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206769 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1 ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $93.66 CARMEL, INDIANA 46032 2825 N ARLINGTON AVE INDIANAPOLIS IN 46218 CHECK NUMBER: 206769 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 R4350900 083518 -00 93.66 OTHER CONTRACTED SERV Y P C IN 2825 N. ARLINGTON DIANAPOLIS, INDIANA E 6218 INV OICE L 317- 547 -6161 Fed. I.D. 35- 1610912 F AX 317- 547 -6228 Olympic Products, Inc. INVOICE NUMBER SOLD CARMEL CLAY COMM. CENTER SHIP SAME 083518 -00 TO 31 1ST AVE. N.W. TO CARMEL, IN 46032 PAGE 1 MEMBER Th� Experts SHIP ON on �n YM�irt[enance CUST NO. I INV DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN 040890 02/16/12 JANET NET 30 DAYS OUR TRUCK FOLLSTAD LN QTY. SHIPPED U/M ITEM NUMBER DESCRIPTION U/M PRICE EXTENSION T 1 1 CS PSP -4306 PRM -SRC WHT M -FLD TWL 9.13X9.5 CS 26.02 26.02 N 2 1 CS GPC -16880 ANGEL SFT 2PLY TT WHT 4.0X4.5 CS 62.89 62.89 N 3 1 EA FUEL SURCHG FUEL SURCHARGE EA 4.75 4.75 N 4 m Y_ t r SPECIAL INSTRUCTIONS SUB TOTAL 93 .66 ADDITIONAL 0 0 CHARGES ROUTING INFORMATION FA..UNTDUE 93.66 Pieces: 3 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: $100.00 within 20 miles, over 20 miles applicable freight added. S 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: 530.00 charge for returned checks. 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)) 02/16/12 083518 -00 $93.66 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 V NO. WARRANT NO. ALLOWED 20 Olympic Products, Inc. IN SUM OF 2825 N. Arlington Ave Indianapolis, In 46218 $93.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Encumbered K I hereby certify that the attached invoice(s), or 27696 I 083518 00 I 43 509.00 I $93.66 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 Tuesday, February 21, 2012 Direct Title Cost distribution ledger classification if claim paid motor vehicle highway fund