HomeMy WebLinkAbout232178 05/07/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351640
ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $*******177.00*
CARMEL, INDIANA 46032 PO BOX 195 CHECK NUMBER: 232178
FISHERS IN 46038 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN00138920 177.00 EQUIPMENT REPAIRS & M
126TH & REYNOLDS ROAD (HWY 37 NO.) FAST!Service at our Farm,
FISHERS, INDIANA 46038
P.O. BOX 195 Commercial Site or on the Road.
.
-0.0�
TIRE FISHERS 317-842Fax 3 O17-- 1-800-444-5965",577-3956 :? ` All Major Brands Available
Fax 3 �:'t;:• :.;,, ."
NAME/ADDRESS ACCOUNT NO. HOME•PHONE REFERENCE NO.
'
0I?0011150 i ;;;(3.1:7) 571 427 I N001.:1Ei 92171
BROOKSHIRE GOLF CLUB
• P.O.NO. WOfjIU. E DAT /TI
12120 BROOKSHIRE PARKWAY �':���� _ xIT5, 1��/14 10-21
cADIEL,,IN 460,43 RESALE NO. VIN NO. �ca►�
9_3 2 E._
YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO.
SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE WRITTEN BY
Y N OTHERWISE SPECIFIED WS
ESTIMATE AMOUNT DATE TIME EMPLOYEE PHONE CUSTOMER
L
FREE ROTATION
(EVERY 5,000 MILES)
notice and oral approval of an increase in the original estimate price. ❑ ROAD HAZARD WARRANTY
PARTS & OTHERS .. .,-,,., T, �, . . LABOR
I CITY. PART NO. DESCRIPTION
4 5189761 18/85+-8/4 FAIRWAY-PRO 44,00 176.80 4.00 ' INDIANA TIRE FEE 1.00
Reason for original eetinate:
Any warranties on the item/items sold hereby are those made by the manufacturer.The seller,CLARK TIRE,hereby expressly
disclaims all warranties either express or implied,including any implied warranty of merchantability or fitness for a particular
o tilos efemltemsRK TIRE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale
A SERVICE CHARGE OF 1%%PER MONTH.(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS.NET 10th PROX.
I THE UNDERSIGNED HEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE AND IF THIS ACCOUNT IS PLACED IN PARTS �"" `• ��
COL ECTION INHANDS OF CLUDING AGENCY AND ATTORNEY EES AND COURT COSTS INCURREb AND PERMIENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY ANTTED BY LAW GOVERNINTIONAL CHARGE GTHESE UAL OTRANSACTIOTHE COST NS 1, 00
e LABOR
I hereby authorize the repair work to be dolt.alo.S 4th the ne ssary Arr? rials.You and your employees may operate vehicle for purposes of testing, OTHER
Inspection,or del' at risk.An exp VSs meth-Ic's Ilan i cknowwd ed on vehicle to secure the amount of repairs thereto.It is also understood that
you will not be held res sible for los 4 damp o cars or erticl cars in case of fire,theft or any other cause beyond your control. SUBLET
f If' 7
17 . 00
Signature X /I SUBTOTAL lel, CIO
TAX 177. 00
Recd By TOTAL
CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT . C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT O0 THANK
YOU!
VOUCHER NO. WARRANT NO.
!ALLOWED 20
Clark Tire Fishers
IN SUM OF$
P.O. Box 195
Fishers, IN 46038 ;
i
$177.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#IrITLE AMOUNT Board Members
1207 I IN00138920 I 43-500.00 I $177.00 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, May 02, 2014
WX
Director, Brookshirepolf Club
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
I �
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/02/14 IN00138920 Repair Parts $177.00
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