177214 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1
ONE CIVIC SQUARE GRAINGER INC
CARMEL, INDIANA 46032 DEPT 804572097 CHECK AMOUNT: $229.76
PALATINE IL 60038 -0001 CHECK NUMBER: 177214
CHECK DATE: 9/15/2009
DEPAR A PO NUMBER I NVOICE NUM AMOUNT DES
1110 4238900 9003709764 20.76 OTHER MAINT SUPPLIES
1110 4238900 9074749475 209.00 OTHER MAINT SUPPLIES
GRAINGER PAGE1 OF 1
INVOICE COPY
illi GRAINGERACCOUNT NUMBER 804513497
9210 CORPORATION DR. INVOICE NUMBER 9003709764
INDIANAPOLIS, IN 46256 -1017
INVOICE DATE 05/29/2009
DUE DATE 06128/2009
SHIP TO AMOUNT DUE $20.76
CARMEL POLICE DEPARTMENT PO NUMBER: ROBERT ROBINSON
3 CIVIC SQ CALLER: ROBERT ROBINSON
CARMEL IN 46032 -2584 CUSTOMER PHONE: 3175712500
DELIVERY NUMBER: 6103136420
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL POLICE DEPARTMENT
3 CIVIC SQ THANK YOU!
CARMEL IN 46032 -2584
FO NUMBER 36. 1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317. 842 -2497
PO ITEM DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL
LINE ORDERED
1K399 Lamp,65r /S /Mi -1,65 W 12 1.73 20.76
MANUFACTURER# 65R/SP /MI -1
NUMBER OF PKGS: WEIGHT: 1.800 INVOICE SUB TOTAL 20.76
DATE SHIPPED: 05/29/2009
CARRIER:
TRACKING NO:
These items are sold for domestic consumption in the United States. If exported, purchaser assumes full responsibility for compliance with US
export controls.
PAYMENT TERMS Net 30 days PAY THIS INVOICE. NO STATEMENT SENT. PAYABLE IN U.S. DOLLARS. AMOUNT DUE $20.76
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
Grainger Purchase Order No.
Dept 804513497 Terms
Palatine, IL 60038 -0001 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/29/09 9003709764 payment for light bulbs 20.76
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
V
Grainger IN SUM OF
Dept 804513497
Palatine, IL 60038 -0001
20.76
ON ACCOUNT OF APPROPRIATION FOR
police genera fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 9003709764 389 20.76 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
September 2 20 09
koo,ai L
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PAGE 1 ORIGINAL INVOICE
fill GRAINGER ACCOUNT NUMBER 804513497
9210 CORPORATION DR. INVOICE NUMBER 9074749475
INDIANAPOLIS, IN 46256 -1017
INVOICE DATE 09/10/2009
DUE DATE 10/10/2009
SHIP TO AMOUNT DUE $209.00
CARMEL POLICE DEPARTMENT PO NUMBER ROBERT ROBINSON
3 CIVIC SQ CALLER: ROBERT ROBINSON
CARMEL IN 46032 -2584 CUSTOMER PHONE: 3175712500
DELIVERY NUMBER: 6111163051
INCO TERMS: FOB ORIGIN
BILL TO
CARMEL POLICE DEPARTMENT
3 CIVIC SID THANK YOU!
CARMEL IN 46032 -2584
FEI NUMBER 36. 1150280
FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317- 842 -2497
PO ITEM DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL
LINE ORDERED
1 PHA8 Lamp F42TBX/835 /A/ECO,CFL,PIug- In,42W 10 20.90 209.00
MANUFACTURER F42TBX /835/A/ECO
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
G rainger Purchase Order No.
Dept 804513497 Terms
,Palatine, IL 60038 -0001
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/10/09 9074749475 payment for light bulbs 209.00
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.
J.
ALLOWED 20
Grainger
IN SUM OF
Dept. 804513497
Palatine, IL 60038 -0001
209.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 9074749475 389 209.00 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
Sept 14, 2009
Signature
Asst. Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund