178165 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1
ONE CIVIC SQUARE GRAINGER INC
CARMEL, INDIANA 46032 DEPT 804572097 CHECK AMOUNT: $1,030.00
PALATINE IL 60038 -0001 CHECK NUMBER: 178165
CHECK DATE: 10/14/2009
,FZPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
`651 5023990 9090456733 1,030.00 OTHER EXPENSES
PAGE 1 OF 1 S3=
S GRAINGER ACCOUNT NUMBER 813555497
INVOICE NUMBER 9090456733
101 SOUTHCHASE BLVD INVOICE DATE 10/02/2009
FOUNTAIN INN, SC 29644 -9019 DUE DATE 11/01/2009
AMOUNT DUE 1,030.00
SHIP TO
PO NUMBER: 511862
CARMEL WASTEWATER CALLER: JEFF COOPER
9609 HAZEL DELL PKWY CUSTOMER PHONE: (317) 571 -2634
INDIANAPOLIS, IN 46280 -2935 DELIVERY NUMBER: 6112965671
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00031688 1 MB 0382
CARMEL WASTEWATER UTILITY
760 3RD AVE SW STE110
CARMEL, IN 46032 -2584 031688 THANK YOU!
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1- 877 202 -2594
7 e•e
3KK15 OVERLOAD CONTACT KIT 6 88.80 532.80
MANUFACTURER 9999SO4
1H591 CONTACT,AUXILIARY 8 62.15 497.20
MANUFACTURER 9999SX6
NUMBER OF PKGS: 0 WEIGHT: 2.20 INVOICE SUB TOTAL 1,030.00
DATE SHIPPED: 10/02/2009
CARRIER: UPS GROUND REGIONAL
TRACKING NO 1Z2X98300333405980
These items are sold for domestic consumption in the United States. If exported, purchaser assumes full
responsibility for compliance with 11S export controls.
I PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT. PAYABLE IN U S. DOLLARS. AMOUNT DUE 1,030.00
SALES, FREIGHT AND WARRANTY TERMS AND CONDITIONS
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PRODUCT INFORMATION
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linparldot Notice to Federal Cuslonlefs Re i Country of Orojin 111P I slod l GSA i ant a(,ii l ,3: I re No Third Party Benefit. 'e, a e '31 ,il UK,
=arl T I I a0e rt�t;ll Ar is I I flI'� of P" W'I'a ploau m no file" t'i,lsu c. n wr Drscw I, Trit I -v) t Darts li,rr,
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"rescribed by State Board of Accounts City Form No. 2U1 (Kev 1
ACCOUNTS PAYABLE VOUCHER ,N
CITY OF CARMEL n✓
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
351'533
GRAINGER INC Purchase Order No.
DEPT. 804572097 Terms
PALATINE, IL 60038 -0001 Due Date 10/9/2009
nvoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/9/2009 9090456733 $1,030.00
q
iereby certify that the attached invoice(s), or bill(s) is (are) true and
>rrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
(OUCHFR 096567 WARRANT ALLOWED
N,
15153' IN SUM OF
3RAINGER INC
)EPT. 804572097
'ALATINE, IL 60038 -0001
Carmel Wastewater Utility
A N ACCOUNT OF APPROPRIATION FOR
U
Board members
'O INV ACCT AMOUNT Audit Trail Code
9090456733 01- 7202 -06 $1,030.00
0
Voucher Total $1,030.00
:ost distribution ledger classification if
:laim paid under vehicle highway fund