173957 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352321 Page 1 of 1
ONE CIVIC SQUARE MSC INDUSTRIAL SUPPLY CO INC
CARMEL, INDIANA 46032 DEPT CH 0075 CHECK AMOUNT: $286.44
PALATINE IL 60055 -0075 CHECK NUMBER: 173957
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
X125 4238900 75167139 286.44 OTHER MAINT SUPPLIES
MSC II`OSTRIAL SUPPLY CO. INC. Sub-Total 286.44
Dept CH 0075 Shipping Handling:
Palatine IL 60055 -7055 Sales Tax..........:
Total............... 286.44
Bill -To: 000003780811 Ship -To: 000003780814
CARMEL CLAY PARKS AND REC. CARMEL CLAY PARKS AND REC.
1411 EAST 116TH STREET 1427 EAST 116TH STREET
CARMEL IN 46032 CARMEL IN 46032
Customer 000003780811
Customer PO Number Ord Date Inv Date Invoice No Shipped Via
UPS GROUND
20742 4/23/09 4/23/09 75167139
Qty Qty Back Item/
Ordered Shipped Ordered Description Price Disc Extension Tax
4 4 32975187 26.98 .050 102.52
19- 5/8X24- 1/8X4 -3/4 PLEAT AIR CLEANER
12 12 40102634 5.09 61.08
16X25X1 MDL40 STD PLEAT AIR FLTER
4 4 89063671 6.16 .050 23.40
12X20X1 NDL40 STD PLEAT AIR FLTER
4 4 76935840 4.59 18.36
20X20X1 hDL40 STD PLEAT AIR FLTER
4 4 06222152 4.99 19.96
14X25X1 MDL40 STD PLEAT AIR FLTER
4 4 40101594 4.29 17.16
Purchase 16X20X1 NDL40 STD PLEAT AIR FLTER
Description Al �,4 i%I LTg;U 00626481 10.99 43.96
P.O. ff. 0-1 Ll V/ PWXIOX4 HI -CAP MDL 40 PLEATED AIR FILTER
Budget
Line__scr Qtt -rer rncL 2009
Purchaser Data._..._,. UN 1 6
Approv THANK Y nip ORDER
A fuel surcharge has been included due to recent escalations in fuel prices.
Any Questions? Please Call 800 645 -7270 Between 7:OOam and 11:OOpm ET
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.
k
Payee Purchase Order No.
00352321 MSC Industrial Supply Co. Terms
Dept CH 0075
Palatine, IL 60055 -0075
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4123109 75167139 Air filters 20742 286.44
Total 286.44
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
,20_
Clerk- Treasurer
Voucher No. Warrant No.
00352321 MSC Industrial Supply Co. Allowed 20
Dept CH 0075
Palatine, IL 60055 -0075
-S� In Sum of
286.44
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 75167139 4238900 286.44 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
18 -Jun 2009
Signature
286:44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund