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174453 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1 h 0 ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $203.10 CARMEL, INDIANA 46032 2825 N ARLINGTON AVE INDIANAPOLIS IN 46218 CHECK NUMBER: 174453 CHECK DATE: 7/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 6104900 203.10 OTHER MISCELLANOUS y/ r 2825 N. ARLINGTON AVENUE INVOICE e I �r INDIANAPOLIS, INDIANA 46218 317- 547 -6161 Fed. 1. D. 35- 1610912 1 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 POLICE DEPT. SHIP SAME 061049 TO 3 CIVIC SQUARE TO CARMEL, IN 46032 PAGE 1 BER xperts SHI ON §J j nance O UST NO. I INV DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN 120700 06/25/09 ROBERT R. NET 30 DAYS OUR TRUCK MURRAY LN QTY SHIPPED U/M !TEM.NU!!4BE17 DESCRIPTION i PRICE EXTENS!O.y. T 1 1 CS APM -250 EVERSOFT 2PLY TP 500SHEET /ROLL CS 49.90 49.90 N 2 4 CS PSP -4306 PRM -SRC WHT M -FLD TWL 9.13X9.5 CS 24.95 99.80 N 3 1 CS PSP -4327 PRM -SRC WHT 2PLY KIT TWL CS 24.70 24.70 N 4 1 CS DRT 8J8 WHITE FOAM CUP TALL 8OZ CS 23.95 23.95 N Fuel Surcharge: 4.75 TAX ID: NOT ON FILE SPECIAL INSTRUCTIONS SUB TOTAL 198.35 ADDITIONAL CHARGES 4.75 ROUTING INFORMATION AMOUNT DUE 203.10 Pieces: 7 End Of Invoice Terms and condiSons of sale, see reverse side 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: S75.00 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: S30.00 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 Olympic Products, lnc. Purchase Order No. 2825 N. Arlington Avenue Terms Indianapolis, IN 46218 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/25/09 6104900 payment for janitorial supplies 203.10 Total I 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 01L'inpic Products: Inc: IN SUM OF 2825 N. Arlington AVenue Indianapolis, IN 46218 293.10 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 1110 6104900 390 -99 203.10 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 June 29 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund