225493 10/23/2013 +.f CITY OF CARMEL, INDIANA VENDOR: 231800 Page 1 of 1
ONE CIVIC SQUARE OLYMPIC PRODUCTS CO INC CHECK AMOUNT: $90.95
CARMEL, INDIANA 46032 2825 N ARLINGTON AVE
INDIANAPOLIS IN 46218 CHECK NUMBER: 225493
CHECK DATE: 10123/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239099 094394-00 90 . 95 OTHER MISCELLANOUS
® i INDIANAPOLIIS, IND ANA 46218 I INVOICE
317-547-6161 Fed. I.D.#35-1610912
M I FAX 317-547-6228
Olympic Products, Inc.
INVOICE NUMBER
SOLD CARMEL CLAY COMM. CENTER SHIP SAME 094394-00
TO 31 1ST AVE. N.W. TO
CARMEL, IN 46032 PAGE 1
MEMBER
SHIP ON
Th Expe is
on � d/t�i�enance
CUST NO. INV.DATE PURCHASE ORDER NUMBER TERMS SHIP VIA SALESMAN
040890 10/14/13 JANET NET 30 DAYS OUR TRUCK FOLLSTAD
LN QTY.SHIPPED U/M ITEM NUMBER DESCRIPTION U/M PRICE EXTENSION T
1 1 CS OLY-07612-00 OLYMPIC STIX-20% PHOS BWL CLNR CS 46.28 46.28 N
2 1 CS PSP-43066 PRM-SRC WHT M-FLD TWL 9.13X9 . 5 CS 26.02 26 .02 N
3 2 EA ZEP-580040 COTTON MOPHEAD 4PLY #24 EA 6.95 13 .90 N
4 1 EA FUEL SURCHG FUEL SURCHARGE EA 4.75 4.75 N
r
— r
1
SPECIAL INSTRUCTIONS
SUB TOTAL 90.95
ADDITIONAL 0 0
CHARGES
ROUTING INFORMATION
AMO UNT D UE 90.95
Pieces: 5
*** End Of Invoice ***
Terms and conditions of sale,see reverse side-
TERMS S AID CONDITIONS OF SALE -
Payment Terms: CASH, NET 30 DAYS TO APPROVED ACCOUNTS
Service Charge: 1.5% per month interest (18% APR) on all accounts ever 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.
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))
10/14/13 094394-00 $90.95
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 Ave
Indianapolis, In 46218
$90.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications A
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 094394-00 I 42-390.99 $90.95
I 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
Monday, October 21, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund