160447 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
I' CHECK AMOUNT: $358.08
a CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 160447
CHECK DATE: 611012008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11210 6886494 358.08 WASHERS
ORIGINAL INVOICE
L N LA8�S�/U��zrodUCtS
Des ln oorpomwn"wvo"vm,
Addison, u,n^xrl000.wo^ Dallas, rx°mm/m^NJ
Reno, wv"u=�mv^" Vernon Hills, Mississau mNT
vvwvv|mxvoonproduotm.cmm PAGE l MIRK l7l
CITY OF CARMEL
SHIPPED AC
T WATER—WASTEWATER O2 �U u CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46288
CITY OF CARMEL
«m»
TO: WATER—WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 DUNS NO. 00 8101
FED. I.D. #36
GSA GS-06F-0027L
CUSTOMER ORDER NO.IBUYERS NAME ::SALES AGENT slpow:_
S 1 1 210 RYAN:,
Buyer: JEFF COOPER
68403 7/16-14 PLATED GR 8 HEX NUT 28.47 C 50 50 14.24
68406 5/8 PLATED GR 8 HEX NUT 76.00 c 25 25 19.00
80933 5/8-11 GRADE C USS LOCK NUT 70-00 C 25 25 17-50
8o931 1/2-13 GRADE C USS LOCK NUT 36-97 C 50 50 18.49
88448 M6 USS TRU—TORQ FLAT WASHER 24.24 C 100 100 24.24
91042 3/8-i6xi 18-8 ST/ST CAPSCREW 36.00 c 25 25 9.00
95681 1/2-13 GD 5 HEX NUT 26.00 c 50 50 13-00
95677 1/4-20 GD 5 HEX NUT 7.26 c 100 100 7.26
304 7/16-14 PLTD LISS ELAS LOCK NT 29-93 C 50 50 14.97
97878 200 FT CAUTION BARICAD TAPE 7.74 EA 6 6 46.44
91348 1/4 SS PHIL PAN MACHINE SC 30-00 C 25 25 7-50
91316 8 SS PHIL PAN MACHINE SCR 13.46 C 50 50 6.73
91176 IOXI SS PHIL PAN SHT MTL SCR 38.58 C 50 50 19.29
gi184 12XI SS PHIL PAN SHT MTL SCR 45-73 C 50 50 22-87
PAY THIS INVOICE BY
EXCLUDING CREDIT CARDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
N/C NO CHARGE BID BACK ORDERED CID CANCELLED 358.o8
VOUCHER 085623 WARRANT ALLOWED
34612 IN SUM OF
LAWSON FLOORING
-2689 Paysphere Circle
�,-',:'hicago, IL 60674
`'Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6886494 01- 7202 -06 $340.03
6886494 01- 7202 -06 $18.05
F Voucher Total $358.08
�•r1
Cost distribution ledger classification if
paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMIEL
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 6/4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2008 6886494 $358.08
hereby certify that the attached invoice(s), or bill(s) is (are) true and s
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer