176757 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1
ONE CIVIC SQUARE GRAINGER INC CHECK AMOUNT: $154.62
CARMEL, INDIANA 46032 DEPT 804572097
PALATINE IL 60038 -0001 CHECK NUMBER: 176757
CHECK DATE: 9/2/2009
DE PARTMENT ACCOUNT PO N UMBER INV OICE NUMBE AMOUNT DESCRIPTION
-1205 4238900 854052545 154.62 9060214179
3� G RZNGE. PAGE 1 OF 1
GRAINGER ACCOUNT NUMBER 854052545
INVOICE NUMBER 9060214179
8045 RIVER DRIVE INVOICE DATE 08/20/2009
MORTON GROVE, IL 60053 -2651 DUE DATE 09/19/2009
AMOUNT DUE 154.62
SHIP TO C
PO NUMBER: 028165506
CITY OF CARMEL BOARD OF PUBLIC WO DEPARTMENT: FACILITIES
ONE CIVIC SQUARE REQUISITIONER: JEFF BARNES
CARMEL, IN 46032 CALLER: JEFF BARNES
CUSTOMER PHONE: (317) 571 -2448
DELIVERY NUMBER: 6109541404
INCO TERMS: FOB ORIGIN
BILL TO
MDG2005 00035381 1 MB 0382
CITY OF CARMEL /BOARD OF PUBLIC WORK
1 CIVIC SQ 035381
CARMEL, IN 46032 -2584 THANK YOU.
FEI NUMBER 36- 1150280
FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 847 965 -7600
spill
e•• e
000001 3CRA2 LED LAMP, PAR30,WHITE,E26 BASE 1 88.02 88.02
MANUFACTURER 1503050217
000002 1K401 LAMP,65R /FL /MI 1,65 W 60 1.11 66.60
MANUFACTURER 65R /FL /MI -1
NUMBER OF PKGS: 1 WEIGHT: 10.37 INVOICE SUB TOTAL 154.62
DATE SHIPPED: 08/20/2009
CARRIER: UPS GROUND
TRACKING N0: 1Z4E39140390462136
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 154.62
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'f rescribed 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2
08/20/09 90602141 9 LSD Lamp amp
$154.62
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 WW /09 WARRANT NO.
ALLOWED 20
Dept. 804572091 IN SUM OF
Palatine, IL 60038 -0001
$154.62
ON ACCOUN gQPP L FUND N FOR
1205 Administration
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
D p I hereby certify that the attached invoice(s), or
62 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
20
Si n re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund