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181424 01/13/2010 /.1- CITY OF CARMEL, INDIANA VENDOR: 00350646 Page 1 of 1 t ONE CIVIC SQUARE UNITED STATES PLASTIC CORP i i CHECK AMOUNT: $85.23 ls CARMEL, INDIANA 46032 1300 NEUBRECHT ROAD LIMA OH 45801 -3196 CHECK NUMBER: 181424 CHECK DATE: 1 /1 312 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2535246 85.23 MATERIALS SUPPLIES 4 rg D. U n fted States PO 1st c Corp INVOICE NO. INVOICE DATE y� www.usplastic.com www.usphome.com 2535246 December 16, 2009 Email: usp @usplastic.com PHONE 419- 228 -2242 Technical Service CUSTOMER NO. YOUR P.O. NO. 1390 NEUBRECHT RD 800- 537 -9724 800 821 -0349 135874 JEFF COOPER LIMA OH 45801-3196, U.S.A. FAX 419 -228 -5034 Customer Service 800 854 -5498 800 -769 -1157 BILL ATTENTION ACCOUNTS PAYABLE SHIP ORDER CONTACT JEFF COOPER TO CARMEL UTILITIES TO CITY OF CARMEL 760 3RD AVE SW STE 110 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS IN 46280 TO INSURE PROPER CREDIT PLEASE RETURN BOTTOM PORTION WITH YOUR CHECK. INTERNET ORDER NO. OUR ORDER NO. ORDER DATE YOUR PHONE NO. YOUR FAX NO. TERMS PHONE ORDER 2535246 12/15/09 317-571-2634 317 571 -2636 NET DA SHIPPED VIA SALESMAN MISCELLANEOUS INFORMATION UPS GROUND PREPAY ADD 28SAM ITEM NO. QTY. SHIPPED QTY ITEM DESCRIPTION ITEM PRICE DISC DISCOUNTED PRICE EXTENDED U/M ITEM PRICE U/M PRICE 66157 1 CS 1/2 GAL LIGHTWEIGHT JUG W /CAP CASE /108 65.77 CS 65.77 TRACKING INFORMATION 1Z- 468 340 -03- 3359 -5601 THANK YOU FOR YOUR ORDER. WE APPRECIATE YOUR BUSINESS. SINCERELY, WESLEY A. LYTLE PRESIDENT FUNDS ARE TO IBE FADED DPI UIN 0T[ED STATES DOLLARS TH TOTAL DISCOUNT AFTER DI DISCOUNT AMOUNT ITEM DISCOUNT SPECIAL CHARGE STATE TAX FREIGHT /POSTAGE PLEASE 11 Y BEFORE SCOU THIS AMOUNT 65.77 .00 65.77 .00 .00 19.46 85.23 UNDER OUR TERMS YOUR ACCOUNT IS PAYABLE WITHIN 30 DAYS FOLLOWING DATE OF INVOKE. IN THE EVENT OF ANY LATE PAYMENT A FINANCE CHARGE COMPUTED AT THE RATE OF 1 /a% PER MONTH, WHICH CORRESPONDS TO AN ANNUAL PERCENTAGE RATE OF 18% APPLIES ON THE UNPAID BALANCE. VOUCHER 097016 WARRANT ALLOWED 350646 IN SUM OF UNITED STATES PLASTIC CORP 1390 NEUBRECHT ROAD LIMA, OH 45801 -3196 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2535246 01- 7202 -05 $85.23 Voucher Total $85.23 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 350646 UNITED STATES PLASTIC CORP Purchase Order No. 1390 NEUBRECHT ROAD Terms LIMA, OH 45801 -3196 Due Date 12/22/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/22/2005 2535246 $85.23 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 Date Officer