HomeMy WebLinkAbout237804 10/08/14 CITY OF CARMEL, INDIANA VENDOR: 060700
® ,I ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $ra '48.00`
=q; CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 237804
CARMEL IN 46032 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 143254 48.00 TRASH COLLECTION
622C S. Rang eline Road
YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844-4839
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I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month Will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY
SOLD TO: SHIP TO:
CARMEL POLICE DEPT. GWO/01 SAME INVOICE# 143254
THREE CIVIC SOURP,E
CArwIEL IN 46032
CUST. P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 9 5 N/A 16401,11 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator FI-
09126/21014
09/26/2014 1'23254 NET 10TH 419/26/14 12:00:18 8
STOCK NUMBER SIZE DESCRIPTION nUANTiTY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
SCRPIP SCRAP TIRE 16 16 ?.00 .00 4$. 10
METHOD OF PAYMENT:
DIARrt: "IS.410
CHANGE: .00
i
Tha0 you for your business
TAXABLE PARTS LABOR TAX% AMOUNT TAX F.E.T. AMOUNrAY THIS ANGUNT
INVOICE TOTAL
4$.00 4$.00
"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
$48.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. JACCT#/TlTLEj AMOUNT Board Members
1110 143254 43-501.01 $48.00 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
Wednesday, October 01, 2014
Chief of Police
Title
� I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1 i
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))
09/26/14 143254 Scrap Tire $48.00
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