HomeMy WebLinkAbout232179 05/07/14 q`/ CITY OF CARMEL, INDIANA VENDOR: 060700
;g ® �l ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********27,50*
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 232179
=9Ml`TpN�G�,�, CARMEL IN 46032 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 141526 27.50 AUTO REPAIR & MAINTEN
622C S.Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" LARKCarmel, IN 46032
cc 11 ,R E (317) 844-4839
t mats®nal PEND IL
[,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TINIE AS THIS ACCOUNT IS PAID IN FULL BY NIE,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY
SOLD TO.CARMMEL FIRE DEPT, 59AI01 SHIP TMMIE IN9010E,! 14152E
T'14 CIVIC -SQUARE
CARMEL Til 460 3-2
:GUST.'P.O.•# ` -MAKE-MODEL IN MILEAGE.I TE EPW'ONE ROUTE sCM SHIP VIA_ ORDER# m6E" REMARKS
942 -38340 _1-26 03 0 1 WA 160728 1
INVOICE DATE INVOICE PREVIOUS`sHIFPED TERMS
NUMBER INVOICE NUMBER .Opened-by Or orator 4 7.
0.4/04/ 714 141526 NET 10TH 0.4/04/14 09:16:09 7
7U(WTITY ,-_ UNIT
TION -- T` FE.T. EXTENSION
STGCKNUMBER 'S.IZE DESCRIP ;.ORDERS SHIPPED PREV SHIP PRICE
REPAIR THE RISHT REAR TIRE
17 17/181 DISMOUIT & HOUTIT PASSENSER ;`1 1 18.00 .00 18.00-
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
METHOD OF PAYMENT:
CHARSE: 27.50
CHANGE: .00
/ X>2
7—
PARTS LABOR;" .TAX%+15�0���o(��I2 No. ;`,.TAX_. F.E.T ArMnofivT.PLEASE,PIT`1VDlG-Ir10.,ft
27.50 0911201555-M-0 27.541
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 South Rangeline Road
Carmel, IN 46032
$27.50
ON ACCOUNT OF APPROPRIATION FOR I
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 141526 43-510.00 $27.50 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
MAY _ 2014
Fire Chief
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.
i
Payee
Purchase Order No.
Terms
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
141526 E42 $27.50
I
I
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