165848 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $205.73
CHICAGO IL 60674 CHECK NUMBER: 165848
CHECK DATE: 11/1212008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7416227 153.20 OTHER EXPENSES
2201 4232100 7435591 52.53 GARAGE MOTOR.SUPPIE
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�m� LAWSON Pr��U��
Des Plaines, u n*o**o*n*v"o�n
Addison, u°oo^�n^wn,cw/m.m" Fairfield, wJ
Remwvs ux/�/� DINT Vernon moo ��n�
noxvwJavxmmnprmdumta.cmm PAGE l MRK599
CARMEL STREET DEPT
SHIPPED ACRUNTwu INVOICE NO.
m' �40D N l�lST �T 0�� g24U7 U CARMEL 001
N[STF|[LD IN 460
CARMEL STREET DEPT
SOLD
TO: 3400 N 131ST ST
W[STF|ELD IN 46074
BUNS N0' 0O 0101
FED. I.D. #36
GSA #ma-osp-oourL
CUSTOMER ORDER NO,IBUYERS NAME 8ALES;AGf NIT ::BATE VWPEO: :OUROADEl
l AMU
Buyer: MIKE HENRICKS
FRT. CHRGS. 8.31
USE TAX OTHER
CASH D SCOUNT IF YOU
SALES OR
PAY THIS INVOICE BY
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED C/O CANCELLED I 1 0 52.53
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))
10/30/08 7435591 $52.53
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
Lawson Products
IN SUM OF
2689 P2ysphere Circle
Chicago, IL 60674
$52.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 7435591 42- 321.00 $52.53 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
Friday, November 07, 2008
Street mmissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ORIGINAL INVOICE
LAWSON Products
Des Plaines, IL Corporate Headquarters
Addison, IL Charente, NC Dallas, TX Fairfield, NJ
Reno, NV Sumnee, GA- Vernon Hills, IL Mississauga, UNIT
www.Iawsonproducts.com PAGE 1 MRK574B
CITY OF CARMEL ��NN gg
SH I PPED WATER- WASTEWATER 0297� N
Df;�+ INVOIC
2487 62 T
27 10/24 CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS I N 46280
R R;
CITY OF CARMEL 2689:PAYSPH,ERE C >IRCLE.
SOLD WATER- WASTEWATER GM E SAG; ®..I L :6067?+
760 3RD AVE SW STE 110
CARMEL IN 46032 DUNS NO. 00-543 -8890 0101
FED. I.D. #36- 2229304
GSA GS- 06F -0027L
CUSTOMER ORDER NO.IBUYERS NAME SA# S AGENT J:. tlATEI:S}IIPPEQ i:i: OUR 0RDER'NO
U G]' VERBAL /JEFF RYAN 7WOLFEi 10 24 2008 1"lRK 4 B...<
f!fl#lE�t: PT#ON ::.:.::...:.:..:•..::...?EtECE Ut1 :Fitl#?7UJUNI
1 /4rr WIRE ROPE CLIPS 316SS 7. EA 20 20 153.20
f
G
CASH
C S DI ALE P.0 TAX OTHER
50 0
PAY THIS INVOICE BY
o EXCLUDING CREDIT CARDS
TOTAL AMOUNT
OU NT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED CfD CANCELLED T 753
VOUCHER 086586 WARRANT ALLOWED
354612 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
7416227 01- 7202 -06 $153.20
4 j Voucher Total $153.20
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 FLOORING Purchase Order No.
2689 Paysphere Circle Terms
Chicago, IL 60674 Due Date 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 7416227 $153.20
Y
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