221401 07/02/2013 F CITY OF CARMEL, INDIANA VENDOR: 00350745 Page 1 of 1
ONE CIVIC SQUARE ASSOCIATED BAG COMPANY
4i CHECK AMOUNT: $249.59
CARMEL, INDIANA 46032 PO BOX 3036
MILWAUKEE WI 53201-3036 CHECK NUMBER: 221401
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 N179590 249 . 59 OTHER MISCELLANOUS
400 W.BODEN ST. PHONE: 800-926-6100
Associated MILWAUKEE,WI 53207
FAX: 800-926-4610
550 LILLARD DR.
SPARKS,NV 89434
8@19 Company 4039 ROCK QUARRY RD. FOR BILLING INQUIRIES
DALLAS,TX 75211 PHONE: 800-926-4613
Packaging & Shipping Products 14 E.MAIN ST. FAX: 800-760-2348
NEW KINGSTOWN,PA 17072 www.associatedbag.com
SELLER'S PERMITS
e o
129507 i A ® B x CA SC OHA 97523195 PA 82262922
r IL 1951-0421 TX 13907429891
i= Fes- 'v c=.,. '+_ 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
FIRE DEPT FIRE DEPT
SOLD 2 CIVIC SQUARE 2 CIVIC SQUARE
TO
CARMEL IN 46032 CARMEL IN 46032
USA USA
• •_• �, _ BUYER: GARY CARTER
PHONE: 317-5712667
INVOICE DATE SHIPPED • • F.O.B./FREIGHtTERMS' TERMS
06-19-2013 N179590 UPS GROUND DESTINATION NET30
PREPAID
ORDERED SHIPPED 2 2 -0 '71-8-38Y
36X48 6MIL YELLOW OPAQUE POLY LINER
THANK YOU FOR YOUR ORDER! WE APPRECIATE YOUR BUSINESS!
NON-TAXABLE TAXABLE SHIPPING TAX RATE TAX _ ' ;_„ • •
215.60 0.00 33 .99 0.00 0.00
;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,
_ )OF REGULATIONS AND OROERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION",HAVING NO CONTROL OVER THE USE OF THE ABOVE PRODUCTS,WE ASSUME NO
a
IMSTANCES IS ASSOCIATED BAG COMPANY LIABLE FOR ANY LOSS,DAMAGE,OR EXPENSES ARISING OUT OF THE USE OF OR INABILITY
r �Y ORIGINAL INVOICE
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))
N 179590 $249.59
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
$249.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I N179590 I 42-390.99 I $249.59 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 - 1'2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund