HomeMy WebLinkAbout233448 06/11/14 1�ur�C,AM`of
>; CITY OF CARMEL, INDIANA VENDOR: 00351640
ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $********70.50*
r° CARMEL, INDIANA 46032 PO BOX 195 CHECK NUMBER: 233448
'�r,��oN Eo: FISHERS IN 46038 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN00139464 70.50 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.
317-842-0544 OR 1-800-444-5985 All Major Brands Available
TIRE FISHERS
Fax 317-577-3956
NAME/ADDRESS ACCO N HOME PHONE REFERENCE NO.
F C"l �I'.►sH (317) 571'"2427 I N0013946.4
BROOKSHIRE GOLF CLUB
P.O.NO. WORKP, ONE D!�TE/TIME.
.12120 BROOKSHIRE PARKWAY t�F. r _ 14 10:25
CARMEL, IN 4W3 RESALE NO. VIN NO. WO-ES NO.
YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO.
SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE WRITTEN BY WS
Y N OTHERWISE SPECIFIED
AMOUNTDATE TIME EMPLOYEE. PHONE CUSTOMER
LREVISED
NAL ;a ;f. / ❑ FREE ROTATION
ED 1 �. \Q. 1 (EVERY 5,000 MILES)
` ,-:Z. l /
owldge notice and oral approval of an increase in the original estW6te price. ❑ ROAD HAZARD WARRANTY
PARTS & OTHERS . Or, o i n 1 # LABOR
DESCRIPTION
EACH DESCRIPTION
2 ,5120111 11X4.00-5/4 CAR. SMOOTHY 29.50 59.00 1.00 DISMOUNT & MOUNT 5.00
1 TV TIRE VALVE 2.00 2.00 2.00 INDIANA TIRE FEE 0.50
1.00 : TIRE DISPOSAL PAS. 4.00
I
Reason for original estivate:
Any warranties on the itemrtems sold hereby are those made by the manufacturer.The seller,CLARK TIRE,hereby expressly 1
disclaims all warranties either express or Implied,including any implied warranty of merchantability or fitness for a particular
pu se,and CLARK TIR7 neither assumes nor authorizes any other person to assume for it any liability in connection with the sale
of rt lis item/items.
A SERVICE CHARGE OF 1V%PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS.NET 10th PROX. TOTAL
!t
THE UNDERSIGNEDJ HEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE AND IF THIS ACCOUNT IS PLACED IN •L. t
zHE HANDS OF AN HGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL.CHARGE EQUAL TO THE COST OF PARTS
COLLECTION INCLUDING AGENCY AND ATTORNEY FEES ND COURT COSTS INCURREb AND PERMITTED BY LAW GOVERNING THESE TRANSACTIONS LABOR 9. `'O
1 hereby authorize the rep iF work to be donlalong �jnessary in I rials.You and your employees may operate vehicle for purposes of testing, OTHER
inspection,or delivery aty risk.An exF{y�re •mec ic'a lien2 le ged on vehicle to secure the amount of repairs thereto.It is also understood that
you will not be held res nsible for loss'o amad2to cars oes I n cars in case of fire,theft or any other cause beyond your control. SUBLET
C SUBTOTAL 70. 50
Signature X r 0. 00
TAX 70. 50
Recd By TOTAL
CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT THANK
YOU!
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))
06/02/14 IN00139464 Repair Parts $70.50
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
$70.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1207 I IN00139464 I 43-500.00 I $70.50 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
Friday, June 06, 2014
Director, Broo re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund