211840 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
0 ONE CIVIC SQUARE LAWSON PRODUCTS, INC CHECK AMOUNT: $867.59
CARMEL, INDIANA 46032 PO BOX 809401
CHICAGO IL 60680-9401 CHECK NUMBER: 211840
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9300989952 867 . 59 OTHER EXPENSES
Lawson Products, Inc.
L 8770 West Mawr Ave., Suite 900, Chicago, IL 60631-3515
Products 866-LAWSON4U(866-529-7664) lawsonproducts.com
® Invoice
Federal ID 800496603 Invoice No. 9300989952
DUNS No. 00-543-8890
Invoice Date 07/25/2012
CITY OF CARMEL Sales Order No. 753880
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935 AOS Order No. YYWO82
Customer No. 10020692
PO No. S13175
CITY OF CARMEL Currency USD
9609 HAZEL DELL PKWY Sales Rep. RYAN WOLFE
JD INDIANAPOLIS IN 46280-2935
r
H Attention
Buyer
Cash Discount 8.70-
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 08/04/2012 you receive 1.000 %discount
Up to 08/24/2012 without deduction
Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T
10 97820 Flap Disc,4",Zirc,80 $15.23 1 EA $15.2300 2 $30.46
Grit
20 91010 1/4-20X1-1/2 Hex Cap $22.77 100 EA $0.2277 25 $5.69
Screw 18-8 Stainles
30 91012 1/4-20X2 Hex Cap Screw $0.29 1 EA $0.2900 25 $7.25
18-8 Stainless
40 91016 1/4-20X3 Hex Cap Screw $0.47 1 EA $0.4700 25 $11.75
18-8 Stainless
50 91025 5/16-18X1 Hex Cap Screw $27.20 100 EA $0.2720 25 $6.80
18-8 Stainless
60 91027 5/16X1-1/2 Hex Cap $0.34 1 EA $0.3400 25 $8.50
Screw
18-8 Stainless
Page 1 of 5
Lawson Products, Inc.
Lv� LAWSON 8770 West Bryn Mawr Ave., Suite 900, Chicago.IL 60631-3515
Products 866-LAWSON4U(866-529-7664) lawsonproducts.com
Invoice
PLEASE RETURN REMITTANCE STUB Sales Order No. 753880
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9300989952
Chicago IL 60680-9401
Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T
70 91029 5/16-18X2 Hex Cap Screw $0.42 1 EA $0.4200 25 $10.50
18-8 Stainless
80 91061 1/2-13X2 Hex Cap Screw $1.14 1 EA $1.1400 10 $11.40
18-8 Stainless
90 91063 1/2-13X2-1/2 Hex Cap $1.38 1 EA $1.3800 10 $13.80
Screw 18-8 Stainles
100 91065 1/2-13X3 Hex Cap Screw $1.67 1 EA $1.6700 10 $16.70
18-8 Stainless
110 91074 5/8-11X1-1/2 Hex Cap $1.69 1 EA $1.6900 10 $16.90
Screw 18-8 Stainles
120 91078 5/8-11X2-1/2 Hex Cap $2.42 1 EA $2.4200 10 $24.20
Screw 18-8 Stainles
Page 2 of 5
Products Lawson Products, Inc.
Lm� [AWSON _ 8770 West Bryn Mawr Ave., Suite 900, Chicago, IL 60631-3515
866-LAWSON4U(866-529-7664) lawsonproducts.com
Invoice
PLEASE RETURN REMITTANCE STUB Sales Order No. 753880
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9300989952
Chicago IL 60680-9401
Line Item No. Description Price Per Price Per Unit Oty.Shipped Amount T
130 80927 1/4-20 Top Lock Nut $9.62 100 EA $0.0962 100 $9.62
Grade C Cadmium
140 80929 3/8-16 Top Lock Nut $14.62 100 EA $0.1462 100 $14.62
--- - - - - Grade.C-Cadmium -- -- -- - —
150 88451 5/8 Thru-Hardened Steel $0.47 1 EA $0.4700 50 $23.50
Flat Washer USS
160 88452 3/4 Thru-Hardened Steel $0.66 1 EA $0.6600 50 $33.00
Flat Washer USS
170 53363 Dove Gray Maintenance $6.00 1 EA $6.0000 6 $36.00
Paint HSP
180 98761 Gloss Black Maintenance $6.00 1 EA $6.0000 6 $36.00
Paint HSP
190 64008M12 Cut-Off Wheel,4-1/2" $4.64 1 EA $4.6400 24 $111.36
Dia,A/O,T e 1
Page 3 of 5
Lawson Products,Inc.
Products 8770 West Bryn Maw.Ave., Suite 900, Chicago, IL 60631-35115 LAWSON 866-LAWSON4U(866-529-7664) lawsonproducts.com
Ll� � v®Icle
PLEASE RETURN REMITTANCE STUB Sales Order No. 753880
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9300989952
Chicago IL 60680-9401
Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T
200 SF10751M01 Blk Lightning Nitrile $158.42 1 EA $158.4200 1 $158.42
Glvs, 1Case,XL
220 SF10752M01 Blk Lightning Nitrile $158.42 1 EA $158.4200 1 $158.42
Glvs, 1Case,2XL
240 FA68406 5/8-11 Hex Nut Grade 8 $0.40 1 EA $0.4000 25 $10.00
Yellow Zinc
250 FA68038 3/8-16X2-1/2 Hex Cap $0.29 1 EA $0.2900 50 $14.50
Screw Grade 8
260 FA68100 5/8-11X2-1/2 Hex Cap $0.87 1 EA $0.8700 25 $21.75
Screw Grade 8
270 FA68094 5/8-11X1 Hex Cap Screw $0.51 1 EA $0.5100 25 $12.75
Grade 8
Page 4 of 5
Lawson Products, Inc.
8770 West Bryn Mawr Ave., Suite 900, Chicago, IL 60631-35 1 5
L Products 866-LAWSON4U(866-529-7664) lawsonproducts.com
® I�1V®ICVOW-
PLEASE RETURN REMITTANCE STUB Sales Order No. 753880
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9300989952
Chicago IL 60680-9401
Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T
280 FA68115 3/4-10X2 Hex Cap Screw $1.10 1 EA $1.1000 25 $27.50
Grade 8
290 FA68121 3/4-10X3-1/2 Hex Cap $1.70 1 EA $1.7000 10 $17.00
- -- -—--- ---Screw Grade_8 -- --- - — - -
300 FA68123 3/4-10X4 Hex Cap Screw $1.92 1 EA $1.9200 10 $19.20
Grade 8
Total Before Tax and Freight $867.59
Total Freight
Total Tax
VOUCHER # 125454 WARRANT # ALLOWED
354612 IN SUM OF $
LAWSON
PO Box 809401
Chicago, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
PzA
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9300989952 01-7202-06 $867.59
Voucher Total $867.59
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
354612
LAWSON Purchase Order No.
PO Box 809401 Terms
Chicago, IL 60680 Due Date 8/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/2/2012 9300989952 $867.59
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance with ICp 5-11-10-1.6
Date Officer