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186450 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1 0 ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $150.22 CARMEL, INDIANA 46032 2825 N ARLINGTON AVE INDIANAPOLIS IN 46218 CHECK NUMBER: 186450 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4239099 069275 -00 150.22 OTHER MISCELLANOUS 0 y P C I N 2825 N. ARLINTON D ANAPOL.IS GN D IA 6218 I N VO I C E ppA� 317- 547 -6161 Fed. I.D. 35- 1610912 L M I FAX 317 -547 -6228 ORDERS INVOICED 4/1/08 AND LATE Olympic Products, Inc. WILL HAVE NEW 7% SALES TAX INVOICE NUMBER SOLD CARMEL CLAY COMM. CENTER SHIP SAME 069275 -00 TO 31 1ST AVE. N.W. TO CARMEL, IN 46032 PAGE 1 M EMBER H I P O r� Expens N on s I E CUST NO, INV. DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN 040890 1 05/27/10 1 JANET NET 30 DAYS OUR TRUCK FOLLSTAD L N nry SH!PPFn, U1A7 I TEM N DE UIM PRICE EXTENSION T 1 1 CS GPC- 16580 ANGEL SFT 2PLY TT WHT 4.5X4.5 CS 60.61 60.61 N 2 2 CS PSP -4306 PRM -SRC WHT M -FLD TWL 9.13X9.5 CS 25.92 51.84 N 3 1 CS OLY- N2433R08 LNR 24X33 CLR 16GL BMIC CS 33.02 33.02 N 4 1 EA FUEL SURCHG FUEL SURCHARGE EA 4.75 4.75 N ,e 3" i f l F 6 p' SPECIAL INSTRUCTIONS SUBTOTAL 150.22 ADDITIONAL 00 CHARGES ROUTING INFORMATION AMOUNT DUE 150.22 Pieces: 5 End Of Invoice Terms and conditions of sale, see reverse side i TERMS AND CONDITIONS OF SALE Payment Terms: CASH, NET 30 DAYS TO APPROVED ACCOUNTS Service Charge: 1.5% per month interest (18% APR) on all accounts over 30 days. Credit: Orders not honored -for credit if balance due not paid in 60 days. Full charges will be made for all collection or attorney costs on past due accounts. Minimum Delivery: $75.00 within 20 miles, over 20 miles applicable freight added. $10.00 charge for orders under minimum. Returns: No merchandise returned without our written permission 20% restocking charge on non -stock merchandise. Product must be in saleable condition in original carton. No returns accepted after 30 days. Loss or Damage: It is the responsibility of the customer to immediately file a claim with the carrier. Deductions: None without prior written approval Pricing: Prices subject to change without notice. FOB: Indianapolis, Indiana Return Check Fee: $30.00 charge for returned checks. V NO. MARR NO. ALLOWED 20 Olympic Products, Inc. IN SUM OF 2825 N. Arlington Ave Indianapolis, In 46218 $150. ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 069275 -00 42- 390.99 $150.22 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 Wednesday, June 02, 2010 Director 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)) 05/27/10 069275 -00 $150.22 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