157552 03/19/2008 VENDOR: 354612 Pa e 1 of 1
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE LAWSON FLOORING
CIVIC INDIANA 46032 2669 PAYSPHERE CIRCLE CHECK AMOUNT: $283.01
CHICAGO IL 60674
CHECK NUMBER: 157552
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 6592704 283.01 OTHER EXPENSES
ORIGINAL INVOICE
LAWSON PRODUCTS, INC.
ADDI *RENO, NV DALLAS TX
(AIRFIELD, NJ �t S UWANEE, GA MISSISSAUGA, ONT
www.lawsonproducts.com PAGE 1 MRJ927
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CITY OF CARMEL FF y NN
SH WATER- WASTEWATER 0297499 I g5g2 N j 04 3 /O CARMEL 001
g6og HAZEL DELL PKWY
INDIANAPOLIS IN 46280
EK
T. a :lw if R
CITY OF CARMEL I RAYSPRE:Rl CIRCLE
SO WATER- WASTEWATER GH!fCAGO:.iL 60674
T0:
g6og HAZEL DELL PKWY
INDIANAPOLIS IN 46280 DUNS NO. 00 -543 -8890 0101
FED. I .D. #36- 2229304
GSA GS- 06F -0027L
CARRIER CUSTOMER ORDER NO.IBUYERS NAME SALES AGENTS DATE SNIPPED 011040RDER NO'.
UPSG VERBAL /JEFF RYAN WOLFE 0 2008 MRJ 2
rxir��fF3EGE i1N1 47R[]EE3ED 5F1iFf�El3tAUt+t
Buyer: JEFF COOPER
29341 S/S SAE #56 HOSE CLAMP 1.62 EA 10 10 16.20
29344 S/S SAE #72 HOSE CLAMP 1.89 EA 5 5 9.45
85494 6 STAINLESS HOSE CLAMP 1.07 EA 25 25 26.75
85496 10 STAINLESS HOSE CLAMP 1.12 EA 25 25 28.00
85497 12 STAINLESS HOSE CLAMP 1.12 EA 25 25 28.00
85498 16 STAINLESS HOSE CLAMP 1.12 EA 25 25 28.00
85504 48 STAINLESS HOSE CLAMP 1.58 EA 10 10 15.80
86327 7/32 -5/8 ST /STEEL HOSE CLAMP .86 EA 25 25 21.50
86328 5/16 -7/8 ST /STEEL HOSE CLAMP .94 EA 25 25 23.5
530 3/8 PLTD SAE L /WSH 3.56 C 100 loo 3.56
529 5/16 PLTD SAE L /WSH 2.44 C 250 250 6.10
88439 1/2 SAE TRU -TORQ FLAT WASHER 20.73 C 100 100 20.73
88437 3/8 SAE TRU -TORQ FLAT WASHER 11.64 C 100 100 11.64
505 1/2 USS PLATED FLAT WASHERS 13.10 C 100 100 13.10
65096 5/8X1 -1/2 PERMA PLATED LAWSON 5 C .74 EA 25 25 18.50
FRT. CHRGS. 12.18
S
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F TAX- THE
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SAL__ORI,.c 0
CASH
>'.�.E...:i PAY THIS INVOICE BY> 17�1F L��2t�CT
EXCLUDING CREDIT CARDS TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED CID CANCELLED 2
VOUCHER 085055 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
6592704 01- 7202 -06 $283 -01
Voucher Total $283.01
f'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,
i
price per unit, etc.
Payee
354612
LAWSON FLOORING Purchase Order No.
2689 Paysphere Circle Terms
Chicago, IL 60674 Due Date 3/11/2008
Invoice Invoice, Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/11/2008 6592704 $283.01
hereby certify that the attached invoice(s), or bill(s) is (are) true and ,f
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer