168574 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354612 Page 1 of 1
ONE CIVIC SQUARE LAWSON FLOORING CHECK AMOUNT: $606.47
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 168574
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMB I NVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7710326 606.47 MATERIALS SUPPLIES
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ORIGINAL INVOICE
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CITY OF CARMEL
omp,Eo AC NO. INVOICE NO. ICE DATE
TO: WATER—WASTEWATER O2B7 y 92487 7710326 0112 CARMEL OOl
9603 HAZEL DELL PKWY
INDIANAPOLIS IN 4628U
RN
CITY OF CARMEL
:»m
m. WATER—WASTEWATER
760 3RD AVE 3W STE llO
CARMEL IN 46032 DUNS NU. 00-543-88gU O101
FED' I.D. #36
GSA GS-06F-0027L
CUSTOMER ORDER NO./BUYERS NAME 40"1
Buyer: JEFF COOPER
82943 NYLON INSUL SP SPID TERM 27-73 C 100 100 27-73
82944 NYLON INSUL SP SPD TERM 32.8o c 100 100 32.8o
FA 5113 SL,PH,TX DRIVER SET 33.41 EA 2 2 66.82
FA65102 GRADE 5 HEX HD C/S .66 EA 50 50 33-00
FA95683 GRADE 5 HEX NUT 20.89 c 50 50 10.45
LP 93 SPRING—LOCK PIN ASST 79.99 EA 1 1 79-99
LP 190 AUTOMOTIVE TERMNAL ASST 63.99 EA 1 1 63-99
LP 4o8 WIRE CONNCTR ASST 79.99 EA 1 1 79-99
LP 479 SAW BLADE ASSORTMENT 79.99 EA 1 1 79-99
FRT. CHRGS. 36.12
CASH DISCOUNT IF YOU
SALES OR USE TAX OTHER
PAY THIS INVOICE B
TERMS: 1% TEN DAYS NET 30 DAYS
NtC NO CHARGE B/O BACK ORDERED C/O CANCELLED Co6.47
Prescribed by State Board of Accounts city corm No. Zu1 (Kev iya5)
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 1/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2009 7710326 $606.47
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 ffi r
/OJCHER 087211 V^JARRANT ALLOWED
154r012 IN SUM OF
-AWSON FLOORING
1 689 Paysphere Circle
;hicago, IL 60674
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'0 INV ACCT AMOUNT Audit Trail Code
7710326 01- 7202 -06 $503.53
7710326 01- 720T -06 $66.82
7710326 01- 7202 -06 $36.12
f
l�
Voucher Total $606.47
-ost distribution ledger classification if
;laim paid under vehicle highway fund