240957 1 /13/2015 Coq .
of , CITY OF CARMEL, INDIANA VENDOR: 060700
® ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $ ...."'40.46*
:., ?a CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 240957
age,�N�o. CARMEL IN 46032 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 144008 14.96 OTHER EXPENSES
1125 4351000 144073 25.50 AUTO REPAIR & MAINTEN
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, M 46032
4" IRE (317) 844-4839
notional PENS°"
1.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) RECEI VED BY
SOLD TO: CARMEL CLAY PARKS AND REC 6350/01 SHIP TOSAME I!IV01C:€) 1!i`r073
1411 E. 116TH STREET
144-013
CARMEL IN 46032
Poi - (SO
` CUST.P.O.# MAKE-MODEL ID# MILEAGE S TELEPMONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
395 M07 28010 (317)571-4144 0 1 N/A 165743 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator # I
144073 NET 10TH 12/22/14 09:36:09 8
STOCK NUMBER SIZE DESCRIPTION DUNIT
ORDERS SHIPP
SHIPP r ED PREY SHIP PRICE T F.E.T. EXTENSION
REPAIR-THE LEFT FRONT TIRE
16 16° DISMOUNT & MOUNT PASSENGER 1 1 16.00 .00 16.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
METHOD OF PAYMENT:
CHARGE: 25.50
CHANGE: .00
1 DEC ! ! 2014
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1125-�= bl--43'.)l ono
Thank you fur your businv�2 MUL11. 11A, e
PARTS LABOR TAX% q OAXAUNT TAX F.E.T. AMo NT PLEASEIw7,ol0QOFWfiNdT
25.50 25a Y`f
a ,
"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
12/22/14 144073 Front left tire repair M07 x1544 $ 25.50
Total $ 25.50
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
Voucher No. Warrant No.
060700 Clark Tire ,Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 25.50
ON ACCOUNT OF APPROPRIATION FOR
I
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
112.5 144073 4351000 $ 25.50 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
January 8, 2015
Signature
$ 25.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Cannel IN 46032
4w
IRE ' (317) 844-4839
mJational PES IL
1,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 1N SAID GOODS TO SECURE TI IE 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 COSTt 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: CARMEL NATER DISTRIBUTION 6300/01 SHIP TO:SAME INVOICE# 144008
3450 W. 131ST ST.
CARMEL. IN 46074
CLIST.P.O.# MAKE-MODEL ID# MILEAGE TELEP_dR13E ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
716-3939 0 1 N/A 165643 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator 4 7
12/15/2014 14400E NET 10TH 12/15/14 12:07:56 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT ORDERS F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
TR-1147 STEM SCHRADER BENT STEN 2" 2 2 7.48 02 .00 14.96
METHOD OF PAYMENT:
CHARGE: 14.96
CHANGE: .00
N
t
70
Ihank you tar your busine5s
PARTS LABOR TAX% TAXABLE AMOUNT TAX F.E.T. misc. IN DICEcTOTi
14.96 14.96
"You're Riding On Our Reputation"
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
60700
CLARK TIRE INC CARMEL Purchase Order No.
622 C SOUTH RANGELINE RD Terms
CARMEL, IN 46032 Due Date 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 144008 $14.96
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
Date 70rfficer
VOUCHER # 142588 WARRANT # ALLOWED
60700 IN SUM OF $
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
144008 01-6500-05 $14.96
i
Voucher Total $14.96
Cost distribution ledger classification if
claim paid under vehicle highway fund