Loading...
215358 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1 0 ONE CIVIC SQUARE LAWSON PRODUCTS, INC CARMEL, INDIANA 46032 PO BOX 809401 CHECK AMOUNT: $494.28 CHICAGO IL 60680-9401 CHECK NUMBER: 215358 CHECK DATE: 12/1112012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9301282874 494 .28 OTHER EXPENSES Lawson Products, Inc. ® Products 8770 West Bryn Mawr Ave., Suite 900, Chicago,IL 60631-3515 �®® Lm © 866-LAWSON4U(866-529-7664) lawsonproducts.com Oic Federal ID 800496603 Invoice No. 9301282874 DUNS No. 00-543-8890 Invoice Date 12/03/2012 CITY OF CARMEL Sales Order No. 1008037 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 ADS Order No. YYJ245 Customer No. 10020692 PO No. S13410 CITY OF CARMEL Currency USD 9609 HAZEL`JELL PKWY Sales Rep. Ms JOYCE BERRY INDIANAPOLIS IN 46280-2935 Li Attention Buyer Cash Discount 4.95- 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 12/13/2012 you receive 1.000 %discount Up to 01/02/2013 without deduction Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T 10 SF10750M01 Blk Lightning Nitrile $164.76 1 EA $164.7600 1 $164.76 Glvs, 1 Case,Lrg 30 SF10751M01 Blk Lightning Nitrile $164.76 1 EA $164.7600 1 $164.76 Glvs, 1 Case,XL 50 SF10752M01 Blk Lightning Nitrile $164.76 1 EA $164.7600 1 $164.76 Glvs, 1Case,2XL - ..-_........................ .......- Page 1 of 2 �@�®�+ Lawson Products, Inc. i���1 Products 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. 1008037 WITH YOUR PAYMENT P.O.BOX 809401 Invoice No. 9301282874 Chicago IL 60680-9401 Line Item No. Description Price Per Price Per Unit Oty.Shipped Amount T Total Before Tax and Freight $494.28 Total Freight Total Tax VOUCHER # 126295 WARRANT # ALLOWED 354612 IN SUM OF $ LAWSON PO Box 809401 Chicago, IL 60680 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9301282874 01-7202-06 $494.28 i Voucher Total $494.28 , 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 12/7/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/7/2012 9301282874 $494.28 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 i 2��//L Vim'' ^a Date Officer