210744 07/17/2012 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: 210744
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 N36043 247 . 80 OTHER MISCELLANOUS
Associated 400W.MILWAUKEE, PHONE: 800-926-6100
MILWAUKEE,WI 53207
FAX: 800-926-4610
550 LILLARD DR.
0997 SPARKS,NV 89434
Company 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
0 0 �� YY 0 p SELLER'S PERMITS
129507 IL 19 TX OHA 97523195 82262922
�^ 0�' �� 0 0' 0 IL 1951-0421 TX 13907429891
MN 3864223 WI 456-0000490095-03
REMIT TO: P.O. BOX 3036, Milwaukee, WI 53201-3036 NV 1002029627 PAGE: 1
SHIPPED
TO
CITY OF CARMEL CITY OF CARMEL
SOLD FIRE DEPT FIRE DEPT
TO 2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
USA USA
CUSTOMER ORDER DATE REQUIRED BUYER: GARY CARTER
CARTER 0702 PHONE: 317-5712667
INVOICE DATE mmcSHIPPED VIA B.O.L. . F.O.B./FREIGHT TERMS TERMS
07-02-2012 N 36043 UPS GROUND OUR DOCK NET30
PREPAID & ADD
ORDERED SHIPPED B/O STOCK NUMBER/DESCRIPTION UNIT PRICE AMOUNT
2 2 0 71-8-38Y 107 .800 50/CT' 215.60
36X48 6MIL YELLOW OPAQUE POLY LINER
i
C
l I
LT.HAN.K Y0U_.FOR YOUR ORDER.! WE_.APPRECIATE YOUR BUSINESS!—?
NON-TAXABLE TAXABLE SHIPPING TAX RATE TAX
215.60 0 .00 32.20 0.00 0.0001 D 247.80
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.
)rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn 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))
N36043 $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
20
Clerk-Treasurer
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. ACCT#/TITLE AMOUNT
_ _ Board Members
1120 I N36043 I 42-390.99 $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
JUL 16 20,1,2
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund