171759 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350716 Page 1 of 'I
d ONE CIVIC SQUARE BRUSKE PRODUCTS
CARMEL, INDIANA 46032 PO BOX 669 CHECK AMOUNT: $428.84
7447 DLIVAN DR CHECK NUMBER: 171759
TINLEY PARK IL 60477 -0669
CHECK DATE: 412912009
DEP ACCOUNT PO NU MBER INVOICE NUM AM OUNT DESCRIPTION
2201 423$000 76700$ 428A4 SMALL TOOLS MINOR E
Y
Telephone 708/532-3800
FAX 1 -800- 821 -0411 ORIGINAL INVOICE
Duns No. 05- 945 -8653 7670 0 8 1
t�J
INV
VENDOR NO:
sRusm PRODucTS 04115/ 9
DIV ISION OF BRUSK a enTeRPRISe 5, I11c.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL. 60477.0669 N ET" 30 DAY S
SOLD TO: SHIPPED TO:
CA€ MEL. STREET DEPARTMENT CARMEL' STR.EME ,DEPARTMENT
3400 W. 131ST STREET.: 34.40: W. 131`ST STREET
WESTFIELDi IN 46074 WESTFIELDr'Iid -46074
ATTN:,JEFF 'STEWART;
1 I I WAN
785413. 04/10/09 022293 BK, 065 5HOP: ups PRA PAY. AD
QT OTY.
ORDERED SHIPPED QTY. B.O. ITEM NO. DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
14 14 603111 7.50 105.00 10 94 50
60 X :*1 1/8 "f HEAVY WOOD
H AND L qq 80 0 '6 e�yy
BRACE FOR FLOOR. SRU
12 12 3024 21.30 .255.60 10% 230.'04
4""' CO ��Oi� S .::ET BROOM
2 3780 !j 15.90i 31..30; 31080:
b.
16 OR R0+0Y;:
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE. .94
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE. 00
If this invoice Wplaced for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees. 26 u r
We hereby certify 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 W(e ulations and orders of the United States Department of Labor issued under Section 14 thereof. 00
OUR RESPONSIBILITY t%EASES AFFrER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. T O T A L 4 2 8 8 4
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
Mow-
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 i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/15/09 767008 $428.84
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
Bruske Products
IN SUM OF
P. O. Box 669
Tinley Park, IL 60477 -0669
$428.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 767008 42- 380.00 $428.84 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
n Wye nes April 22, 2009
l r
Street Com s ner
S; TCQ 7 i i rl
Cost distribution ledger classification if
claim paid motor vehicle highway fund