HomeMy WebLinkAbout158498 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
0 �'I ONE CIVIC SQUARE LAWSON FLOORING CHECK AMOUNT: $210.29
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE
a off CHICAGO IL 60674 CHECK NUMBER: 158498
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6656489 210.29 OTHER EXPENSES
i
ORIGINAL INVOICE
LAWSON PRODUCTS, INC.
ADDISON, IL RENO,, NV DALLAS, TX
FAIRHELD,NJ SUWANEE.GA MISSISSAUGA,ONT
www.lawsonproducts.com PAGE 1 MRJ970
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CITY OF CARMEL yr�r yy qq
sNTOED WATER WASTEWATER 0297�+ D b4 N g2487 N5 3/2 CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS f N 4628
WIT MEN
CITY OF CARMEL 26189 PA;Y CIRCLE
SOLD C H':I CAa I L :60674',
TL WATER- WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 DUNS NO. 00 -543 -8890 0101
FED I.D. #36- 2229304
GSA GS- 06F -0027L
CARRffR CUSTOMER ORDER NO./BUYERS NAME 8RLES AGENT;: /rt� r PATE SHIP OUffPADER NO
yyi�pp 5�.1 1 106 F1YAN i�VL 0' /11"1`0'}' 1 RJ n 0
IJIYf ORM -RED SF11f'P� A4� N1
BUYER: JEFF COOPER
DA 6152 NUTBLTLSNR OPEN SHUT 12.02 EA 3 3 36 .06
DN 4520J06 GRAY STOP -GAP 17.18 EA 6 6 103.08
DH 6032 RUBBER SF DP CLUTCH RED 31.05 EA 2 2 62.10
FRT. CHRGS. 9.05
<CASH DISCOUIJT IF YOU SALES OR USE TAX OTHER
7
PAY THIS INVOICE BY>
EXCLUDING CREDIT REDIT CARDS
TOTAL
AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
N!C NO CHARGE HfO BACK ORDERED C/O CANCELLED 210-2
VOUCHER 085196 WARRANT ALLOWED
854612 IN SUM OF
-ILAWSON FLOORING
2689 Paysphere Circle
Chicago, IL 60674
y
Y'
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6656489 01- 7202 -06 $210.29
Voucher Total $210.29
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, kin6of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
y
Payee
354612
LAWSON FLOORING Purchase Order No.
2689 Paysphere Circle Terms
Chicago, IL 60674 Due Date 4!112008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2008 6656489 $210.29
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and l have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer