
g 200Y
S.igna re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund