215124 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1
` ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $146.07
CARMEL, INDIANA 46032 2825 N ARLINGTON AVE
INDIANAPOLIS IN 46218 CHECK NUMBER: 215124
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 089379-00 146 . 07 OTHER CONT SERVICES
® d P C IN2825 N. ARLINGTON
DIANAPOLIS, INDIANA AVENUE 6218 INVOICE
317-547-6161 Fed I.D.9 35-1610912
L FAX 317-547-6228
Olympic Products, Inc.
INVOICE NUMBER
SOLD CARMEL CLAY COMM. CENTER SHIP SAME 089379-00
TO 31 1ST AVE. N.W. TO
CARMEL, IN 46032 PAGE 1
MEMBER
"I hy�ExPefts
SHIP ONbn y�iuenance
COST NO. FINV.2DAFE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN
040890 JANET NET 30 DAYS OUR TRUCk FOLLSTAD
LN QTY. SHIPPED U/M ITEM NUMBER DESCRIPTION U/M PRICE EXTENSION T
1 1 CS GPC-16880 ANGEL SFT 2PLi' TT WHT 4 .0X4 . 5 CS 62 .89 62.89 N
2 1 CS BET-31504-00 AF315-DISF/DET/DEO CS 47 .68 47.68 N
3 1 CS OLY-10812-00 OLYMPIC DEEP BLUE-GLASS CLNR CS 30.75 30.75 N
NOTE: LINE 3 : kLEARVIEW GLASS CLNR.
5 1 E? FUEL SURCHG FUEL SURCHARGE EA 4 .75 4.75 N
d f =
SPECIAL INSTRUCTIONS
SUB TOTAL 146.07
ADDITIONAL
CHARGES .00
ROUTING INFORMATION
AMOUNT DUE 146.07
Pieces: 4
*** Encl Of Invoice *y*
Terms and conditions of sale,see reverse side-
i i
TE-RMS 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.
$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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Olympic Products, Inc.
IN SUM OF $
2825 N. Arlington Ave
Indianapolis, In 46218
$146.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 089379-00 I 43-509.00 I $146.07 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
Friday, November 2012
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))
11/26/12 089379-00 $146.07
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