210286 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350716 Page 1 of 1
s4� ONE CIVIC SQUARE BRUSKE PRODUCTS CHECK AMOUNT: $418.49
CARMEL, INDIANA 46032 PO Box 669
7447 DUVAN DR CHECK NUMBER: 210286
TINLEY PARK IL 60477 -0669
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 821629 265.43 OTHER EXPENSES
651 5023990 821778 153.06 OTHER EXPENSES
Telephone 708/532 -380d INV OICE
FAX 1 -800- 821 -0411 ORIGINAL INVOICE
Duns No. 05- 945 -8653 8 2 1 6 29
INV OICE DA TE
VENDOR NO: 06 /1 5/1
BRUSKe PRODUCTS
DIVISION OF BRUSK.e enTeRPRISeS, III C.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL. 60477 -0669 F V
SOLD TO: SHIPPED TO:
CARMEL`WASTETWATER. T CARi4'EL 'WASTETWATER`TREATiiiENT:
9609 HAZEL DELL "PARKWAY` 9609, HA7EL,�.OE:LL; PARKWAY.
INDIANAPOLIS JN 46280° INDIANAPOLIS -IN 46280
ATTN—.. _JEFF C.00P k"
83'9984i 06/14/12 '052696, 131 065: 13131:: UPS PREPAY. ADD
ORD ERED SHIPPED CITY. B.O. ITEM NO. /DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
4 4 39358 9.00 3.6 00 36.00
1 81 PLASTIC.DUST PNN.
oUmgo YARD 'PANS)
3 3 4530'. 116004 33.0€
KNOB SC.RU�3 20 POL, LOCK
WHITE ON. �RIST
2, 2. 9136_;0 3-. 00 .1600+0 16. !JO
COe31d WZVEL AI APT;R:
(ORDER <T RATE!LY).
2 2., 9135 2.90 5080 5081
SWIVEL= ANGLE
4"
.4 -4924= 6.70 26.80. 26.80
SURGICAL' .HA SCRiJ N
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE.
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE.
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7 and 12 of the Fair Labor Standards' FREIGHT
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY.
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER. 0 e M
WOW r
Telephone .708/532-3800
FAX 1- 800 821 -0411 ORIGINAL INVOICE
Duns No. 05- 945 -8653 1
VENDOR NO:.
BRUSKe PRODUCTS �fiia� /zz.
D I V I S L O N O F B R U S K e e I1 T R P R I Se S, I f1 C.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL. 60477 -0669 DAYS
SOLD TO: SHIPPED TO:
CARM L�'WASTET�3ATER 'k T ATMCENT CAt2i �L' WASTETWATE4. T.KE.ATMENT
9609 HAZEL. *ELL PARKWAY: y•5 J9 HAZEL- DELL PARKWAY"
INDIANAPOLIS' '•IN, 0` INDIANAPOLIS IN '46,V
JEFF COOPER
839934 06/14/12, 0526961 K .365.1 131.31_: UPS: PRE.PAY ar;..^DD
ORDERED RED S IH P ED QTY. B.O. ITEM NO: /DESCRIPTION UNIT PRICE EXTENDED'PRICE DISCOUNT NET PRICE
12 0 12 4741: 2 -00 .001
FINE BRASS. WELD• aRS "3RUS
'WITH' PLASTIC HAS�DLE.v
4 4 561 14;60` 58o4d' t ;58.40°
ORANGEW UNFLAGOGE D -:S M W 011`:
WOOD H LEI
2 2' 2138 25.10' 5 0; 3
35" USH. W /SRACL
8 P rr�� y J tt
V�31 3..00 1 6) 0 7 1 6a OD
60" x'1. 1I3' f04D
HANDLE' FOR: PL.AS
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE. 0 1111 242.20
INTEREST OF 2% PER MONTH (24 PER ANNUM) WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE: UU
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7 and 12 of the Fair Labor Standards 23
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR r
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. 2f, 5 s i 3
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
Telephoner708 /532 -3800
FAX 17800 821 -0411 ORIGINAL INVOICE
Duns No. 05- 945.8653
821778
1
INVOICE DATE
VENDOR NO:
BRUSKe B R PRO®UCTS':: 06i
DIVISION OF •RUSKe enTePRISeS,' IhC.'
P.O. BOX 669' 7447 DUVAN DR. TINLEY PARK, IL. 60477 -0669
iBT. 30 DA's =S'
SOLD TO: SHIPPED TO:
CARM L'WASTETWAT R_TI"% CAF2;t�L: W4$T EAT#fc�NT
M pg Z�AZI L ,�DtLL tP. ARKWAY 9609 HAZEL. DELL PA AY.
i'�13iAs�• i?L S� °T .,�r i� INDIANAPOUSo 40'26
;ATTN 2FIF Ca0PER
'PURCHASE SHIP VIA o
8 06/1 i S a S13 I I 1:311�_ U PS. PtR;m "�Ay 't AD
ORDERED s Q ED- Q TY B.C. ITEM NO. DESCRIPTION. _UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
2 2 9 68.11: '#36x.22 15�a22
BLACK'
PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE.. 4
a., r
INTEREST OF 2% PER MONTH (24% PER ANNUM) WILL BE CHARGED AFTER DAYS FROM INVOICE DATE. i "f7
If this invoice is placed for collection, customer agrees to pay all costs thereof, including reasonable attorney's fees.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, Tand 12 of the Fair Labor Standards 16 84
Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY. ALL CLAIMS FOR or
DAMAGES, DELAYS, OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. 11 s 6
.POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
VOUCHER 125184 WARRANT ALLOWED
350716 IN SUM OF
BRUSKE PRODUCTS
PO BOX 669
7447 DUVAN DR
TINLEY PARK; IL 60477 -0669
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
821629 01- 7202 -05 $265.43
Voucher Total $26
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
350716
BRUSKE PRODUCTS Purchase Order No.
PO BOX 669 Terms
7447 DUVAN DR Due Date 6/26/2012
TINLEY PARK, IL 60477 -0669
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2012 821629 $265.43
I 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
�)z,9Iv
Date Officer