205473 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 114000 Page 1 of 1
ONE CIVIC SQUARE GRAYBAR ELECTRIC CO, INC
CARMEL, INDIANA 46032 12431 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $12,609.12
CHICAGO IL 60693
a CHECK NUMBER: 205473
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 957925378 405.96 BUILDING REPAIRS MA
1093 4350100 957981965 199.44 BUILDING REPAIRS MA
1110 R4350100 25912 958002328 3,783.73 CAMERA REPAIRS
2201 R4463100 26252 958002329 7,990.00 REPLACEMENT CAMERAS
1115 R4350900 27696 958098577 229.99 2012 OBLIGATIONS
Remit To: GY'%4iaR. N Invoce Questions Please Call,
12431 COLLECTIONS CENTER DRIVE 630-893-3600
CHICAGO IL 60693 -2431
Invoice No: 957981965
Invoice Date: 12/28/2011
Account Number: 0000414887
Account Name: CARMEL CLAY PARKS
RECREATION
2777.001.002.05553
CARMEL CLAY PARKS RECREATION
1411 E. 116TH ST
CARMEL IN 46032
Ship to: CARMEL MONON COMUNITY CENTER
ATTN: MATT BUSH
1250 CENTRAL PARK DRIVE E
CARMEL IN 46032
Page.1 of 1_
Order No: 30308 SO #:337559719
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0337559719 1 12/20/2011 FACTORY
Quantity Catalog Description Unit Price Unit Amount
6 M250 /U /ET18 CANDELA CORPORATION 32.00 1 192.00
INBOUND FREIGHT 7.44
Terms of Payment Sub Total 199.44
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 199.44
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
JAN 0 3 1011
ash............
Purchase
Description ILQU
P.O. It1� P c•r F
G. L.
Budget I lf,. j fpgj') s
Line D2sc J
Purchaser Ds;Fe
Approval Data
Subject to standard terms and conditions on the reverse side.
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval and acceptance of order by Graybar Electric
Company, Inc. "Graybar and, when applicable, Graybar's suppliers. If credit of the buyer of the goods "Buyer becomes unsatisfactory to
Graybar, Graybar reserves the right to terminate upon notice to Buyer and without liability to Graybar.
2. PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of shipment, which shall be made F.O.B. shipping
point, prepaid and bill.
3. RETURN OF GOODS Credit may be allowed for goods returned with prior approval. A deduction may be made from credits issued to cover cost
of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or hereafter imposed upon sales or shipments
will be added to the purchase price. Buyer agrees to reimburse Graybar for any such tax or provide Graybar with acceptable tax exemption
certificate.
5. DELAY IN DELIVERY Graybar is not to be accountable for delays in delivery occasioned by acts of God, failure of its suppliers to ship or deliver
on time, or other circumstances beyond Graybar's reasonable control. Factory shipment or delivery dates are the best estimates of our suppliers,
and in no case shall Graybar be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. LIMITED WARRANTIES Graybar warrants that all goods sold are free of any security interest and will make available to Buyer all transferable
warranties (including without limitation warranties with respect to intellectual property infringement) made to Graybar by the manufacturer of the
goods. GRAYBAR MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF GRAYBAR, PRODUCTS SOLD HEREUNDER ARE NOT
INTENDED FOR USE IN OR IN CONNECTION WITH (1) ANY SAFETY APPLICATION OR THE CONTAINMENT AREA OF A NUCLEAR
FACILITY, OR (2) IN A HEALTHCARE APPLICATION, WHERE THE GOODS HAVE POTENTIAL FOR DIRECT PATIENT CONTACT OR WHERE
A SIX (6) FOOT CLEARANCE FROM A PATIENT CANNOT BE MAINTAINED AT ALL TIMES.
7. LIMITATION OF LIABILITY Buyer's remedies under this agreement are subject to any limitations contained in manufacturer's terms and
conditions to Graybar, a copy of which will be furnished upon written request. Furthermore, Graybar's liability shall be limited to either repair or
replacement of the goods or refund of the purchase price, all at Graybar's option, and IN NO CASE SHALL GRAYBAR BE LIABLE FOR
INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES. In addition, claims for shortages, other than loss in transit, must be made in writing
not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Graybar to insist upon the performance of any of the terms or conditions of this agreement or to exercise any right
hereunder shall not be deemed to be a waiver of such terms, conditions, or rights in the future, nor shall it be deemed to be a waiver of any other
term, condition, or right under this agreement.
9. MODIFICATION OF TERMS AND CONDITIONS These terms and conditions supersede all other communications, negotiations, and prior oral or
written statements regarding the subject matter of these terms and conditions. No change, modification, rescission, discharge, abandonment, or
waiver of these terms and conditions shall be binding upon Graybar unless made in writing and signed on its behalf by a duly authorized
representative of Graybar. No conditions, usage of trade, course of dealing or performance, understanding or agreement, purporting to modify,
vary, explain, or supplement these terms and conditions shall be binding unless hereafter made in writing and signed by the party to be bound. Any
proposed modifications or additional terms are specifically rejected and deemed a material alteration hereof. If this document shall be deemed an
acceptance of a prior offer by Buyer, such acceptance is expressly conditional upon Buyer's assent to any additional or different terms set forth
herein.
10. REELS When Graybar ships returnable reels, a reel deposit may be included in the invoice. The Buyer should contact the nearest Graybar
service location to return reels.
11. CERTIFICATION Graybar hereby certifies that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and
12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14
thereof. This agreement is subject to Executive Order 11246, as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Veterans'
Readjustment Assistance Act of 1974, as amended, E.O. 13496, 29 CFR Part 471, Appendix A to Subpart A, and the corresponding regulations, to
the extent required by law. 41 CFR 60 -1.4, 60- 741.5, and 60 -250.5 are incorporated herein by reference, to the extent legally required.
12. FOREIGN CORRUPT PRACTICES ACT Buyer shall comply with applicable laws and regulations relating to anti corruption, including, without
limitation, (i) the United States Foreign Corrupt Practices Act (FCPA) (15 U.S.C. §78dd -1, et. seq.) irrespective of the place of performance, and
(ii) laws and regulations implementing the Organization for Economic Cooperation and Development's Convention on Combating Bribery of Foreign
Public Officials in International Business Transactions, the U.N. Convention Against Corruption, and the Inter American Convention Against
Corruption in Buyer's country or any country where performance of this agreement or delivery of goods will occur.
13. ASSIGNMENT Buyer shall not assign its rights or delegate its duties hereunder or any interest herein without the prior written consent of Graybar,
and any such assignment, without such consent, shall be void.
14. GENERAL PROVISIONS All typographical or clerical errors made by Graybar in any quotation, acknowledgment or publication are subject to
correction. This agreement shall be governed by the laws of the State of Missouri applicable to contracts to be formed and fully performed within
the State of Missouri, without giving effect to the choice or conflicts of law provisions thereof. All suits arising from or concerning this agreement
shall be filed in the Circuit Court of St. Louis County, Missouri, or the United States District Court for the Eastern District of Missouri, and no other
place unless otherwise determined in Graybar's sole discretion. Buyer hereby irrevocably consents to the jurisdiction of such court or courts and
agrees to appear in any such action upon written notice thereof.
15. EXPORTING Buyer acknowledges that this order and the performance thereof are subject to compliance with any and all applicable United
States laws, regulations, or orders. Buyer agrees to comply with all such laws, regulations, and orders, including, if applicable, all requirements of
the International Traffic in Arms Regulations and /or the Export Administration Act, as may be amended. Buyer further agrees that if the export laws
are applicable, it will not disclose or re -export any technical data received under this order to any countries for which the United States government
requires an export license or other supporting documentation at the time of export or transfer, unless Buyer has obtained prior written authorization
from the United States Office of Export Control or other authority responsible for such matters. N
l9
Remit To: Grp. INVOICE o�ce Questions Please Call
12431 COLLECTIONS CENTER DRIVE 630 893 3600
CHICAGO IL 60693 -2431
Invoice No: 957925378
Invoice Date: 12/22/2011
Account Number: 0000414887
Account Name: CARMEL CLAY PARKS
RECREATION
1153.001.002.02305
CARMEL CLAY PARKS RECREATION
1411 E. 116TH ST
CARMEL IN 46032
Ship to: CARMEL MONON COMUNITY CENTER
ATTN: MATT BUSH
1250 CENTRAL PARK DRIVE E
CARMEL IN 46032
Page 1 of 1
Order No: 30308 SO #:337559719
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0848443109 GB TRUCK 12/22/2011 1 INDIANAPOLIS, IN S/P F/A
Quantity Catalog Description Unit Price Unit Amount
6 MVR250 /U GENERAL ELECTRIC LIGHTING 11.74 1 70.44
MULTI -VAPOR E28 CLR LMP
Del. Doc. PRO Routing I Date Shipped I Shipped From F.O.B. Rt. To
0848445276 0848443109 SHIP -WOG 12/22/2011 1 INDIANAPOLIS, IN S/P F/A
48 F25T8 /SP41 /ECO GENERAL ELECTRIC LIGHTING 1.89 1 90.72
FLUORESCENT LAMP
40 F26DBX /841/EC04P GENERAL ELECTRIC LIGHTING 6.12 1 244.80
COMPACT FLUORESCENT ECO LAMP
Terms of Payment Sub Total 405.96
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 405.96
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
o V:
Purchase o F c 3 0 2p D
Description u d1}� �'�LILL s J
P.O. 3 12S nA P� r F w
G.L.# 10- 4�601ao
Budget �dr1
Line e
Purchaser Date
Approval Date
L
Subject to standard terms and conditions on the reverse side.
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval and acceptance of order by Graybar Electric
Company, Inc. "Graybar and, when applicable, Graybar's suppliers. If credit of the buyer of the goods "Buyer becomes unsatisfactory to
Graybar, Graybar reserves the right to terminate upon notice to Buyer and without liability to Graybar.
2. PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of shipment, which shall be made F.O.B. shipping
point, prepaid and bill.
3. RETURN OF GOODS Credit may be allowed for goods returned with prior approval. A deduction may be made from credits issued to cover cost
of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or hereafter imposed upon sales or shipments
will be added to the purchase price. Buyer agrees to reimburse Graybar for any such tax or provide Graybar with acceptable tax exemption
certificate.
5. DELAY IN DELIVERY Graybar is not to be accountable for delays in delivery occasioned by acts of God, failure of its suppliers to ship or deliver
on time, or other circumstances beyond Graybar's reasonable control. Factory shipment or delivery dates are the best estimates of our suppliers,
and in no case shall Graybar be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. LIMITED WARRANTIES Graybar warrants that all goods sold are free of any security interest and will make available to Buyer all transferable
warranties (including without limitation warranties with respect to intellectual property infringement) made to Graybar by the manufacturer of the
goods. GRAYBAR MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF GRAYBAR, PRODUCTS SOLD HEREUNDER ARE NOT
INTENDED FOR USE IN OR IN CONNECTION WITH (1) ANY SAFETY APPLICATION OR THE CONTAINMENT AREA OF A NUCLEAR
FACILITY, OR (2) IN A HEALTHCARE APPLICATION, WHERE THE GOODS HAVE POTENTIAL FOR DIRECT PATIENT CONTACT OR WHERE
A SIX (6) FOOT CLEARANCE FROM A PATIENT CANNOT BE MAINTAINED AT ALL TIMES.
7. LIMITATION OF LIABILITY Buyer's remedies under this agreement are subject to any limitations contained in manufacturer's terms and
conditions to Graybar, a copy of which will be furnished upon written request. Furthermore, Graybar's liability shall be limited to either repair or
replacement of the goods or refund of the purchase price, all at Graybar's option, and IN NO CASE SHALL GRAYBAR BE LIABLE FOR
INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES. In addition, claims for shortages, other than loss in transit, must be made in writing
not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Graybar to insist upon the performance of any of the terms or conditions of this agreement or to exercise any right
hereunder shall not be deemed to be a waiver of such terms, conditions, or rights in the future, nor shall it be deemed to be a waiver of any other
term, condition, or right under this agreement.
9. MODIFICATION OF TERMS AND CONDITIONS These terms and conditions supersede all other communications, negotiations, and prior oral or
written statements regarding the subject matter of these terms and conditions. No change, modification, rescission, discharge, abandonment, or
waiver of these terms and conditions shall be binding upon Graybar unless made in writing and signed on its behalf by a duly authorized
representative of Graybar. No conditions, usage of trade, course of dealing or performance, understanding or agreement, purporting to modify,
vary, explain, or supplement these terms and conditions shall be binding unless hereafter made in writing and signed by the party to be bound. Any
proposed modifications or additional terms are specifically rejected and deemed a material alteration hereof. If this document shall be deemed an
acceptance of a prior offer by Buyer, such acceptance is expressly conditional upon Buyer's assent to any additional or different terms set forth
herein.
10. REELS When Graybar ships returnable reels, a reel deposit may be included in the invoice. The Buyer should contact the nearest Graybar
service location to return reels.
11. CERTIFICATION Graybar hereby certifies that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and
12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14
thereof. This agreement is subject to Executive Order 11246, as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Veterans'
Readjustment Assistance Act of 1974, as amended, E.O. 13496, 29 CFR Part 471, Appendix A to Subpart A, and the corresponding regulations, to
the extent required by law. 41 CFR 60 -1.4, 60- 741.5, and 60 -250.5 are incorporated herein by reference, to the extent legally required.
12. FOREIGN CORRUPT PRACTICES ACT Buyer shall comply with applicable laws and regulations relating to anti corruption, including, without
limitation, (i) the United States Foreign Corrupt Practices Act (FCPA) (15 U.S.C. §78dd -1, et. seq.) irrespective of the place of performance, and
(ii) laws and regulations implementing the Organization for Economic Cooperation and Development's Convention on Combating Bribery of Foreign
Public Officials in International Business Transactions, the U.N. Convention Against Corruption, and the Inter American Convention Against
Corruption in Buyer's couptry-,9 f aray c ntry where�performance of this agreement or delivery of goods will occur.
1 �'t «r; 0.5 l
13. ASSIGNMENT Buyer s� I not assign its rights orgpelegate its duties hereunder or any interest herein without the prior written consent of Graybar, ttr
and any such assignment, without such consent; shall be void.
jtli
14. GENERAL PROVISIONS All typographical or clerical errors made by Graybar in any quotation, acknowledgment or publication are subject to
correction. This agreement shall be governed by the laws of the State of Missouri applicable to contracts to be formed and fully performed within
the State of Missouri, without giving effect to th�et6hoice or conflicts of law provisions thereof. All suits arising from or concerning this agreement
shall be filed in the Circuit Court•of•St: Louis' Courity, Missouri, or the United States District Court for the Eastern District of Missouri, and no other
place unless otherwise determined in Graybar's sole discretion. Buyer hereby irrevocably consents to the jurisdiction of such court or courts and
agrees to appear in any such action upon written notice thereof.
15. EXPORTING Buyer acknowledges that this order and the performance thereof are subject to compliance with any and all applicable United
States laws, regulations, or orders. Buyer agrees to comply with all such laws, regulations, and orders, including, if applicable, all requirements of
the International Traffic in Arms Regulations and /or the Export Administration Act, as may be amended. Buyer further agrees that if the export laws m
are applicable, it will not disclose or re -export any technical data received under this order to any countries for which the United States government 2
requires an export license or other supporting documentation at the time of export or transfer, unless Buyer has obtained prior written authorization
N
from the United States Office of Export Control or other authority responsible for such matters.
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.
114000 Graybar Terms
12431 Collections Center Drive
Chicago, IL 60693 -2431
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/28/11 957981965 Light bulbs 30308 199.44
12/22/11 957925378 Light bulbs 30308 405.96
Total 605.40
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.
114000 Graybar Allowed 20
12431 Collections Center Drive
Chicago, IL 60693 -2431
In Sum of
605.40
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1093 957981965 4350100 199.44 1 hereby certify that the attached invoice(s), or
1093 957925378 4350100 405.96 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
11 -Jan 2012
41mvMk-i
Signature
605.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
L9
Remit To: GI'21 INVOICE Invoice Questions Please Call
12431 COLLECTIONS CENTER DRIVE 317 821 -5700
CHICAGO IL 60693 -2431
Invoice No: 958098577
Invoice Date: 01/05/2012
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
CENTER
637.001.002.01273
CARMEL CLAY COMM CENTER
JANET ARNONE
31 FIRST AVE N.W.
CARMEL IN 46032 -1715
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032 -1715
Page 1 of 1
Order No: MIS SO #:337697681
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0848613965 1ZE9W0210363129113 UPS GROUND 01/05/2012 ZONE- JOLIET, IL PPD Bill
Quantity Catalog Description Unit Price Unit Amount
12 FAN- BT25 -12 CORNING 18.39 1 220.68
BUFFER TUBE FAN OUT KIT
Terms of Payment Sub Total 220.68
Freight 6.31
Net 30 Days Handling 3.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 229.99
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only
Subject to standard terms and conditions on the reverse side.
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval and acceptance of order by Graybar Electric
Company, Inc. "Graybar and, when applicable, Graybar's suppliers. If credit of the buyer of the goods "Buyer becomes unsatisfactory to
Graybar, Graybar reserves the right to terminate upon notice to Buyer and without liability to Graybar.
2. PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of shipment, which shall be made F.O.B. shipping
point, prepaid and bill.
3. RETURN OF GOODS Credit may be allowed for goods returned with prior approval. A deduction may be made from credits issued to cover cost
of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or hereafter imposed upon sales or shipments
will be added to the purchase price. Buyer agrees to reimburse Graybar for any such tax or provide Graybar with acceptable tax exemption
certificate.
5. DELAY IN DELIVERY Graybar is not to be accountable for delays in delivery occasioned by acts of God, failure of its suppliers to ship or deliver
on time, or other circumstances beyond Graybar's reasonable control. Factory shipment or delivery dates are the best estimates of our suppliers,
and in no case shall Graybar be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. LIMITED WARRANTIES Graybar warrants that all goods sold are free of any security interest and will make available to Buyer all transferable
warranties (including without limitation warranties with respect to intellectual property infringement) made to Graybar by the manufacturer of the
goods. GRAYBAR MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF GRAYBAR, PRODUCTS SOLD HEREUNDER ARE NOT
INTENDED FOR USE IN OR IN CONNECTION WITH (1) ANY SAFETY APPLICATION OR THE CONTAINMENT AREA OF A NUCLEAR
FACILITY, OR (2) IN A HEALTHCARE APPLICATION, WHERE THE GOODS HAVE POTENTIAL FOR DIRECT PATIENT CONTACT OR WHERE
A SIX (6) FOOT CLEARANCE FROM A PATIENT CANNOT BE MAINTAINED AT ALL TIMES.
7. LIMITATION OF LIABILITY Buyer's remedies under this agreement are subject to any limitations contained in manufacturer's terms and
conditions to Graybar, a copy of which will be furnished upon written request. Furthermore, Graybar's liability shall be limited to either repair or
replacement of the goods or refund of the purchase price, all at Graybar's option, and IN NO CASE SHALL GRAYBAR BE LIABLE FOR
INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES. In addition, claims for shortages, other than loss in transit, must be made in writing
not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Graybar to insist upon the performance of any of the terms or conditions of this agreement or to exercise any right
hereunder shall not be deemed to be a waiver of such terms, conditions, or rights in the future, nor shall it be deemed to be a waiver of any other
term, condition, or right under this agreement.
9. MODIFICATION OF TERMS AND CONDITIONS These terms and conditions supersede all other communications, negotiations, and prior oral or
written statements regarding the subject matter of these terms and conditions. No change, modification, rescission, discharge, abandonment, or
waiver of these terms and conditions shall be binding upon Graybar unless made in writing and signed on its behalf by a duly authorized
representative of Graybar. No conditions, usage of trade, course of dealing or performance, understanding or agreement, purporting to modify,
vary, explain, or supplement these terms and conditions shall be binding unless hereafter made in writing and signed by the party to be bound. Any
proposed modifications or additional terms are specifically rejected and deemed a material alteration hereof. If this document shall be deemed an
acceptance of a prior offer by Buyer, such acceptance is expressly conditional upon Buyer's assent to any additional or different terms set forth
herein.
10. REELS When Graybar ships returnable reels, a reel deposit may be included in the invoice. The Buyer should contact the nearest Graybar
service location to return reels.
11. CERTIFICATION Graybar hereby certifies that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and
12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14
thereof. This agreement is subject to Executive Order 11246, as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Veterans'
Readjustment Assistance Act of 1974, as amended, E.O. 13496, 29 CFR Part 471, Appendix A to Subpart A, and the corresponding regulations, to
the extent required by law. 41 CFR 60 -1.4, 60- 741.5, and 60 -250.5 are incorporated herein by reference, to the extent legally required.
12. FOREIGN CORRUPT PRACTICES ACT Buyer shall comply with applicable laws and regulations relating to anti corruption, including, without
limitation, (i) the United States Foreign Corrupt Practices Act (FCPA) (15 U.S.C. §78dd -1, et. seq.) irrespective of the place of performance, and
(ii) laws and regulations implementing the Organization for Economic Cooperation and Development's Convention on Combating Bribery of Foreign
Public Officials in International Business Transactions, the U.N. Convention Against Corruption, and the Inter American Convention Against
Corruption in Buyer's country or any country where performance of this agreement or delivery of goods will occur.
13. ASSIGNMENT Buyer shall not assign its rights or delegate its duties hereunder or any interest herein without the prior written consent of Graybar,
and any such assignment, without such consent, shall be void.
14. GENERAL PROVISIONS All typographical or clerical errors made by Graybar in any quotation, acknowledgment or publication are subject to
correction. This agreement shall be governed by the laws of the State of Missouri applicable to contracts to be formed and fully performed within
the State of Missouri, without giving effect to the choice or conflicts of law provisions thereof. All suits arising from or concerning this agreement
shall be filed in the Circuit Court of St. Louis County, Missouri, or the United States District Court for the Eastern District of Missouri, and no other
place unless otherwise determined in Graybar's sole discretion. Buyer hereby irrevocably consents to the jurisdiction of such court or courts and
agrees to appear in any such action upon written notice thereof.
15. EXPORTING Buyer acknowledges that this order and the performance thereof are subject to compliance with any and all applicable United
States laws, regulations, or orders. Buyer agrees to comply with all such laws, regulations, and orders, including, if applicable, all requirements of
the International Traffic in Arms Regulations and /or the Export Administration Act, as may be amended. Buyer further agrees that if the export laws m
are applicable, it will not disclose or re -export any technical data received under this order to any countries for which the United States government
requires an export license or other supporting documentation at the time of export or transfer, unless Buyer has obtained prior written authorization
from the United States Office of Export Control or other authority responsible for such matters.
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/05/12 958098577 $229.99
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.
ALLOWED 20
Graybar Electric
IN SUM OF
12431 Collections Center Drive
Chicago, IL 60693
$229.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27696 I 958098577 I 43- 509.00 $229.99
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
Thursday, January 12, 2012
Dir ector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
L9
Remit To: Gg'%43aR, Invoice Questions Please Ca{l
12431 COLLECTIONS CENTER DRIVE INVOICE
630 893 -3600
CHICAGO IL 60693 -2431
Invoice No: 958002328
Invoice Date: 12/29/2011
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
CENTER
105.001.006.00697
CARMEL CLAY COMM CENTER
JANET ARNONE
31 FIRST AVE N.W.
CARMEL IN 46032 -1715
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
attn: Todd Luckoski
31 FIRST AVE N.W.
CARMEL IN 46032 -1715
Page 1_of 1-
Order No: 25912 SO #:337493710
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0337493710 12/28/2011 FACTORY
Quantity Catalog Description Unit Price Unit Amount
1 0445 004 06035 E TECH DATA CORPORATION 3783.73 1 3783.73
Terms of Payment Sub Total 3783.73
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -112% or the maximum permitted by law may be added to all accounts not paid Total Due 3783.73
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
�•tr*
Subject to standard terms and conditions on the reverse side.
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval and acceptance of order by Graybar Electric
Company, Inc. "Graybar and, when applicable, Graybar's suppliers. If credit of the buyer of the goods "Buyer becomes unsatisfactory to
Graybar, Graybar reserves the right to terminate upon notice to Buyer and without liability to Graybar.
2. PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of shipment, which shall be made F.O.B. shipping
point, prepaid and bill.
3. RETURN OF GOODS Credit may be allowed for goods returned with prior approval. A deduction may be made from credits issued to cover cost
of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or hereafter imposed upon sales or shipments
will be added to the purchase price. Buyer agrees to reimburse Graybar for any such tax or provide Graybar with acceptable tax exemption
certificate.
5. DELAY IN DELIVERY Graybar is not to be accountable for delays in delivery occasioned by acts of God, failure of its suppliers to ship or deliver
on time, or other circumstances beyond Graybar's reasonable control. Factory shipment or delivery dates are the best estimates of our suppliers,
and in no case shall Graybar be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. LIMITED WARRANTIES Graybar warrants that all goods sold are free of any security interest and will make available to Buyer all transferable
warranties (including without limitation warranties with respect to intellectual property infringement) made to Graybar by the manufacturer of the
goods. GRAYBAR MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF GRAYBAR, PRODUCTS SOLD HEREUNDER ARE NOT
INTENDED FOR USE IN OR IN CONNECTION WITH (1) ANY SAFETY APPLICATION OR THE CONTAINMENT AREA OF A NUCLEAR
FACILITY, OR (2) IN A HEALTHCARE APPLICATION, WHERE THE GOODS HAVE POTENTIAL FOR DIRECT PATIENT CONTACT OR WHERE
A SIX (6) FOOT CLEARANCE FROM A PATIENT CANNOT BE MAINTAINED AT ALL TIMES.
7. LIMITATION OF LIABILITY Buyer's remedies under this agreement are subject to any limitations contained in manufacturer's terms and
conditions to Graybar, a copy of which will be furnished upon written request. Furthermore, Graybar's liability shall be limited to either repair or
replacement of the goods or refund of the purchase price, all at Graybar's option, and IN NO CASE SHALL GRAYBAR BE LIABLE FOR
INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES. In addition, claims for shortages, other than loss in transit, must be made in writing
not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Graybar to insist upon the performance of any of the terms or conditions of this agreement or to exercise any right
hereunder shall not be deemed to be a waiver of such terms, conditions, or rights in the future, nor shall it be deemed to be a waiver of any other
term, condition, or right under this agreement.
9. MODIFICATION OF TERMS AND CONDITIONS These terms and conditions supersede all other communications, negotiations, and prior oral or
written statements regarding the subject matter of these terms and conditions. No change, modification, rescission, discharge, abandonment, or
waiver of these terms and conditions shall be binding upon Graybar unless made in writing and signed on its behalf by a duly authorized
representative of Graybar. No conditions, usage of trade, course of dealing or performance, understanding or agreement, purporting to modify,
vary, explain, or supplement these terms and conditions shall be binding unless hereafter made in writing and signed by the party to be bound. Any
proposed modifications or additional terms are specifically rejected and deemed a material alteration hereof. If this document shall be deemed an
acceptance of a prior offer by Buyer, such acceptance is expressly conditional upon Buyer's assent to any additional or different terms set forth
herein.
10. REELS When Graybar ships returnable reels, a reel deposit may be included in the invoice. The Buyer should contact the nearest Graybar
service location to return reels.
11. CERTIFICATION Graybar hereby certifies that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and
12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14
thereof. This agreement is subject to Executive Order 11246, as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Veterans'
Readjustment Assistance Act of 1974, as amended, E.O. 13496, 29 CFR Part 471, Appendix A to Subpart A, and the corresponding regulations, to
the extent required by law. 41 CFR 60 -1.4, 60- 741.5, and 60 -250.5 are incorporated herein by reference, to the extent legally required.
12. FOREIGN CORRUPT PRACTICES ACT Buyer shall comply with applicable laws and regulations relating to anti corruption, including, without
limitation, (i) the United States Foreign Corrupt Practices Act (FCPA) (15 U.S.C. §78dd -1, et. seq.) irrespective of the place of performance, and
(ii) laws and regulations implementing the Organization for Economic Cooperation and Development's Convention on Combating Bribery of Foreign
Public Officials in International Business Transactions, the U.N. Convention Against Corruption, and the Inter American Convention Against
Corruption in Buyer's country or any country where performance of this agreement or delivery of goods will occur.
13. ASSIGNMENT Buyer shall not assign its rights or delegate its duties hereunder or any interest herein without the prior written consent of Graybar,
and any such assignment, without such consent, shall be void.
14. GENERAL PROVISIONS All typographical or clerical errors made by Graybar in any quotation, acknowledgment or publication are subject to
correction. This agreement shall be governed by the laws of the State of Missouri applicable to contracts to be formed and fully performed within
the State of Missouri, without giving effect to the choice or conflicts of law provisions thereof. All suits arising from or concerning this agreement
shall be filed in the Circuit Court of St. Louis County, Missouri, or the United States District Court for the Eastern District of Missouri, and no other
place unless otherwise determined in Graybar's sole discretion. Buyer hereby irrevocably consents to the jurisdiction of such court or courts and
agrees to appear in any such action upon written notice thereof.
15. EXPORTING Buyer acknowledges that this order and the performance thereof are subject to compliance with any and all applicable United
States laws, regulations, or orders. Buyer agrees to comply with all such laws, regulations, and orders, including, if applicable, all requirements of
the International Traffic in Arms Regulations and /or the Export Administration Act, as may be amended. Buyer further agrees that if the export laws m
are applicable, it will not disclose or re -export any technical data received under this order to any countries for which the United States government
requires an export license or other supporting documentation at the time of export or transfer, unless Buyer has obtained prior written authorization E
T
from the United States Office of Export Control or other authority responsible for such matters. N
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/11 958002328 camera repairs replacements $3,783.73
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.
ALLOWED 20
Graybar
IN SUM OF
9222 Orly Road
Indianapolis, IN 46241
$3,783.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
25912 958002328 43- 501.00 $3,783.73
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
Thursday, January 12, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
l9
Remit To: Invoice Questions Please Ca
(iY'cl ll
12431 COLLECTIONS CENTER DRIVE INVOICE 630- 893 -3600
CHICAGO IL 60693 -2431
Invoice No: 958002329
Invoice Date: 12/29/2011
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
y
CENTER
105 003 006 00699
CARMEL LAY COMM CENTER y
JANET AR:NDNI'
31 FIRST AVJ= N W� E
CARMEL IN 46032 =1 7 1 5
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
attn: Todd Luckoski
31 FIRST AVE N.W.
CARMEL IN 46032 -1715
Page 1 of 1
Order No: 26252 SO #:337493718
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0337493718 12/28/2011 IFACTORY
Quantity Catalog Description Unit Price Unit Amount
2 0445 -004 AXIS COMMUNICATION 3995.00 1 7990.00
Q6035 -E
HDTV NETWORK DOME CAMERA 1080P
Terms of Payment Sub Total 7990.00
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 7990.00
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
Subject to standard terms and conditions on the reverse side.
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval and acceptance of order by Graybar Electric
Company, Inc. "Graybar and, when applicable, Graybar's suppliers. If credit of the buyer of the goods "Buyer becomes unsatisfactory to
Graybar, Graybar reserves the right to terminate upon notice to Buyer and without liability to Graybar.
2. PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of shipment, which shall be made F.O.B. shipping
point, prepaid and bill.
3. RETURN OF GOODS Credit may be allowed for goods returned with prior approval. A deduction may be made from credits issued to cover cost
of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or hereafter imposed upon sales or shipments
will be added to the purchase price. Buyer agrees to reimburse Graybar for any such tax or provide Graybar with acceptable tax exemption
certificate.
5. DELAY IN DELIVERY Graybar is not to be accountable for delays in delivery occasioned by acts of God, failure of its suppliers to ship or deliver
on time, or other circumstances beyond Graybar's reasonable control. Factory shipment or delivery dates are the best estimates of our suppliers,
and in no case shall Graybar be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. LIMITED WARRANTIES Graybar warrants that all goods sold are free of any security interest and will make available to Buyer all transferable
warranties (including without limitation warranties with respect to intellectual property infringement) made to Graybar by the manufacturer of the
goods. GRAYBAR MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF GRAYBAR, PRODUCTS SOLD HEREUNDER ARE NOT
INTENDED FOR USE IN OR IN CONNECTION WITH (1) ANY SAFETY APPLICATION OR THE CONTAINMENT AREA OF A NUCLEAR
FACILITY, OR (2) IN A HEALTHCARE APPLICATION, WHERE THE GOODS HAVE POTENTIAL FOR DIRECT PATIENT CONTACT OR WHERE
A SIX (6) FOOT CLEARANCE FROM A PATIENT CANNOT BE MAINTAINED AT ALL TIMES.
7. LIMITATION OF LIABILITY Buyer's remedies under this agreement are subject to any limitations contained in manufacturer's terms and
conditions to Graybar, a copy of which will be furnished upon written request. Furthermore, Graybar's liability shall be limited to either repair or
replacement of the goods or refund of the purchase price, all at Graybar's option, and IN NO CASE SHALL GRAYBAR BE LIABLE FOR
INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES. In addition, claims for shortages, other than loss in transit, must be made in writing
not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Graybar to insist upon the performance of any of the terms or conditions of this agreement or to exercise any right
hereunder shall not be deemed to be a waiver of such terms, conditions, or rights in the future, nor shall it be deemed to be a waiver of any other
term, condition, or right under this agreement.
9. MODIFICATION OF TERMS AND CONDITIONS These terms and conditions supersede all other communications, negotiations, and prior oral or
written statements regarding the subject matter of these terms and conditions. No change, modification, rescission, discharge, abandonment, or
waiver of these terms and conditions shall be binding upon Graybar unless made in writing and signed on its behalf by a duly authorized
representative of Graybar. No conditions, usage of trade, course of dealing or performance, understanding or agreement, purporting to modify,
vary, explain, or supplement these terms and conditions shall be binding unless hereafter made in writing and signed by the party to be bound. Any
proposed modifications or additional terms are specifically rejected and deemed a material alteration hereof. If this document shall be deemed an
acceptance of a prior offer by Buyer, such acceptance is expressly conditional upon Buyer's assent to any additional or different terms set forth
herein.
10. REELS When Graybar ships returnable reels, a reel deposit may be included in the invoice. The Buyer should contact the nearest Graybar
service location to return reels.
11. CERTIFICATION Graybar hereby certifies that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and
12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14
thereof. This agreement is subject to Executive Order 11246, as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Veterans'
Readjustment Assistance Act of 1974, as amended, E.O. 13496, 29 CFR Part 471, Appendix A to Subpart A, and the corresponding regulations, to
the extent required by law. 41 CFR 60 -1.4, 60- 741.5, and 60 -250.5 are incorporated herein by reference, to the extent legally required.
12. FOREIGN CORRUPT PRACTICES ACT Buyer shall comply with applicable laws and regulations relating to anti- corruption, including, without
limitation, (i) the United States Foreign Corrupt Practices Act (FCPA) (15 U.S.C. §78dd -1, et. seq.) irrespective of the place of performance, and
(ii) laws and regulations implementing the Organization for Economic Cooperation and Development's Convention on Combating Bribery of Foreign
Public Officials in International Business Transactions, the U.N. Convention Against Corruption, and the Inter American Convention Against
Corruption in Buyer's country or any country where performance of this agreement or delivery of goods will occur.
13. ASSIGNMENT Buyer shall not assign its rights or delegate its duties hereunder or any interest herein without the prior written consent of Graybar,
and any such assignment, without such consent, shall be void.
14. GENERAL PROVISIONS All typographical or clerical errors made by Graybar in any quotation, acknowledgment or publication are subject to
correction. This agreement shall be governed by the laws of the State of Missouri applicable to contracts to be formed and fully performed within
the State of Missouri, without giving effect to the choice or conflicts of law provisions thereof. All suits arising from or concerning this agreement
shall be filed in the Circuit Court of St. Louis County, Missouri, or the United States District Court for the Eastern District of Missouri, and no other
place unless otherwise determined in Graybar's sole discretion. Buyer hereby irrevocably consents to the jurisdiction of such court or courts and
agrees to appear in any such action upon written notice thereof.
15. EXPORTING Buyer acknowledges that this order and the performance thereof are subject to compliance with any and all applicable United
States laws, regulations, or orders. Buyer agrees to comply with all such laws, regulations, and orders, including, if applicable, all requirements of
the International Traffic in Arms Regulations and /or the Export Administration Act, as may be amended. Buyer further agrees that if the export laws m
are applicable, it will not disclose or re -export any technical data received under this order to any countries for which the United States government
requires an export license or other supporting documentation at the time of export or transfer, unless Buyer has obtained prior written authorization
from the United States Office of Export Control or other authority responsible for such matters.
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
a;
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/11 958002329 $7,990.00
-ta
E
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.
ALLOWED 20
Graybar
IN SUM OF
12431 Collections Center Drive
Chicago, IL 60693 -2431
$7,990.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
26252 958002329 2201-631.00 $7,990.00
I 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
Wednesda,y,,January; 11, 2012
Street Commissioner
Street Titibmmissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund