HomeMy WebLinkAbout233206 06/04/14 i;,�C�NM
>?' ` - CITY OF CARMEL, INDIANA VENDOR: 00351640
ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $""""""`197.50"
=4 CARMEL, INDIANA 46032 PO BOX 195 CHECK NUMBER: 233206
�4j'�rmi'�°' FISHERS IN 46038 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN00139299 197.50 EQUIPMENT REPAIRS & M
126TH & REYNOLDS ROAD (HWY 37 NO.) ;
P.O. BOX 195 .FAS°T!:Se&ice at your Farm,
C
FISHERS, INDIANA 46038 ' ornmercial Site or;on the Road.
TIRE FISHERS 317-842-0544 317 O-577 3956 1-800-444-5985
'All Major Brands Available
�( FISHERS Fax 3
NAME/ADDRESS ACCOUNT NO. HOME PHONE REFERENCE NO.
H ROOKSH (317)571-2427 T.N00139299
BROOKSHIRE GOLF CLUB
' I P.O.NO. _ WORK PHONE DATE/TIME
12120 BROOKSHIRE PARKWAY (317) — 05/22/14 11 :07
RESALE NO. VIN NO. WO-ES NO.
CARL,' IN-468M W000093499
YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO.
6 SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE - WRITTEN BY WS'
Y N OTHERWISE SPECIFIED
TIME_ EMPLOYEE
r? E§TIMA�T� -AMOUNT DATE PHONE CUSTOMER
ORIGINAL FREE ROTATION
,t REVISED•I (EVERY 5,000 MILES)
' REVISED 2
I acknowledge notice and oral approval of an increase in the original estimate price. ROAD HAZARD WARRANTY
.W'. X
.pyo
PARTS & OTHERS LABOR
EACH
`t 2 511257 20X12.00-10/4 TURFNASTER 98.50 197.00 2.00 • INDIANA TIRE FEE 0.50
PICKUP
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f
t^
i ..
Reatron'for original estioate:
4's Any warranties on the itemTitems 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
tz• purpose,and CLARK TIRE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale
!. of this itemltems. '
4xti
4'a t
yA
SERVICE CHARGE OF 13/4%PER MONTH(21%ANNUALLY)WI BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS.NET 10th PROX. TOTALS
1 THE UNDERSIGNED HEREBY AGREE THAT IN TH VENT O DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE AND IF THIS ACCOUNT IS PLACED IN
4 i
THE
HANDS OF AN AGENCY OR ATTORN FO COLLEC ION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF PARTS
COLLECTION INCLUDING AGENCY AND ATT'RN EES AN COURT COSTS INCURREb AND PERMITTED BY LAW GOVERNING THESE TRANSACTIONS a 50
LABOR
I hereby authorize the re r work to be e n with t essa materials.You and our employees ma o operate vehicle for purposes of testing, OTHER
y Y 9 ry YY P P P
inspection,or delivery aiy risk.An ex re s chanic's edged•on•vehlcle to secure the amount of repairs thereto.It is also understood that .1 ,•7�
'? you will not be held res risible for to a da c s r r icles left in cars in case of fire,theft or any other cause beyond your control. SUBLET 197 a 50
Signature X SUBTOTAL 0. 00
/ TAX
197. 50
Rec'd By'.• TOTAL'
,�. CASH AMOUNT- CHECK AMOUNT CHECK NO. C.C.AMOUNT_ C.C.TYPE C.C.APPROVAL CODE-_ ON ACCO.l1r T - THANK
r*' YOU!
; ..
2x,-
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))
05/22/14 IN00139299 Repair Parts $197.50
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.
ALLOWED 20
Clark Tire Fishers
IN SUM OF $
P.O. Box 195
Fishers, IN 46038
$197.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I IN00139299 I 43-500.00 I $197.50 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
Monday, June 02, 2014
Director, Brookshire d ' Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund