212216 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366455 Page 1 of 1
ONE CIVIC SQUARE GRACO PROCESSING CENTER
CARMEL, INDIANA 46032 CED CHANNEL MARKETING CHECK AMOUNT: $225.00
PO BOX 1441
CHECK NUMBER: 212216
MINNEAPOLIS MN 55440-1441
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4467099 26292 2684287 225 . 00 PUMP
W Alwa�/s TOLL FREE(800)328-0211
INVOICE 01 Order
FAX ORDERS:
PAGE 1 Genuine Contractor (800)334-6955
Graco IndustriaVAutomotive (877)34x6427
S Lubrification (800)533-9656
H IGRACO Parts International (612)623-6884
I CITY OF CARMEL www.graco.com DUNSNO.00-625-3223
P 3400 W 131ST STREET
PIERCY GRACO INC / PO BOX 1441
T CARMEL IN 46074 MINNEAPOLIS, MN USA 55440-1441
0 WHEN PAYING OR WRITING PLEASE REFER TO:
POUR TOUT PAIEMENT OU CORRESPONDANCE SE REFERER A:
(0 3 0 4 0 3 17) ACCOUNT NUMBER INVOICE•DATE INVOICE NUMBER;' ;
S NUMERO;DE COMPTE DATEDE FACTURATION- NUMERO DEFACTURE
O 2018245 08/08/2012 3684287
L CITY OF CARMEL % R:CUSTOME ORDER:NUMBER '.' DATE "
D
3400 W 13 1ST STREET N0 COMMANDE CLIENT , „ ,;? -; DATE
PIERCY 236588 08/08/2012
T CARMEL IN 46074
0 SEND PAYMENT TO:
(0 3 0 0 0 9 0 2) ADRESSEZ LE PAIEMENT A:
GRACO INC
SALES`RELEA$ENO DATE SHIPPED, `-- '. CARRIER NO 91835 COLLECTION CENTER DRIVE .,
NO.D'EXPEDITION.. DATED EXPEDITION NO.DE DOCUMENT DE TRANSPORT I L 6 0 6,913.
CHICAGO, %f
f 3.9-5--2-0.11 �_•0.8, 3-/2-0
_ ,.. :. --
`F.O.B
FREIGHT TERMS TERMS
TERME DE FRET.; CONDITIONS DE PAIEMENT
EX WAREHOUSE PREPAY, DO NOT ADD NET 30 DAYS
ROUTING/TRAN SPORT
:=.
UPS GROUND SIGNATURE REQUIRED
'PART NUMBER _ DESCRIPTION QUANTITY SHIPPED UNIT,PRICE DISC.'% AMOUNT
NO ARTICLE DESIGNATION > ovANnTeexPEDIE PRIX'UNITAIRE REMISE% TOTAL
SPECIAL INV
AID RRDOPX P.O. 2629 TAX EXEMPT 0031201550-020 . CITY OF
CA MEL. C T DEPT - BOYD PIERC PH 17-733-2001
3400 W 131 ST STREET CARME , IN 46074 . DIANA 13 . 8 . 2012
CARRIER TRACKING NUMBERS :
TRACK #: 1Z29W2834 1219920.
277069 KIT PUMP ,DISP, 390 1 225 . 00 225 . 00
SUBTOTAL 225 . 00
225 . 00 DUE & PAYABLE -BY SEPT 07 INVOICE TOTAL USD 225 . 00
THANK YOU FOR CHOOSING GRACO AS YOUR SUPPLIE
AUTHORIZATION TO RETURN MERCHANDISE MUST BE APPROVED BY THESE COMMODITIES, TECHNOLOGY OR SOFTWARE WERE "THIS TRANSACTION IS GOVERNED BY THE TERMS AND
MINNEAPOLIS OFFICES. ORDERS SUBJECT TO MINIMUM BILLINGS EXPORTED FROM THE UNITED STATES IN ACCORDANCE WITH THE
EXCLUSIVE OF ALL NON PRODUCT CHARGES.DISCOUNT DOES NOT EXPORT ADMINISTRATION REGULATIONS.DIVERSION CONTRARY TO CONDITIONS SET FORTH AT WWW.GRACO.COM/T&CS &
APPLY ON TRANSPORTATION, LABOR, BOXING, LOCAL STATE OR U.S.LAW IS PROHIBITED. THE DISTRIBUTOR AGREEMENT"
FEDERAL TAXES,IF ANY.
"WE CERTIFY THAT THE VALUE AND OTHER SPECIFICATIONS CONTAINED IN
CLAIMS MUST BE MADE WITHIN 15 DAYS FROM RECEIPT OF INVOICE. CES PRODUITS,TECHNOLOGIES OU LOGICIEL ONT ETE EXPORTES THIS INVOICE ARE TRUE AND CORRECT."
DES ETATS-UIS CONFORMEMENT AUX REGLEMENTS DE 'NOUS CERTIFIONS QUE LA VALEUR ET AUTRES CARACTERISTIQUES
L'ADMINISTRATION DE L'EXPORTATION. LA DEVIATION MENTIONNEES SUR CETTE SONT CERTFF ES CONFORMES.'
F244 08/01 CONTRAIREMENT A LA LOI A MERICAINE EST INTERDITE.
ORIGINAL GRACO BY-PAR
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))
08/08/12 3684287 $225.00
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.
ALLOWED 20
Graco Processing Center
CED Channel Marketing IN SUM OF $
P. O. Box 1441
Minneapolis, MN 55440-1441
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26292 I 3684287 1 2201-670.9 $225.00- 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
/ Thursd �, A 't 23, 2012
~7"
Street Commissioiq r.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund