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204295 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1 ONE CIVIC SQUARE LEHIGH SAFETY SHOES CARMEL, INDIANA 46032 PO BOX 644755 CHECK AMOUNT: $710.28 PITTSBURG PA 15264 CHECK NUMBER: 204295 CHECK DATE: 12/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 126050 93.14 OTHER EXPENSES 651 5023990 634758 107.71 OTHER EXPENSES 651 5023990 634759 80.98 OTHER EXPENSES 651 5023990 634760 103.67 OTHER EXPENSES 651 5023990 634761 131.21 OTHER EXPENSES 651 5023990 634762 103.67 OTHER EXPENSES 651 5023990 634763 89.90 OTHER EXPENSES www.LehighOutfitters.com L E M Save up to 25 Buy online with CustomFit! Page 1 Tired of paper invoices? Ask for EIPP electronic Billing! g OUTF ITTE RS.com Call 1 -800- 444 -4086 P, AA Lehigh Outfitters, LLC 39 East Canal Street Original Invoice Nelsonville, Ohio 45764 Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 126050 11/18/11 085893 00000 S1 879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Em Dept Style .q Size Qty Uni Marc Adj Sales Sery Freight__ Line Cas Company Employee Slip Id Name Pric nn Am' Tax Am Total Recv Subsidv Bal Due 126050 JEFF COOPER 12721200 12 1 103.49 103.49 93.14 93.1 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 103.49 10.35 93.14. 93.14 www.LehighOutfitters.com VL H I Save up to 25 Buy online with CustomFit! Page 1 t Tired of paper invoices? Ask for EIPP electronic Billing! OU�TT [TTE RS.m Call 1- 800 444 -4086 t Lehigh Outfitters. LLC Q� a 39 East Canal Street Original In voice 1� Nelsonville. Ohio 45764 �j Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634763 11/21/11 0858930 00 S12879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales ilE mployee Employee Dept Styl Size Qty Unit Merc Adj Sales Serve Freight Lin Cash Company Employee Ded Slip Id Name Price Amt Am Tax Am Total Recv Subsidv Bal Due 634763 JEFF COOPER R6075 W 11.5 1 99.89 99.89 89.90 89.9 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 99.89 9.99 89.90 99.90 y- �1��= yam. L www.LehighOutfitters.com E qm Save up to 25 Buy online with CustomFit! Pave I Tired of paper invoices? Ask for EIPP electronic Billing! OUTF [TTE RS.com Call 1 -800- 444 -4086 1 Lehigh Outfitters, LLC 39 East Canal Street Original Invoice Nelsonville, Ohio 45764 V� Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634762 11/21/11 0858930 000 S12879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Employee Dept Style Size Qt Unit Merc Adj Sales Sery Freight Lin Cas Company Employe Ded Sli Id Name Price Am Am Tax Am Total Recv Subsidv Bal Du 634762 JEFF COOPER R6486 2E 9.5 1 115.19 115.19 103.67 103.6 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 11.5.19 11.52 103.67 103.67 t'vwll IV www. pehighOutfity rs.com SfMI ave u to 25 Bu online with CustomFit! L Page 1 Tired of paper invoices? Ask for EIPP electronic Billing! OUT ITTERS.coM Call 1-800-444-4086 a: Lehigh Outfitters, LLC 39 East Canal Street Original I 1J1 Nelsonville, Ohio 45764 S1t Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634761 11/21/11 085893 00000 S12879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Employee Dept Style Size Qty Uni Merc Adj Sales Sery Freigh Line Cash Company Employe Ded Slip Id Name Price Am Am Tax A Total Recv Subsidv Bat Du 634761 JEFF COOPER G5644 W 11 1 145.79 145.79 131.21 131.21 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 145.79 14.58 1 1 131.21 131.21 Map x www.LehighOutrtters.com 1 Save u to 25 Bu online with CustomFit. Page 1 T Tired of paper invoices? Ask for EIPP electronic Billing! g O V a F RS.(oM Call 1- 800 444 -4086 Lehigh Outfitters, LLC 39 East Canal Street Original Invoice et Nelsonville, Ohio 45764 O Q Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634760 11/21/11 085893 00000 S12879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Employee Dept Style Siz Qty Unit Merc Adj Sales Sery Freight Lin Cash Company Employe Ded Slip Id Name Pric Am Am Tax Am Total Recv Subsidv Bal Du 634760 1 EFF COOPER R6486 D 10 1 115.19 115.19 103.67 103.67 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 115.19 11.52 103.67 103.67 Origi 3 www.LehighOutfitters.com H I H Save up to 25 Buy online with CustomFit! Page 1 Tired of paper invoices? Ask for EIPP electronic Billing! g VU�T ITTERS.coM Call 1-800-444-4086 Lehigh Outfitters. LLC 39 East Canal Street Original Invoice Nelsonville, Ohio 45764 �Cu Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634759 11/21/11 0858930 00 512879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Employee Dept Style Size Qty Unit Merc Adj Sales Sery Freight Lin Cash Company Employee Ded Slip Id Name Price Am Am Tax Anil Total Recv SubsidN Bal Due 634759 JEFF COOPER R6707 W 10.5 1 89.98 89.98 80.98 80.98 Total Qty Total Merchandise Adjustment Sales Tax Sery 7 ee Freight Cash Rec Company Subsidy Amount Due 1 89.98 9.00 80.98 80.98 Ori in T��. g 11'2111 a �G .'�.ua 5 F! .,a, z"'ti�it`z'', ...a3a� 14 'f, 1+° s www.LehighOutriitters.com H Save up to 25 Buy online with CustomFit! Page 1 Tired of paper invoices? Ask for EIPP electronic Billing! OUTFITTERS.cam Call 1- 800 444 -4086 Lehigh Outfitters, LLC 39 East Canal Street Original Invoice Nelsonville, Ohio 45764 q Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms 634758 11/21/11 085893 00000 S12879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment) Sales Employee Employee Unit Merch Adj Sales Serve Line Cash Company Employe Sli ld Name Dept Styr Siz Qty Price An? Am Tax Am Frei Total Recv Subsid Bat Due Ded 634758 JEFF COOPER R6642 M 10 1 119.68 119.68 107.71 107.71 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due 1 119.68 11.97 107.71 107.71 Original Invoxoe k r 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 350856 LEHIGH SAFETY SHOES CO. Purchase Order No. P.O. Box 371958 Terms Pittsburgh, PA 15250 Due Date 11/29/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/29/201' 634758 $107.71 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 Date Officer VOUCHER 116322 WARRANT ALLOWED 350856 IN SUM OF LEHIGH SAFETY SHOES CO. P.O. Box47+H -8. 6 `x`("155 Pittsburgh, PA 15250• 1 5 26 Y Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 634758 01- 7202 -06 $107.71 (03L1 -159 1% V.cc /0 61 �L c ;t•� l 6 W7 to 3.67 Voucher Total $107.71 Cost distribution ledger classification if claim paid under vehicle highway fund