HomeMy WebLinkAbout240262 12/16/14 y uf.C�Fb
�`/ CITY OF CARMEL, INDIANA VENDOR: 060700 CHECK AMOUNT: $ 72.00
.�; ® , ONE CIVIC SQUARE CLARK TIRE INC
........
:. r CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 240262
9M��TpN�°' CARMEL IN 46032 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 143930 72.00 TRASH COLLECTION
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
f'rkJ
IRE (317) 844-4839
t ailonal PENS IL
I,THE UNDERSIGNED,HEREBY AGREE NTIL 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: CAft1.141EL POLICE DEPT. G1 OO!01 SHIP TO:SA?E !NVOICE5 14393II
THREE. CIVIC SOIJARE
CARMEL IN 4603'
CUST. P.O.# MAKE-MODEL ID# MILEAGE t6ITELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
0 J n H
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER GlPt9rator # 8
er/rliti 1143970 NET 10TH i i�a:�ri4 iS:0:19 F
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
_ LL.. ORDERS SHIPPED PREV.SHIP P1R1nnICE
JL P ' JU HI' J. .t L Lq 1.y��I •rI , 1 k
II METHOD OF PAYMENT:
I CHARGE: 010
CHA1G`:
.010
I
PARTS LABOR TAX% TAXABLE F.E.T. misc. LtH INICESOTAyAMUNT AMOUNT
- .00
"You're Riding On Our Reputation" .
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 C South Rangeline Road
I
Carmel, IN 46032
i
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1110 143930 43-501.01 $72.00
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, December 12, 2014
I
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund li
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))
12/12/14 143930 Scrap Tires $72.00
i
i
I
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