221909 07/17/2013 ±.F CITY OF CARMEL, INDIANA VENDOR: 00350716 Page 1 of 1
ONE CIVIC SQUARE BRUSKE PRODUCTS CHECK AMOUNT: $296.98
�.+ CARMEL, INDIANA 46032 Po Box 669
7447 DUVAN DR CHECK NUMBER: 221909
TINLEY PARK IL 60477-0669
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 839032 296 . 98 OTHER EXPENSES
Telephone 708/532-3800
FAX 1-800-821-0411
ORIGINAL INVOICE
Duns No.05-945-8653 639,.)3? 1
INVOICE DAt
VENDOR NO:
07/(',-1/13
BRUSKe PRODUCTS J
D I V I S I O N OF B R U S K e e In T e R P R I s e s, I In c.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL. 60477-0669 N E T 30 Dl�Ys
SOLD TO: SHIPPED TO:
CAR'i,iELIWASTETWATER- TREAT.,'IENT. CARMEL' WASTETVIATEP TREATMENT
9609 HA EL DELL PARKWAY . 9509 HAZEL DELL PARKWAY
' 8r 1,
INDIANAPOLIS., - IN 462 U INDIANAPOLIS, IN 462SL
ATTN LILA INE MALLASE R
PURCHASE ORD.140. T-,�111111 •
857034 07/01113 052696 SK )65
1 13631 U l-1 S PREPAY & ADD
°E TY OTY.
D SHIPPED QTY.B.O. ITEM NO. /DESCRIPTION UNIT PRICE EXTENDED PRICE DISCOUNT NET PRICE
2 9127 . 3 .40 % 6. 80
TUBE BRUSH
QALf3/4"EYE.,1 �4GA . ,G3LV.,'1 3RSTL
2 2, 9123 7 .601 15. 20
TUBE 3RUSH-1 -7/3` 1 f5*, BRUSH*
PART OAL; HO HAIR SRSTL:.
0'11 33. 00 33.00
KNOB Y BLOCK
WHITE S
fP
2 49330 79. 20 7 9.20'
30" . CURVED ' F
COMPL.4�_-'T,E WITH, H FR
2 2 49324 3 70.40 70.40
24" CURVED FLOOR SI)UE W
COMPLETE. WIT' HANDLE HOLDER
PLEASE PAY FROM THIS INVOICE.NO STATEMENT WILL BE SENT.SHOW INVOICE NUMBER ON REMITTANCE. all
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 iincompliance with all applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards
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.
Telephone 708/532-3800 INVOICE •
' - FAX 1-800-821-0411 ORIGINAL INVOICE
t�f�C Duns No.05-945-8653 883903 2 2
INVOICE
VENDOR NO:
07/01 /13
BRUSKe PR®DUCTS
D I V I S I O N O F B R U 5 K e e f1 T R P R 15e S, I II C.
P.O. BOX 669 7447 DUVAN DR. TINLEY PARK, IL.60477-0669 j1) T 3 DAYS
SOLD TO: SHIPPED TO:
CARMEL. WASTETWATER TREATMENT CARMEL. WASTETWATER TREATMENT
9609 HAZEL. DELL PAR<WAY 9509 HAZEL DELL PARKWAY
INDIANAPOLIS. IN 46230 INDIANAPOLIS IN 4,5280
ATTN: 8LAINE MALLABER
857034 07/�J1 /13 OS2b9s St 36=5 136:1 UPS PREPAY & ADD
ORDERED _ SNAPPED. OTY_B.O.__ITEM NO. /DESCRIPTION —__UNIT PRICE -EXTENDED PRICE_ DISCOUNT _ NET PRICE
4 4 6021 , 5 .90 23.60 % 23.60
60"X1 -1 /8". W70D ERICTIiA`� Hi7L
2 2 1 -920-1 13.75 27. 50 X 27. 50
PIPE DUSTER REFILL
2' 2 1-920-5 12. 70 25 . 40 25.40
PIPE D ER FRAME T4
54"4 W t?LE .
O
o�
rll +
PLEASE PAY FROM THIS INVOICE.NO STATEMENT WILL BE SENT.SHOW INVOICE NUMBER ON REMITTANCE. • 28 1 •10
INTEREST OF 2%PER MONTH(24%PER ANNUM)WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE. . 00
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 1 5 '
Act,as amended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. 0
OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY.ALL CLAIMS FOR Ot
DAMAGES,DELAYS,OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. 296.98
POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER.
VOUCHER # 135953 WARRANT # ALLOWED
350716 IN SUM OF $
BRUSKE PRODUCTS
PO BOX 669
7447 DUVAN DR
TINLEY PARK, IL 60477-0669
Carmel Wastewater Utility
i
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
839032 01-7202-05 $296.98
1
Voucher Total $296.98
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 7/9/2013
TINLEY PARK, IL 60477-0669
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2013 839032 $296.98
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 5-1'I-10-1.6
Date Officer