185246 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 362517 Page 1 of 1
s ONE CIVIC SQUARE FLEX -PAC INC CHECK AMOUNT: $1,063.73
CARMEL, INDIANA 46032 PO BOX 623000
w oN ,�o INDIANAPOLIS IN 46262 CHECK NUMBER: 185246
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12124 I052656 1,063.73 GUSSET
FLEX-PAC INC NVOICE
PH. (317) 872-0097
7113 South Mayflower Park Drive
Zionsville, Indiana 46077
PLEASE SEND PAYMENTS TO OUR LOCKBOX: AFf W NK
P.O. BOX 623000 Page
INDIANAPOLIS, IN 46262 In case of emergency contact Chemtrec at 800- 424 -9300
Sold To Ship To
CARMEL UTILITIES CARMEL W.W.T.P.
WASTEWATER 9609 HAZEL DELL PARKWAY
760 THIRD AVE, SW, SUITE 110 CARMEL IN 46280
CARMEL IN 46032
Gustomt}r;# Ortler Date Sales Order Re ererice Customer F)0 Ship VIa Salestnari
0002143 04/01/2010 I052656 512124 Best Way 14
€hyolce {nviiice Date Ship Date Freight Terrns Job Number 1 erlrs
I052656 04/21/2010 PREPAID NET 30 DAYS
I,N 4Y QNTY QTY UM V1C7I3UCT iTN
EXTENSION T:
.,i
Invoice rIessa e
EST_ SHIP _DATE 04/13
1. 1<s950 1.95 M "4554893; 19X29..7:5 +5 BOTTOM''GUSSETT 6 545:5.000 M $1063.73 Y
MIL WHITE OPAQUE BAG
Merchandise 1,063.73
Freight 0.00
Misc Charges 0.00
Sub Total 1063.73
Taxable 1063.73
Tax UNTE) 0.00
TOTAL $1,063.73
Customer Copy Pay By 05/21/2010
r
VOUCHER 105371 WARRANT ALLOWED
362517 IN SUM OF
FLEX -PAC INC
L-A1VER= P BR
fd= X687- 7-- :p -D_Qox =b -23 °oat
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1052656 01- 7110 -05 $1,063.73
Voucher Total $1,063.73
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
1
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r
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
362517
FLEX -PAC INC Purchase Order No.
7113 SOUTH MAYFLOWER PARK DR Terms
Zionsville, IN 46077 Due Date 5/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/2010 1052656 $1,063.73
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
1