177745 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING
4 CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $363.35
CHICAGO IL 60674
CHECK NUMBER; 177745
CHECK DATE: 9/2912009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
651 5023990 8464085 75.97 MATERIALS SUPPLIES
651 5023990 8478029 287.38 MATERIALS SUPPLIES
mmmmmL INVOICE
"W,SON Products
0 1. Des Plaines, IL Cori Headquarters
Addison, IL e mm��NO a Dallas TX^Fairfield, NJ
Reno, wv"ouwmee,ox" Vernon Hills, .L^ Mississauga, om
vvvvvv|mmosonprmducto.conn PAGE l MRL678
CITY OF CARMEL
SHIPPED AC INV ICE DATE
TO' W&TER-W8�TEW�TER OJ 4�� �U g CARMEL 001
96O9 HAZEL DELL PKWY
INDIANAPOLIS IN 4628O
CITY OF CARMEL
SOLD
n
WATER-WASTEWATER
760 3RD AVE 3W ST[ llO
CARMEL IN 46032 DUNS NO. 00 O101
FED. I.D. #3
GSA #ma-os1i
RD
BUYER:JEFF COOPER
FA65121 3/4-IOX3 GRADE 5 HEX HD C/S 1.11 EA 10 10 11.10
FA65123 3/4-IOX4 GRADE 5 HEX HD C/S 1.22 EA 10 10 12.20
FA65119 3/4 IOX3 GRADE 5 HEX HD C/S .93 EA 25 25 23.25
FA95684 3/4-10 GRADE 5 HEX NUT .56 EA 25 25 14.00
FRT. CHRGS. 15.42
PAY THIS INVOICE BY
EXCLUDING CREDIT CARDS
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
RIC NO CHARGE 819 BACK ORDERED CID CANCELLED 5.97
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 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009- 8464085 $75.97
r�
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096440 WARRANT ALLOWED
354612 IN SUM OF
LAWSON FLOORING
2689 Paysphere Circle
Chicago, IL 60674
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
a
Board members
PO INV ACCT AMOUNT Audit Trail Code
8464085 01- 7202 -06 $75.97
Voucher Total $75.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
ORIGINAL INVOICE
LAWSONProdUctS
De Plaines, /L o",v"rat^n"���""
Addison, /L" Charlotte, wx°umm.TX°�rlield.NJ
Reno, wv^mw�� GA- Vernon Hills, u° Mississau mn
mnmvvJowsonproducts.surn PAGE l MRL694
CITY OF CARMEL
SHnPEo �p��ou
TO ��T[R-��5T[W�T[R 0Z g24U7 g CARMEL OOl
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARM[L
SOLD
WATER-WASTEWATER
760 3RD AVE GN STE llO
CARM[L IN 46032 DUNS NO, 00 0101
FED, I.D. #36
GSA mGm-oep-000rL
CUSTOMER ORDER NO.IBUYERS NAME m W."
mx
BUYER:JEFF COOPER
FA65119 GRADE 5 HEX HO C/S .93 EA 100 100 93-00
FA65121 GRADE 5 HEX HID C/S 1.11 EA 50 50 55-50
FA95684 GRADE 5 HEX NUT .56 EA 200 200 112.00
FRT. CHRGS. 26.88
OTHER
CAS14 DISCOUNT IF YOU R�LES OR.USI� TAX
EXCLUDING CREDIT CARDS
TERMS. 1% TEN DAYS -NET 30 DAYS
-mo'wo CHARGE mm' BACK ORDERED mn'CANCELLED 287_18
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL s
An invoice or bill to be properly itemized must show, }rind 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 �l
Chicago, IL 60674 Due Date 9/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/2412009 8478029 $287.38
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
,a
Date Officer
VOUCHER 096479 WARRANT ALLOWED
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
8478029 01- 7202 -06 $287.38
p6pi o
Voucher Total $287.38
Cost distribution ledger classification if
claim paid under vehicle highway fund