HomeMy WebLinkAbout236619 09/03/14 4+uj_C�gMf
�� ;� CITY OF CARMEL, INDIANA VENDOR: 00351640
ii ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $*******196.50*
,�a CARMEL, INDIANA 46032 PO BOX 195 CHECK NUMBER: 236619
9M�[�UN�.� FISHERS IN 46038 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN00141195 196.50 EQUIPMENT REPAIRS & M
126TH & REYNOLDS RQAD'..-- 37 NO.) FAST! Service at o
P.O. BOX 195 �:>-',,;, your Farm,
FISHERS, INDIANA{'4f0:38` Commercial Site or on the Road.
TIRE FISHERS 317-842-0544 OR 1 800;444=5985 All Major Brands Available
Fax 317-577-395fi:;
NAME/ADDRESS ACCOUNT NO. HOME PHONE REFERENCE NO.
BR001-RSH (3 17) 571--2427 Ir1171�11'1La11�`�+
BROOKSHIRE GOLF CLUB P.O.NO. WORKPHONE DATE/TIME
12120 BROOKSHI RE PARKWAY ( 17) 121-B/27 i 1.4 1. a 26
RESALE NO. VIN NO. WO-ES NO.
CARMEL, IN 46033 W00000480.4
YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO.
SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE WRITTEN BY 103
Y N OTHERWISE SPECIFIED
ESTIMATE AMOUNT DATE
ORIGINAL ❑ FREE ROTATION
REVISED 1 (EVERY 5,000 MILES)
REVISED 2
1 acknowledge notice and oral approval of an increase in the original estimate price. ❑ ROAD HAZARD WARRANTY
X
PARTS & OTHERS t;.. ,-,.,.i n; , .,;.; LABOR
:r_lilld�Lo� DESCRIPTION EACH
2 511257 20X12.00-10/4 TURFHASTER 98.010 196.010 8.00 INDIANA TIRE FEE 0.50
Reason for original estimate:
Any warranties on the itemAtems 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 cf merchantability or fitness for a particular
purpose and CLARK TIR' neither assumes nor authorizes any other person to assume for it any liability in connection with the sale
O
f thiis it'emfitems.
A SERVICE CHARGE OF IVW.PER MONTH 121%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS,NET 101h PROX,
I THE UNDERSIGNED HEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE AND IF THIS ACCOUNT IS PLACED IN
fiHE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF PARTS
COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURREb AND PERMITTED BY LAW GOVERNING THESE TRANSACTIONS 0. 50
Ill
I hereby authorize the repair work to be done alontq.wjth the necessary materials.You and your employees may operate vehicle for purposes of testing, OTHER
inspection,or delivery at m risk.An expr�ss me Nan((c's lien is ack,J,,owledged on vehicle to secure the amount of repairs thereto.It is also understood that
you will not be held resp Bible for loss or da a e to+cars or articteJs left in cars in case of fire,theft or any other cause beyond your control. SUBLET
I.F/I� 11/f,'L �. SUBTOTAL 1 rJC1. `+0
Signature X l'I, 00
TAX
:I.136. =,art
Rec'd By TOTAL
CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT C.C.TYPE C.C.APPROVAL CODE ON ACCQUN�
I l�c�.�0 THANK
YOU!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire Fishers
IN SUM OF $
P.O. Box 195
Fishers, IN 46038
$196.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I IN00141195 I 43-500.00 I $196.50 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, August 29, 2014
Director, Brookshire G'jhub
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))
08/27/14 I IN00141195 I Repair Parts I $196.50
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer