HomeMy WebLinkAbout237352 09/23/14 a°,.C�A.M
;�' F - CITY OF CARMEL, INDIANA VENDOR: 060700
;; ® s' ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********42.10*
�., _ CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 237352
CARMEL IN 46032 CHECK DATE: 09/23/14
ETON G�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 142982 42.10 EQUIPMENT REPAIRS & M
i
S. Rangeline Road
"YOUARERIDING ON OUR REPUTATION" LARK AUG 2 9 2014 Carmel, IN 46032
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(317) 844-4839
tateonal PESIL
1.THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAINTITLE 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.1 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: CAMEL. CLAY PARRS AND REC 6350/01 SHIP TO:SAME INVOICE# 142982
1411 E. 116TH STREET
CARPEL IN 46032
I
CUST P.O.# MAKE-MODEL ID# MILEAGE f .. LIEPH�IE ROUTE SLM SHIP VIA �l ORDER//# PAGE REMARKS
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t TE -, = r LA ( r ! j J C FC -3
1
INVOICE DATE INVOICE PREVIOUS SHIPPED P ;. TERMS
NUMBER INVOICE NUMBER t f'. t f r Opened by Operator # 7
08/28/2014 142982 NET 10TH ' -'-'` - ( .` 08/28/14 14:55:18 7
STOCK NUMBER SIZE DESCRIPTION DUNIT
SHIPPY
ORDERS SHIPPED PREY.SHIP PRICE T F.E.T. EXTENSION
REPAIR ME
509795 280X4 CARLISLE SAWTOOTH 4 PLY 1 1 19.86 02 .00 19.86
TF INDIANA TIRE FEE 1 1 .25 .00 .25
2010 280/250-4 DEL-NAT TUBE 1 1 6.99 02 .00 6.99
CH EACH TIRE CHANGE 1 1 15.00 15.00
METHOD OF PAYMENT:
CHARGE: 42.10
CHANGE: .00
I aS4 I- (✓b000D
Thank you
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PARTS LABOR TAX o TAXABLE TAX F.E.T. Mlsc. PLEASCINdI�EiOiF�1T
�o AMOUNT AMOUNT
42.10 42.10
"You're Riding On Our Reputation"
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
8/28/14 142982 Aerator tire repair xx1111 $ 42.10
Total $ 42.10
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
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 42.10
'ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 142982 4350000 $ 42.10 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
18-Sep 2014
AIA 01" JAW ,
Signature
$ 42.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund