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233024 05/28/14
i L�q 4% ''� CITY OF CARMEL, INDIANA VENDOR: 060700 i ® {j ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********75.00* r, :q. CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 233024 �+,,iTON.�` CARMEL IN 46032 CHECK DATE: 05/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350101 141980 75.00 TRASH COLLECTION LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 Ohl IRE (317) 844-4839 t �Jational PENS IL I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO:Sp�,E 1NVOICE# 141980 THREE CIVIC SURE CANNEL IN 46032 CUST. P.O.# MAKE-MODEL ID# MILEAGE (31_1`ETi5Pd.ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 571-25' k3 1 NIA 161657 i INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Open-,d Open-,dby Operator 7 05119/2014 141980 NET 1OTH 05/19/14 11:45:08 7 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE SCRAG SCRAP TIRE 25 E15 3.9j2 .N 75.&1 METHOD OF PAYMENT: CHARGE: 75.091 CHANGE: .OO \. . /1-"� Thank you, Torour 0 -.MM PARTS LABOR TAX% TAXABLE O UNE TAX F.E.T. AMouNE Fi {;SEINVOICE J©TM11T 75.Eiji 75.07 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF$ 622 C South Rangeline Road Carmel, IN 46032 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 141980 43-501.01 $75.00 I 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 Tuesday May 20, 2014 Chief of Police 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/19/14 141980 Scrap Tire $75.00 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