HomeMy WebLinkAbout232475 05/13/14 `/ �� CITY OF CARMEL, INDIANA VENDOR: 060700
`` <' CHECK AMOUNT: $********98.00*
.,; ® el• ONE CIVIC SQUARE CLARK TIRE INC
�. ,=a; CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 232475
�M,«oN�. CARMEL IN 46032 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4351000 141640 17.50 AUTO REPAIR & MAINTEN
2200 4351000 141730 80.50 AUTO REPAIR & MAINTEN
6 C S. Rangeline oad
"YOU ARE RIDING ON OUR REPUTATION" LAR Carmel, IN 46 2
`'�� J y�� (317) 844-4 9
IROX��` lo9t
" al PENN IL
I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,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: . SHIP Tbr J, :i" ICEre
141�4GrI,E,rL CLAY ARXIC 3��/C, ", t
1411 E. 116TH STREET APR 17 2014
Cf7Rf1E!_ 1N 46,033 BY:
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
84872'75 (317)57;-4044 G 5 N/A 1691576 1
OI ATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER 1. ;,
04/17/2014 14164ti NET 10TH 04/17/14 14;zlGgIS 7
t .
S KNUMBE SIZE DESCRIPTION nrY UNIT
SHIP
ORDERS SHIPPED PREV.SHIP PRICE T F.E.T. EXTENSION
REPPIH LIRE' LOOSE
L'H FC,,' TI K 1111116E 1 1 15.00 .Go 1,.013
STEM EgDA VALUE STEM 1 I i.53 @2 00 2.50
METHOD OF PAYIhEN T:
CHARGED 17.513
CRANGE: 010TD
LBY:
PR 17 2014
----. -
00
II ,
J
Tank you for year busi Piech: 14i e
TAXABLE
PARTS LABOR TAX% AMOUNT u
TAX F.E.T.
A OUNT _ OIC±T-M L T
_F 17°5
"You're Riding On Our Reputation" —i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
060700 Clark Tire Terms
622C S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/17/14 141640 Trailer tire repair ss454 $ 17.50
Total $ 17.50
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
4
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 17.50
I
i
ON ACCOUNT OF APPROPRIATION FOR
I
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT ! Board Members
Dept#
1091 141640 4351000 $ 17.50 j 1 hereby certify that the attached invoice(s), or
i
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
I
I
8-May 2014
I
i
Signature
$ 17.50 I Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund
I
I
DATE REFERENCE CUST P.O.NO. CHARGES CREDITS BALANCE
Q4/25/14 INV 141730 80. 50 80. 50
TOTAL PAYMENTS: . 00 NEW BALANCE 80. 50
FUTURE CURRENT 31-60 DAYS 61-90 DAYS 91 DAYS&OVER
622C S. Rangellne Road
"YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4wIR�E�
(317) 844-4839
t ational PENS IL
I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,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: CMMEL ENGINEERING DEPT. 5850/01 SHIP TO.-, INVOICE# 1417310
ONE CIVIC MARE
CARMEL. IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
##E4 71-2441 0 1 NIIA 1MIK I
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Gpnitd by _ u
04/25/22114 141730 NET 10TH 04/25/14 13:31:5E 9
QUANTITY UNIT
T F.E.T. EXTENSION
STOCK NUMBER SIZE DESCRIPTION
ORDERS SHIPPED PREV.SHIP PRICE
FORD ESCAPE HAS A FLAT
PARKED-AT THE TG'A_OF THE
HILL W"KED IN
G 19-57,1
5ti E=ACH SERVICE CALL 1 1 55.00 .00 55.00
16 IG`t DISMOUNT E MOUNT PA 1SENSER I 1 10.00 :00 16.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
TRI; 4E4 LIC ## 685519
METHOD OF PAYVIENT:
EHP.PFrR: 80.SO
CHANSE: .b
FRI�iN�E2 J��
c=�7,ozo, f
Thank you for your business Hech: Hite
PARTS LABOR TAX% TAXABLE c.
AMOUNT TAX F.E.T. nMouNT _� INVOIG TAT L••i1
80.50 8t�.50
"You're Riding On Our Reputation"
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
Clark Tire Purchase Order No.
622C S. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
4/25/2014 141730 Service call-flat tire-Tiffany Boone $ 80.50
Total $ 80.50
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.
I
Clark Tire I ALLOWED 20
622C S. Rangeline Road
IN SUM OF$
Carmel, IN 46032 �.
i
$ 80.50
I
ON ACCOUNT OF APPROPRIATION FOR
I
Board Members
ao#or INVOICE NO. ACCT#/TITLE AMOUNT
Dear# I hereby certify that the attached invoice(s), or
0 141730 2200-4351000 $ 80.50 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
I ;
I
r
i
I
I
5/5/2014
I Signature j
i
City Engineer
i
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
� I
i