HomeMy WebLinkAbout241481 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********75.00*
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 241481
v ,TON CARMEL IN 46032 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 144252 75.00 TRASH COLLECTION
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARD Cannel,'IN 46032
(317) 844-4839
IRE
s
t t National PENS IL
I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY
SOLD TO: CARMEL POLICE DEPT. 6009/01 SHIP TO:SAI.IC MOICE4 14425.
THREE CIVIC SURE
CARMEL Its 46032'
COST.P.O.# MAKE-MODEL ID# MILEAGE /7jTELEPI�OJVE ROUTE sLM SHIP VIA ORDER# PAGE REMARKS
5?1-25 0 0 0 5 Nin 106M 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opued by >.L,rr hr tt 81
311 11f21j15 ;525c NET 10TH
0i ila;lC 1I0.L4;C2
O
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
SCRAP Q.CRAP TIRE cC 25 '.01A 00 75.
METHOD OF PAYMENT'
CHARGE 75.Luh
00
I
Thar14 you for your business
PARTS LABOR TAX% TAXABLE
TAX F.E.T. AMOUNT rn r•-INVOICE.TOTAL..
75.00 75.01,
"You're Riding On Our Reputation" .
VOUCHER NO. WARRANT NO.
Clark Tire ALLOWED 20
IN SUM OF$
622 C South Rangeline Road
Carmel, IN 46032
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1110 144252 43-501.01 $75.00 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
Friday, January 23, 2015
�' j 04�-- �
ZZChief 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))
01/13/15 144252 scrap tires $75.00
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