216465 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1
ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $162.96
+� CARMEL, INDIANA 46032 2825 N ARLINGTON AVE
.'� INDIANAPOLIS IN 46218 CHECK NUMBER: 216465
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 90072 162 . 96 OTHER MISCELLANOUS
® fl ND ANA N. OLIIS GNDIANAE46218 �� "I �° E
317-547-6161 Fed. I.D.#35-1610912
FAX 317-547-6228
Olympic Products, Inc.
INVOICE NUMBER
SOLD CARMEL POLICE DEPT. SHIP SAME 090072-00
TO 3 CIVIC SQUARE TO
CARMEL, IN 46032 PAGE 1
MEMBER
lhy Experts
SH I P ON n Cle�n��dQ/N�iaAenance
— CUST NO. /NV DATE PURCHASE ORDER NUMBER TERMS-- — SHIP VIA — --SALESMAN-
040896 12/31/12 ROBERT NET 30 DAIS OUR. TRUCK FOLLSTAD
LN QTY SHIPPED U/M ITEM NUMBER DESCRIPTION U/M PRICE EXTENSION T
1 1 CS APM-250 GRN HERITAGE 2PLY TP 500SHT/RL CS 39 .18 39 .18 N
2 2 CS BWP-485/00 MULTIFOLD ECOSOFT WHITE 4000/C CS 24 .40 48. 80 N
3 1 CS PSP-4327 PRM-SRC WHT 2PLY KIT T.aL CS 26 .51 26 .51 N
4 4 BG CGL-8695 DC GREEN MELT 501r ICE MELT -5a' BG 10 .93 43 .%2 N
5 1 EA FUEL SURCHG FUEL SURCHARGE EA 4 .75 4 .75 N
SPECIAL INSTRUCTIONS
SUB TOTAL 162.96
ADDITIONAL
CHARGES .00
ROUTING INFORMATION
EAMOUNTDUE 162.96
Pieces: 9
* ` End Of Invoice
Terms and conditions of sale.see reverse side
1
TERMS AND CONDITIONS OF SALE
7
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 ori,inal 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 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))
12/31/12 90072 janitorial supplies $162.96
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.
ALLOWED 20
Olympic Products, Inc.
IN SUM OF $
2825 N. Arlington Avenue
Indianapolis, IN 46218
$162.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 I 90072 I 42-390.99 I $162.96
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, January 10, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund