210257 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350745 Page 1 of 1
ONE CIVIC SQUARE ASSOCIATED BAG COMPANY
CARMEL, INDIANA 46032 PO BOX 3036 CHECK AMOUNT: $247.80
MILWAUKEE WI 53201 -3036
CHECK NUMBER: 210257
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 N33080 247.80 OTHER MISCELLANOUS
Associated 400 W. ST PHONE: 800 926 -6100
MILWAU WI 53207
FAX: 800 926 4610
550 HLLARD DR.
Company SPARKS, NV 89434
Bag 4039 ROCK QUARRY RD. FOR BILLING INQUIRIES
DALLAS, TX 75211 PHONE: 800 926 -4613
Packaging Shipping Supplies 14 E. MAIN ST. FAX: 800- 760 -2348
NEW KINGSTOWN, PA 17072 www.associatedbag.com
in SELLER'S PERMITS
CA SC OHA 97523195 PA 82262922
12 9 5 0 7 I L 1951 -0421 TX 13907429891
_s ;.ar. a MN 3864223 WI 456- 0000490095 -03
NV 1002029627
REMIT TO: P.O. BOX 3036, Milwaukee, WI 53201 -3036 SHIPPED PAGE: 1
TO
CITY OF CARMEL CITY OF CARMEL
SOLD FIRE DEPT FIRE DEPT
TO 2 CIVIC SQUARE 2 CIVIC SQUARE
ATTN: GARY CARTER
CARMEL IN 46032 CARMEL IN 46032
USA USA
CUSTOMER PURCHASE ORDER D RE BUYER GARY CARTER
CARTER 0625 PHONE: 317 5712667
06 -25 -2012 N 33080 UPS GROUND LURDOCK ET30
ORDERED SHIPPED B/O STOCK NUMBER/DESCRIPTION UN IT PRIC E AMOUNT
2 2 0 71 -8 -38Y 107.800 �50 /CT 215.60
36X48 6MIL YELLOW OPAQUE POLY LINER
FOR _YOUR ORDER_! WE_ AP_ PRECIATE _YOUR_BUS,TNFSS_!--___
NON TAXABLE TAXABLE SHIPPING TAX RATE TAX ao u o
215.60 0.00 32.20 0.00 q 0.00 247.80
w.
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 ACT, AS AMENDED,
AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14. HAVING NO CONTROL OVER THE USE OF THE ABOVE PRODUCTS, WE ASSUME NO
LIABILITY CONNECTED WITH THEIR USE, UNDER NO CIRCUMSTANCES IS ASSOCIATED BAG COMPANY LIABLE FOR ANY LOSS, DAMAGE, OR EXPENSES ARISING OUT OF THE USE OF OR INABILITY ORIGINAL INVOICE
TO USE OUR PRODUCTS.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Associated Bag Company
IN SUM OF
P.O. Box 3036
Milwaukee, WI 53201 -3036
$247.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I N33080 I 42- 390.99 I $247.80 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
JUN 9 201.2
.oO7" 16-� 0 V
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, 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))
N33080 $247.80
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
1 20
Clerk- Treasurer