226419 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 354050 Page 1 of 1
` ONE CIVIC SQUARE OLYMPUS TECHNOLOGIES INC CHECK AMOUNT: $7,094.76
CARMEL, INDIANA 46032 PO Box 2326
EUGENE OR 97402
CHECK NUMBER: 226419
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0008750-IN 7, 094 . 76 MATERIALS & SUPPLIES
Page: Page 1 of 1
OTI Invoice
Quality Always
Olympus Technologies, Inc. Invoice Number: 0008750-IN
West Coast Steel Fabricators Invoice Date: 10129/2013
P.O. Box 2326 Eugene OR 97402
Phone (541) 689-5851 Fax (541)689-5818
CITY OF CARMEL WWTP Customer Number: CARMEL WWTP
9609 HAZEL DELL PARKWAY
Customer P.O.: S13742
INDIANAPOLIS, IN 46280
Job Number: 1390002
Ship VIA:
ATTN: ACCOUNTS PAYABLE: Terms: NET 30
Description Amount
OTI MIXERS UP-DATE
$ 7,012.00
OTI MIXER PARTS:
(1) NEW CARTRIDGE
(2)TRANTORQUES
(1) UPPER BEARING
(1) DIPSTICK NON-PRESSURE SYSTEM
$ 82.76
FREIGHT TO WWT PLANT
ATTACHMENTS:
CUSTOMER PURCHASE ORDER
PACKING SLIP
PICTURE
I
Invoice Total: $ 7,094.76
WE APPRECIATE YOUR BUSINESS
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354050
OLYMPUS TECHNOLOGIES INC Purchase Order No.
PO BOX 2326 Terms
EUGENE, OR 97402 Due Date 11114/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201: 0008750-IN $7,094.76
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
Date Officer
VOUCHER # 136810 WARRANT # ALLOWED
354050 IN SUM OF $
OLYMPUS TECHNOLOGIES INC
PO BOX 2326
EUGENE, OR 97402
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0008750-IN 01-7202-06 $7,094.76
Voucher Total $7,094.76
Cost distribution ledger classification if
claim paid under vehicle highway fund