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175836 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1 ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $213.88 CARMEL, INDIANA 46032 2825 N ARLINGTON AVE INDIANAPOLIS IN 45218 CHECK NUMBER: 175836 CHECK DATE: 8/6/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4239099 061802 -00 213.88 OTHER MISCELLANOUS VL w IN 2825 N. ARLINGTON DIANAPOLIS, IND ANA 6218 I I C 317- 547 -6161 Fed. i.D. 35- 1610912 FAX 317 -547 -6228 ORDERS INVOICED 4 /1/08 AND LATE NJ/►pic Products, Inc. WILL HAVE NEW 7 SALES TAX INVOICE NUMBER i SOLD CARMEL CLAY COMM. CENTER SHIP SAME 061862 -00 j TO 31 1ST AVE. N.W. TO CARMEL, IN 46032 PAGE 1 MEMBER The Experts SHIP ✓NQienance CUST NO. INV DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN 040890 0 JANET NET 30 DAYS OUR TRUCK FOLLSTAD LN QTY. SHIPPED U/M ITEM NUMBER DESCRIPTION U/M PRICE "tXTErVSiON T 1 1 CS GPC -16580 ANGEL SET 2PLY IT WHT 4.5X4.5 CS 60.61 60.611\ 2 1 CS PSP -4306 PRM -SRC WHT M -FL•D TWL 9.13X9.5 CS 25.92 25.92 N 3 1 CS OLY N4348R16 LNR 93X98 CLR 56GL 16MIC CS 39.68 39.68 N 4 1 CS OLY- N2433R08 LNR 24X33 CLR 16GL 8MIC CS 33.02 33.02 N 5 1 CS PSP -4236 PINK LOTH FOAM SOAP 1250ml CS 49.90 49.90 N Fuel Surcharge: 4.75 TAX 1D: 0031201550 -020 SPECIAL INSTRUCTIONS SUB TOTAL 2 ADDITIONAL CHARGES 4 75 ROUTING INFORMATION AMOUNT DUE 213.88 Pieces: 5 End Of Invoice Terms and conditions of sale, see reverse side f r I T AND CONDITIONS OF SA J 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. FO B: Indianapolis, Indiana Return Check Fee: 530.00 charge for returned checks. Prescribed by State Board of Accounts City Form No. 201 (Rev. 199''; 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)) 07/23/09 I 061802 -00 I I $213.88 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. Olympic Products, Inc. ALLOWED 20 IN SUM OF 2825 N. Arlington Ave Indianapolis, In 46218 $21 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 061802 -00 42- 390.99 $213.88 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 Thursday, July 30, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund