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162411 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 354728 Page 1 of 1 li ONE CIVIC SQUARE LESCO INC CHECK AMOUNT: $385.00 CARMEL, INDIANA 46032 PO BOX 530955 off ATLANTA GA 30353 -0955 CHECK NUMBER: 162411 CHECK DATE: 8/7/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1150 4238900 22161050 385.00 OTHER MAINT SUPPLIES Lpsaoy I Account: 6400 216144 2 Statement Date: 07/14/08 Page: 3 of 3 Current Invoice Details LESCO I PO BOX 530955 ATLANTA, GA 30353 -0955 CITY OF CARMEL Date of Sale: 07/09/08 Account: 6400 216144 2 Invoice: 22161050 Store/Name: 0345 P.O.I JOB BOB HIGGINS Buyer: HIGGINS BOB S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 0000000000000000000086193 MERIT SYS INS LESCO 1.6 OZ X 4 I 1.000 CS 385.0000 385.00 Subtotal: 385.00 Tax: 0.00 Balance Due: 385.00 s I e v I I e j I I I I i i I I I i i i H I i I I i I 5956 0001 001 07 PAGE 3 of 3 COLR650A 4213 Lp sca PAYMENT STUB i Page 2 of 3 Account: 640 216144 2 Statement Date: 007/14/00 Page: 1 of 3 Account: 16400 216144 2 U I�I 4213 CITY OF CARMEL BROOKSHIRE GOLF CLUB ATT 12120 BROOKSHIRE PKWY CARMEL, IN 46033 -3314 For Online Customer Service log on to lesco.com. This account is already registered, see your Online Admin to get a User ID Password. Payments Received 07/11/08 0160955 (2435.05) PAYMENT RECEIVED -THANK YOU Current Invoices (Details for Current Month's Invoices Er Date Invoice Amount Due Date Store Reference 07/09/08 22161050 385.00 08/04/08 0345 BOB HIGGINS Previously Billed Invoices Date Invoice Amount Due Date Store Reference 05114/08 21428959 572.71 07/04/08 0345 BOB HIGGINS Unapplied Payments Credits Date Reference Amount Description Account: 6400 216144 2 06/06/08 0159964 (104.92) UNAPPLIED PAYMENT EDUE PAY THIS OUNT 52.79 08/04/08 PLEASE RETURN THIS STUB WITH YOUR PAYMENT AMOUNT ENCLOSED Purchases, returns and payments made just prior to the statement date may not appear until the next month's statement. Any payments received after 5:00 p.m. on any business day or on any day other than a business day, at the address indicated above, will be credited on the next business day. If payment is made at a location other than such address, credit may be delayed. Continue- 5956 0001 001 07 PAGE 1 of 3 R650A 4213 gsay Order 205B46AD 1301 East 9th St. Suite 1300 Sales Order Invoice Invoice Date: 07/09/2008 Cleveland, 44114 Ordered On: 07/09/2008 800 321 -5325 www.lesco.com Sold To: O r d er e d From: CITY OF CARMEL BROOKSHIRE GOLF SOWSR NW INDIANA #849 CLUB #736594) 3218 SUGAR MAPLE LN 12120 BROOKSHIRE PKWY SOUTH BEND, IN 46628 -3714 BROOKSHIRE GOLF CLUB ATTEN AP CARMEL IN 46033 C: (765)438 -7291 W: (317)846 -4706 Customer Contact: Bob Higgins C: (317)501 -2146 Sales Associate: Brett Boone Delivery Method: Customer Pick up Quantity Item I Description U/M Unit Price Ext. Price 1 086193 IMERIT SYS INS LESCO 1.6 OZ X 4 X 4 1 CSE 1 $385.0001 $385.00 Subtotal: $385.00 Thank you for your payment... Sales Tax: $0.00 On Account: $385.00 Freight: $0.00 Please remit payment to: Discount Total: $0.00 LESCO PROX PO Box 530955 Total: $385.00 Atlanta, GA 30353 -0955 Total Payment: $0.00 'See billing statement for payment terms. Amount Due: $385.00 Visit www.lesco.com to manage your account, view your order history and to order quality LESCO products 24 hours a day. CUSTOMER SIGNATURE: LESCO, Inc. warrants that all products conform to the description on the label. Because conditions of use, which are of critical importance are beyond our control, seller makes no warranty, expressed or Implied, concerning the use of these products. No employee of the corporation is authorized to make any warranty or representation, expressed or implied, concerning our products. Always follow directions and carefully observe all precautions on the label or manufacturer's instructions. Products used contrary to directions may cause serious plant or personal injury. Buyer assumes all risk of use of handling whether in accordance with direction or not and accepts the products sold to him by this corporation on these conditions." Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 5 C Purchase Order No. Terms /97rAa ,Q 419 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I 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 lr�5c o IN SUM OF 64 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or r bill(s) is (are) true and correct and that the ;22. itwc5o materials or services itemized thereon for which charge is made were ordered and received except 20 ure I AE-1 Cost distribution ledger classification if le claim paid motor vehicle highway fund