166287 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $205.52
CHICAGO IL 60674 CHECK NUMBER: 166287
CHECK DATE: 11/2412008
DEPARTMENT ACCOUNT PO NUMBER INV N UMBER A MOUNT DESCRIPTION
651 502399.0 7465092 205.52 OTHER EXPENSES
1E
2
ORIGINAL INVOICE
k4WSOUN Products |Ul�
Des p/"m"uL'Co.v"=wHeadquarters
Addison, /L, Charlotte, NC~ Dallas, m^ Fairfield, NJ
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CITY OF CARMEL
onfPpm �p��mo INV21E NO. IN ICE DATI
TO WAT[R—��3TE�AT[R O2 2�U7 U CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARMEL wR
»»m
m. WATER—WASTEWATER
7 ]RD AVE 6W STE llO
CARMEL IN 46032 DUNS NO. 00 OlDl
FED. I.D. #36
max# Gs-nsp-000rL
CUSTOMER ORDER NO.IBUYERS NAME m4AIES;AGENV �.OUR ORDER
Buyer: JEFF COOPER
25004 MEDIUM WIRE CONN 17.8o c 100 100 17.8o
83029 ATO 25 AUTO FUSE .82 EA 10 10 8.20
91059 1/2 18-8 ST/ST CAPSCREW 1.31 EA 10 10 13-10
giio6 5/16-18 18-8 ST/ST HEX NUT 18.88 c 100 100 18.88
91116 5/8 18-8 ST/ST FLAT WASHER .58 EA 20 20 ii.6o
FA 504 7/16 USS FLAT WASHER 6.70 C 100 100 6.70
FA 531 7/16 LOCK WASHER 3.34 C 100 100 3.34
FA65o42 3/8 GRADE 5 HEX HD C/S 30-56 c 50 50 15.28
FA65119 3/4-IOX3 GRADE 5 HEX HD C/S .99 EA 25 25 24-75
FA68401 5/16-18 GRADE 8 HEX NUT 5.09 C 100 100 5.09
FA68402 3/8 GRADE'8 HEX NUT 7.13 C 100 100 7.13
91623 1/4X2-1/4 ST/ST WEDGE ANCHOR BOLT 2.22 EA 10 10 22.20
91627 3/8x3 ST/ST WEDGE ANCHOR BOLT 4.05 EA 10 10 40.50
FRT. CHRGS. 10-95
ASHDI SALES OR USE TAX OTHER
PAY THIS INVOICE BY
EXCLUDING CREDIT CARDS
AMOUNT
TOTAL
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED C/O CANCELLED 0
VOUCHER 086667 WARRANT ALLOWED
36612 IN SUM OF
LAWSON FLOORING
2689 Paysphere Circle
Chicago, IL 60674
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7465092 01- 7202 -06 $205,52•
'b
Voucher Total $205.52
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 gig
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. �c
Payee
354612
LAWSON FLOORING Purchase Order No.
2689 Paysphere Circle Terms
Chicago, IL 60674 Due Date 11/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/20M 7465092 $205.52
t
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
Date Officer