217233 02/13/2013 ., CITY OF CARMEL, INDIANA VENDOR: 00353209 Page 1 of 1
` ONE CIVIC SQUARE LAWSON PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 809401 CHECK AMOUNT: $140.07
CHICAGO IL 60680-9401 CHECK NUMBER: 217233
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238000 9301393897 140 . 07 SMALL TOOLS & MINOR E
Lawson Products,Inc.
8770 Wes:Bryn Mawr Ave., Suite 900, Chicago, 60631-3515
LAWSON Products
866-LAWSON4U(866-529-7664) lawsonp roductsducts.com
® Invoice
Federal ID 800496603 Invoice No. 9301393897
DUNS No. 00-543-8890 Invoice Date 01/24/2013
CARMEL FIRE DEPT Sales Order No. 1100635
2 CIVIC SO
CARMEL IN 46032 AOS Order No. UM5478
Customer No. 10177555
PO No. STOCK-JASON
Currency USD
CARMEL FIRE DEPT
2 CIVIC SO Sales Rep. Mr CHRISTOPHER ORR
r
CARMEL IN 46032
w Attention
Buyer
Cash Discount 1.29-
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 02/03/2013 you receive 1.000 %discount
Up to 02/23/2013 without deduction
Line Item No. Description Price Per Price Per Unit Oty.Shipped Amount T
10 51671 #10-24 Large Flange $0.54 1 EA $0.5400 50 $27.00
Insert DiamonD Grip
20 51673 1/4-20 Large Flange $0.70 1 EA $0.7000 50 $35.00
Insert DiamonD Grip
30 51677 3/8-16 Large Flange $1.26 1 EA $1.2600 25 $31.50
Insert DiamonD Grip
40 93429 5/16-18 Nutsert $34.58 1 EA $34.5800 1 $34.58
Conversion Kit
Page 1 of 2
Lawson Products,Inc.
LAlA/S0111 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. 1100635
WITH YOUR PAYMENT
P.O.BOX 809401 Invoice No. 9301393897
Chicago IL 60680-9401
Line Item No. Description Price Per Price Per Unit Qty.Shipped Amount T
Total Before Tax and Freight $128.08
Total Freight $11.99_
Total Tax -
Drescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
9301393897 $140.07
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
Lawson Products
IN SUM OF $
PO Box 809401
Chicago, IL 60680-9401
$140.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT
Board Members
1120 I 9301393897 I 42-380.00 I $140.07 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
FEB 1 1 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund