209601 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 809401 CHECK AMOUNT: $149.37
CHICAGO IL 60680 -9401 CHECK NUMBER: 209601
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 9300853156 149.37 GARAGE MOTOR SUPPIE
Am 'Amkk 111111121111
1666 East Touhy Avenue, Des Plaines, IL 60018
We LAWSON Products 866- LAWSON4U(866 -529 -7664) lawsonproducts.com
Invoice
Federal ID 800496603 Invoice No. 9300853156
DUNS No. 00- 543 -8890
Invoice Date 05/22/2012
CARMEL STREET DEPT Sales Order No. 627278
3400 W 131 ST ST
WESTFIELD IN 46074 -8267 AOS Order No. MRJ900
Customer No. 10026002
PO No. JIM BENTLEY
CARMEL STREET DEPT Currency USD
3400 W 131 ST ST Sales Rep. RYAN WOLFE
r WESTFIELD IN 46074 -8267
iP Attention
Buyer JIM BENTLEY
Cash Discount 1.37-
PLEASE RETURN REMITTANCE STUB Incoterm FOB Free on board
WITH YOUR PAYMENT Term of Payment 10 days 1% Discount, Net 30
P.O.BOX 809401
Chicago IL 60680 -9401 Up to 06/01/2012 you receive 1.000 discount
Up to 06/21/2012 without deduction
Line Item No. Description Price Per Price Per Unit Oty.Shipped Amount T
10 DA6152 Aerosol Nut Bolt Open $11.42 1 EA $11.4200 12 $137.04
Shut
Page 1 of 2
06/04/2012 13:59 3177332005 CARMEL STREET DEPT PAGE 02/02
1666 East Touhy Avenue, Des Plaines, IL 5W1
866- LAWSON4U(866- 529 -7664) lawsonproducts.com
UWSON Products
Invoice
PLEASE RETURN REMITTANCE STUB Sales Order No. 627278
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9300853156
Chicago IL 60680 -9401
Line Item No. Description Price Per Price Per Unit QtyShipped Amount T
Total Before Tax and Freight $137.04
Total Freight $12.33
Total Tax
Total $149.37
T Detach and Return Lower Portlon'r
Bill To Customer No Invoice No. Total Amount Due AMOUNT PAID:
CARMEL STREET 10026002 9300853156 149.37 USD
To ensure proper service, please return this portlon with your payment
We Acce t
Remlt To:
P.0.e0X 809401
Chicago IL 60680 -9401 To pay by credit card, call 1- 800 821 -7660 (option 3)
age 2 of 2 9300853156500000149371 THANK YOU FOR YOUR BUSINESS
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))
05/22/12 9300853156 $149.37
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 O. WARRANT NO.
ALLOWED 20
Lawson Products
IN SUM OF
P.O. Box 809401
Chicago, IL 60680 -9401
$149.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 9300853156 I 42- 321.001 $149.37 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
Frida��une 01, 2012
tt
Street Commissioner
V
vu cGl lrVl
1 tle 1!SS!0ner
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund