HomeMy WebLinkAbout178764 10/28/2009 a CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 2689 PAYSPHERE CIRCLE CHECK AMOUNT: $135.83
'.r. CHICAGO IL 60674
CHECK NUMBER: 178764
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 872860 135.83 SMALL TOOLS MINOR E
.J
ORIGINAL INVOICE
C m� DLAWSON P d"�+
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CARMEL STREET DEPT
om,PEu ACAOUNTou VOICE
TO' ��OO W l�l5T ST O� 4U g CARMEL ODl
AE3TF|ELD IN 46074
CARM[L
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m. 3400 W 1313T ST
WE5TF|[LD IN 46074
DUNS NO' 00 0101
FED. I.D. #36
GSA #ma—oVp—nuorL
CUSTOMER ORDER NO.IBUYERS NAME 1AIES: AGENT
91 PP 00.
DA 6152 AERO NUTBLTLSNR OPEN SHUT 10-55 EA 12 12 126.6o
FRT. CHRGS. 9.23
COUNT IF YOU SALES OR USE TAX OTHER
ASH
PAY THIS INVOICE BY
ISM= EXCLUDING CREDIT CARDS
TERMS: 1% TEN DAYS NET 30 DAYS
NIC NO CHARGE BID BACK ORDERED C/O CANCELLED 1 1 r, A !z
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/19/09 872860 $135.83
1 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
20
Clerk- Treasurer
VOUCHER N WARRA NO.
ALLOWED 20
Lawson Products
IN SUM OF
2689 Paysphere Circle
Chicago, IL 60674
$135.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 872860 42- 380.00 $135.83 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thuos ay, ber 22, 2009
AV
Street Commissioner
C= `r:an} r^mfAcinrcr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund