HomeMy WebLinkAbout179747 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $204.58
CHICAGO IL 60674 CHECK NUMBER: 179747
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
`651 5023990 8660989 204.58 OTHER EXPENSES
ORIGINAL INVOICE
CAWSOMN Products
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CITY OF CARM[L
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WATER—WASTEWATER 02 X64 48 g CARM[L UUl
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 4628U
CITY OF C&RM[L
mu« WATER—WASTEWATER
76 3RD AVE SW STE llU
CARMEL IN 46032 DUNS NO' 00 O|Ol
FED' I.D. #36
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CUSTOMER ORDER NO.IBUYERS NAME b S M4 P0 OUR
RER
BUYER:JEFF COOPER
3005 AGC 15 FUSE .39 EA 10 10 3.90
18 3/4X3/4 SHARKBITE 90 DEG ELBOW 8.18 EA 2 2 16.36
91109 5/8-11 18-8 ST/ST HEX NUT .98 EA 10 10 9.80
95644 4X3/4x8-12 RECIPROCATNG SAW BLADE 4.51 EA 5 5 22-55
95646 6X3/4x8-12 RECIPROCATNG SAW BLADE 5.76 EA 5 5 28.8o
60773 4-1/2x7/8 TYPE I CUT OFF WHL 6.65 EA 6 6 39-90
FRT. CHRGS. 7.92
SALES OR USE TAX OTHER
ISCOUNT IF YOU
x EXCLUDING CREDIT CARDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
HIC NIB CHARGE 810 BACK ORDERED CiD CANCELLED 9n
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354612
LAWSON FLOORING Purchase Order No.
2689 Paysphere Circle Terms
Chicago, IL 60674 Due Date 11/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/2001 8660989 $204.58
1i
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
Date Officer
VOUCHER 096805 WARRANT ALLOWED
ti 354612 IN SUM OF
LAWSON FLOORING
2689 Paysphere Circle
Chicago, IL 60674
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8660989 01- 7202 -06 $204.58
Voucher Total $204.58
Cost distribution ledger classification if
claim paid under vehicle highway fund