209062 05/22/2012 \sf CITY OF CARMEL, INDIANA VENDOR: 354024 Page 1 of 1
ONE CIVIC SQUARE BEN MEADOWS COMPANY
CARMEL, INDIANA 46032 ACCT 6260162 CHECK AMOUNT: $248.92
PO BOX 5275 CHECK NUMBER: 209062
JANESVILLE WI 53547 -5275
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 1018845688 248.92 STORM WATER PHASE II
Neville, Katie
From: Fernandez, Rachel
Sent: Friday, May 18, 2012 10:59 AM
To: Neville, Katie
Subject: FW: Your Invoice from Ben Meadows
Hi Katie,
Here is the Ben Meadows invoice for supplies that John asked me to purchase online.
Thanks,
Rachel
From: Ben Meadows [mailto:benmeadows @cs.benmeadows.com]
Sent: Friday, May 18, 2012 9:11 AM
To: Fernandez, Rachel
Subject: Your Invoice from Ben Meadows
Your Invoice from Ben Meadows
A c 1 -800- 241 -6401
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When the Outdoors is Your Office
e a a a o_ e e
INVOICE FOR ORDER NUMBER SC09603275
Paying by check or money order is easy when you print your invoice remittance here.
Thank you for your order! Below you'll find details regarding your recent purchase. In accordance with
your preferences you will not receive a paper copy of this notification. If you have any questions
or need help regarding any of the information contained in this invoice please send an email to
invoice()benmeadows.com and we will respond within 24 hours. Or you can call us, toll -free, at 1 -800-
241 -6401 anytime.
Order P.O. Number Sold To Invoice Invoice Date Due Date
SC09603275 FERNANDEZ05162012 5208827 1018845688 5/17/2012 6/16/2012
Buyer Carrier Freight Terms Ship Date Payment Terms
FERNANDEZ,RACHEL UPSGNDHAZ LOCKED 5/16/2012 Net 30
Billing Information Shipping Information
CITY OF CARMEL CITY OF CARMEL
ATTN: ENGINEERING DEPT. ATTN: ENGINEERING DEPT.
1 CIVIC SQ 1 CIVIC SQ
CARMEL IN 46032 -2584 CARMEL IN 46032 -2584
Order Details
Item 18582 Unit Amount: $108.00
SMPLNG POLE SLUDGE JUDGE 15 FT
Unit of Measure: EA Amount: $108.00 i
Back Ordered: 0 1 Shipped: 1
Item 28970 Unit Amount: $42.40
EXT SLUDGE JUDGE 5 FT L 15 OZ
Unit of Measure: EA Amount: $42.40
i
4 Back Ordered: 0 Shipped: 1
I
Item 18583 Unit Amount: $41.90
SMPLNG POLE CASE SLUDGE JUDGE
I
Unit of Measure: EA Amount: $41.90
t
Back Ordered: 0 Shipped: 1
Item 226495 Unit Amount: $25.80 t
COLWS BRUSH 6 FT L NASCO
Unit of Measure: EA Amount: $25.80
Back Ordered: 0 1 Shipped: 1 1
a
Item 113357 Unit Amount: $18.70
COLWS CLNNG STRIPS 3X12 NASCO
i
I
Unit of Measure: PK Amount: $18.70
k
Back Ordered: 0 Shipped: 1
j Subtotal: $236.80
Freight: $12.12
Taxes: $0.00
Total Amount Due by 6/16/2012: $248.92
On Just enter Promo
your befo 1
Next
WO Discount good for online orders only and cannot be combined with other offers.
Custom products or existing orders do not qualify. Offer ends May. 31, 2012.
Promotional offers and discounts do not apply to Garmin0 products, NITESTARO
Distance Measuring Instruments or the Spiegel Relaskop0 Tool.
These items are sold for domestic consumption in the United States. If exported, purchaser assumes full
responsibility for compliance with US export controls.
After 90 days from invoice date, GHC Specialty Brands, LLC will not be responsible to show proof of
delivery.
TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE
COMMON CARRIER. NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN
CONSENT. ALL CLAIMS MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES
2
SUBJECT TO CHANGE WITHOUT NOTICE. PRICES PREVAILING ON TIME OF DELIVERY, THE GOODS
COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH THE REQUIREMENTS OF THE
FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED.
THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION
CONTRARY TO THE UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY
AND WITHOUT RESERVATION AGREES THAT GHC SPECIALTY BRANDS, LLC IS ENTITLED TO
ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS OF THE STATE OF ILLINOIS
AND IN AN ILLINOIS FORUM.
Manage Invoice Preferences I Privacy Policy I Frequently Asked Questions
Ben Meadows® 1 401 S. Wright Rd. I PO Box 1368 1 Janesville, WI 53547 -1368
USA Tel: 800 241 -6401 1 FAX: 800 628 -2068
FEI 39- 1726218 1 Invoice Questions: 608 757 -4739
2012 GHC Specialty Brands, LLC
3
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
Ben Meadows Purchase Order No.
401 S. Wright Rd. POB 1368 Terms
Janesville, WI 53547 -1368 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
5/17/2012 1018845688 Stormwater Testing supplies 248.92
r
J
Total 248.92
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 NO WARRANT NO.
Ben Meadows ALLOWED 20
401 S. Wright Rd. POB 1368 IN SUM OF
Janesville, WI 53547 -1368
248.92
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 1018845688 211-4462833 248.92 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
C ic 7Z&'�C� 5/21/2012
7 �w
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund