HomeMy WebLinkAbout169511 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
0 ONE CIVIC SQUARE LAWSON FLOORING CHECK AMOUNT: $112.95
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE
r CHICAGO IL 60674 CHECK NUMBER: 169511
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7779085 112.95 OTHER EXPENSES
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ORIGINAL INVOICE
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CITY OF CARMEL
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TO: WATER—WASTEWATER 02 �U g CARMEL 001
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
CITY OF CARMEL
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m. WATER—WASTEWATER
760 3RD AVE SW STE 110
CARMEL IN 4 6 0 32 DUNS NU' 00-543-88gO O101
FED, I.D. #36
GSA GS-06F-0027L
:CARRIER CUSTOMER ORDER NO.IBUYERS NAME
JOE FAUCETT
DD 1142 TROWEL CEMENT 5.93 EA 1 1 5.93
FRT. CHRGS. 21-57
SALES OR USE TAX OTHER
PAY T INVOICE BY
TERMS: 1% TEN DAYS NET 30 DAYS
I HIC NO CHARGE BID BACK ORDERED CID CANCELLED 1
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 2/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/2009 7779085 $112.95
1)
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
VCYUCHER 095130 WARRANT ALLOWED
354612 IN SUM OF
LAWSON FLOORING
2689 Paysphere Circle
Chicago, IL 60674
Carmel Wastewater Utility
1v
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7779085 01- 7202 -06 $112.95
Voucher Total $112.95
Cost distribution ledger classification if
claim paid under vehicle highway fund