HomeMy WebLinkAbout238789 11/05/14 CITY OF CARMEL, INDIANA VENDOR: 060700
® ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $**...***90.50*
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 238789
°M,iyaN-�o CARMEL IN 46032 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 143509 63.00 TRASH COLLECTION
1120 4351000 143544 27.50 AUTO REPAIR & MAINTEN
622C S. Rang eline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4 v!
ri (317) 844-4839
RE
ationai PENS IL
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 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 2l%.(Minimum 75) RECEIVED BY
SOLD TO: CARMEL FIRE DEPT. 5500IM1 SHIP TO:,SAVE INVOICE1# 14544
TUD CItiIIC SQUARE
CARREL IN 46032
OUST.P.O.# MAKE-MODEL ID# MILEAGE TECEPHIME ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
CN;R Q: C� 66 571-2609 1 N/A1E4i1°t 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER nmPniarl ,V nriprAtor
W/28/2M, 9.4,"":•544 NET 10TH 10/28/14 09:28:57 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
REPAIR THE LEFT REAR
17 17/18" DISMOUNT P MOUNT PnSSEN"G"R 1 1 18.0111 .00 18.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.51 *11 g.51
METHOD OF PAYMENT:
CMARGE: '27.50
CHANGE: .00
Thank ; u..a• a i . Dog I
TAX% ClSopN =3l? No, TAX misc.LABOR BF.E.T. AMOUNT T PLEASEI00105JO AL!VT
27.51171 7.521
"You're Riding On Our Reputation" .
VOUCHER NO. WARRANT NO. r
ALLOWED 20
Clark Tire
IN SUM OF $
i
622 South Rangeline Road
Carmel, IN 46032
$27.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 143544 43-510.00 $27.50 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
i
which charge is made were ordered and
received except
OCT 3 1 214
Fire Chief
Title
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, 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))
143544 C43 $27.50
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
SARK 622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4(r
IRE (317) 844-4839
rational
O PENS IL
I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY
SOLD TO: CARMEL POLICE DEPT. 61300/01 SHIP TO:SME INVOICE111 143=109
THREE CIVIC SQUARE
CAR„EL IN 46932
CUST.P.O.# MAKE-MODEL ID# MILEAGE {31TEEE_PO ME ROUTE SSM SHIP VIA ORDER# PAGE REMARKS
571-2500 3 1 N/A 164639 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER p s:r{ h': Or,P ra}r r 4 7
10/24:@014 14_3509 NET WTH 10/24,'14 12.19c31 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITORDERS SHIPPED PREV.SHIP PRICE T F.E.T. EXTENSION
SCRAP SCRCJ-` TIRE c1 21 1210 .00 63.00
METHOD OF PAYMENT
CHARGE: 631.(WI
CHANGE, .00
l
Thank you Iur YUUI u Siue:L
PARTS LABOR TAX% TAXABLE MOUNT TAX F.E.T. AMo NT PLEASEINUOICE�,TRT,
63.00 63e Q�
"You're Riding On Our Reputation" .
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF$
E
622 C South Rangeline Road
Carmel, IN 46032
$63.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 143509 43-501.01 $63.00 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 29, 2014
Chief of Police
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))
10/29/14 143509 Scrap Tire $63.00
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