176833 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING CHECK AMOUNT: $99.56
a ;a CARMEL, INDIANA 46032 2689 AAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 176833
CHECK DATE: 9/2/2009
DEPARTM A CCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 8368555 56.68 OTHER EXPENSES
651 5023990 8381165 42.88 OTHER EXPENSES
ORIGINAL INVOICE
LAWSON Products a (I jo
Des Plaines, IL Corporate Headquarters
Addison, IL a Charlotte, NC Dallas, TX• Fairfield, NJ
Reno, NV eSuwanee, GA+ Vernon Hills, IL Mississauga, GNT
www.Iawsonproducts.com PAGE 1 MRL543
CITY OF CARMEL
sNTOED WATER- WASTEWATER 0297� 1 9 2487 M"I"165 8/19/2009 CARMEL 001
r 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARMEL X68 PAYSP+IEiRE C RL
SOLD
TO WATER- WASTEWATER CHI CA f3 FL _;60674:
760 3RD AVE SW STE 110
CARMEL IN 46032 DUNS NO. 00- 543-8890 0101
FED. I.D #36- 2229304
GSA GS- 06F -0027L
C1[RAEER CUSTOMER ORDER NOJBUYERS NAME SALES AGENT DATEISHEPPED OUR OADER ND
tFw.. —JEFF COG ?ERVP..,WOtF! n8 7 !?�Jr? �1L�4z
[Y�:> %ii::i'i;:;: rr: ;ir:: >.Y; <t <Y; <t2 :i; «;c«.......:...c:..::
9c
BUYER:JEFF COOPER
GT84924 1" X 25' QUI CK READ TAPE LUFKIN 8.78 EA 4 4 35.12
FRT. CHRGS. 7.76
CASH S DIaCOUNTlFYO
U .►t�
SALES OR USE TAX
�y .ry���77:: OTHER
C i�:6f3'
jv; yyi'.<' is2$ iii :»i>i:i<::3i ?.;::;:ri:'>
PAYTHIS INVOICE BY>
EXCLUDING CREDIT A
G C CA DS i
TOTAL AMOUNT
TERMS: 1% TEN DAYS NET 30 DAYS
NfC .N6.CuecrF alf1 BACK ORDERED C/O CANCELLED 42.88
ORIGINAL INVOICE
��N LAWSON Products
Des Plaines, /L' Corporate Headquarters
Addisonu"mp�,,wo"om/�m"mm�^�
mm^��°xuwm�ex" Vernon nms,u^ Mississauga, DINT
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CITY OF CARMEL
:mppm
TO: WATER—WASTEWATER 02 464 �U 9 CARMEL UOl
5609 HAZEL DELL PKWY
INDIANAPOLIS IN 4628O
twd
CITY OF CARMEL
SOLD
TO: WATER—WASTEWATER
760 3RD AVE 3W ST[ llO
CARMEL IN 460 32 DUNS ND' 00- D101
FED. |.O.'#36-2229304
GSA GS-06F-0027L
UNIT 090
v
BUYER:JEFF COOPER
SF10004 MEDIUM TRUCK FIRSTAID KIT 49.81 EA 1 1 49.81
PAY THIS INVOICE BY
XC
E LUDING CREDIT CARDS
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE 610 BACK ORDERED CID CANCELLED 10
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 8/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2009 8368555 $56.68
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096282 WARRANT ALLOWED
S64612 IN SUM OF$
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
8368555 01- 7502 -06 $56.68
g3$I165 ol.7xt�2.o6 4Z.$b
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund