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168971 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00353338 Page 1 of 1 ONE CIVIC SQUARE GEMPLER'S INC CHECK AMOUNT: $99.85 CARMEL, INDIANA 46032 PO BOX 5176 JANESVILLE WI 53547 -5176 CHECK NUMBER: 168971 CHECK DATE: 2/17/2009 DEPARTMENT'r ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 i 1012778937 99.85 REPAIR PARTS e d F 2 Order By Phone: 1- 800 382 -8473 Gempler's G" S Order Online: www.CGemplers.com FEI 39- 1726218 EMPLER GST# 894097476RT Qrder By Fax: 1- 800 551 -1128 1125 Deming Way PO Box 4499? Madison, WI U.S.A. 53717 Madison, W14,'SA 53744 -4993 001671 0 ,7 PAGE 1 OF 1 B CARMEL CLAY PARRS RECREATION CARMEL CLA S RE ATION ACCOUNTS PAYABLE 1:: 1427 E 116TH 1427 E 116TH ST CARMEL IN 46032 -3 F CARMEL IN 46032 -3455 r a; D Larder No P O E1[o S ©IE# To iVo lnvoee Nz�; iriv ©ice D::.ate Oue ate SC04325769 SCHLAEGEL01202009 6260182 3 1012778937 01/20/2009 02/19/2009 Buyer Carr ter Pr..... TsFM Sip flatt3 Payx�i8rfi TertYtS SCHLAEGEL,COURTNEY UPSGND LOCKED 01/20/2009 Net 30 Lll[E PRC1€311G7 Np �ES�RIPT[C3N E3 Q 1F' 4� Q M. AR/fQU1�1T AMCO1J1V7 1 F2B PRNR REPL FELCO FELCO CUT BL 0 6 EA 14.50 87.00 2 2601PROSP GEM JAN MftSTER 2009 0 1 EA 0.00 0.00 urchase Description P.O. P or F G.L.# ((7, ��FZ��1nOLD Line FEB 0 3 2009 Line escr Purchaser Y Dare______ BY: Approval E Date Z ,3 �7 S• SUBTOTAL: 87.00 Thank you for your order. FREIGHT: 12.85 TAXES: 0.00 PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 02/19/2009 99.85 IISD ORIGINAL After 90 days from invoice date, Lab Safety Supply, Inc. will not be responsible to show proof of delivery. TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER. NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICF PRICES PREVAILING ON TIME OF DELIVERY. THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED. THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES THAT LAB SAFETY SUPPLY, INC. IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS OF THE STATE OF WISCONSIN AND IN A WISCONSIN FORUM. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. Gempler's Terms 00353338 Acct 6260182 P.O. Box 5176 Janesville, W1 53547 -5176 Invoice Description Amount Invoice (or note attached invoice(s) or bill(s)) Date Number 99.85 1120109 1012778937 Pruner blades Total 99.85 1 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. Gempler's 00353338 Acct 6260182 Allowed 20 4. P.O. Box 5176 Janesville, WI 53547-5176 cr In Sum of 99.85 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. kCCT #/TITLI AMOUNT Board Members Dept 1125 1012778937 4237000 99.85 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 18 -Feb 2009 r Signature 99.85 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund