172479 05/13/2009 .a 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 46218 CHECK NUMBER: 172479
SON
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239099 059668 -00 213.88 OTHER MISCELLANOUS
l
a i P C IN 2825 N. ARLINGTON
DIANAPOLIS, INDIANA AV
46218 INVOICE
317- 547 -6161 Fed. I.D. 35- 1610912
L M FAX 317 -547 -6228
F
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 059668 -00
TO 31 1ST AVE. N.W. TO
CARMEL, IN 46032 PAGE 1
MEMEER
SHIP ON c✓Fl�ia{enance
CUST NO. I INV. DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN
040890 05/.04/09 JANET NET 30 DAYS OUR TRUCK FOLLSTAD
LN QTY. SHIPPED ua1r L DE.S,^.:?IPT:^N- U M -PRICE
1 1 CS PSP 4306 PRM SRC WHT M FLD TWL 9.13x9.5 CS 25.92 25.92 N
2 1 CS GPC -16580 ANGEL SFT 2PLY TT WHT 4.5X4.5 CS 60.61 60.61 N
3 1 CS OLY- N2433R08 LNR 24X33 CLR 16GL 8MIC CS 33.02 33.02 N
4 1 CS WBI- WHD4316 LNR 43X48 CLR 56GL 16MIC CS 39.68 39.68 N
5 1 CS PSP -4236 PINK LOTN FOAM SOAP 1250ml CS 49.90 49.90 N
Fuel Surcharge: 4.75
TAX ID: 0031201550 -020
SPECIAL INSTRUCTIONS
SUB TOTAL 209.13
ADDITIONAL 4 75
CHARGES
ROUTIN INFORMATION
AMOUNT DUE 213.88
Pieces: 5
End Of Invoice
Terms and conditions of sale, see reverse side
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 or iginal 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.
Prescribed by Stale Board of Accounts City Form No. 291 (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))
05/04/09 I 059668 -00 I 1 $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
i
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Olympic Products, Inc.
IN SUM OF
2825 N. Arlington Ave
Indianapolis, In 46218
$213.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 059668 -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
Wednesday, May 06, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund