241947 02/10/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********66.99*
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RO CHECK NUMBER: 241947
CARMEL IN 46032 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 143803 66.99 EQUIPMENT REPAIRS & M
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36220 S. Rangeline Road
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^You ARE RIDING ON OUR REPUTATION" P 4
� a , Carmel, IN 46032
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(317) 844-4839
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LTlli!UNDERSIGNED.HEREBY AGREE UNI-IL SUCH ITME.AST)IIS ACCOUNT IS PAID IN FULL BY-NIL.'I II li SELLER SHAIA.RETAIN-TITLE TO mE GOODS iIE1tEBY PURCHASL•'.D AND SELLERS I IALI.IGWE
A SECURrrY INTEREST 1N SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACC'OUN7 1S FULLY PAID,I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE.PAYMEVT OF ANY ANIOUN I"D1.1'E,AND
IF THIS ACCOCN'I'IS I'LACED IN'1-116 HANDS OFAN AGENCY OR ATCORNFY FOR COLLECTION OR LEGAL.ACTION TO PtYAN ADDITIONAL CHARGIi EQUAL TO-E'III:COST OF COLLEMON INCI_UDING
AGENCY AND NI-l'ORNEY FEES AND COURT COSTS INCURRED AND PERM ETTED BY LAWS GOVERNING TILESE Tf(ANSA(`TIONS.
A Cm-nee charge or 13RIA Per Month will be rharl;W on all Accounts_G Jays Ni•a Due.Aononl reree,uagc R:ne i�?I�-�.(M1tin;n,nn,7g1 RECEIVED BY
SOLD TO: CAW4EL CLAY PARKS AND REC 6350/01 SHIP TO:SA�rE INVOICES 143803
1411 E, 116TH STREET
CARI"EL IN 4603c - - - - - - -- ---——- -
GUST.P.O.# MAKE-MODEL ID# MILEAGE E ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
(317)571-4144 0 1 NIA 165155 1
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-.........._........
INVOICE PREVIOUS SHIPPED ......___-___.._._-.-'-_...._..--.__.._.
INVOICE DATE NUMBER INVOICE NUMBER TERMS
._.._ .............
11/21/2014 143803 NET 10TH 11/21/14 14;49:18 8
----...__... UNIT—_..-:..
STOCK NUMBER SIZE ryy-` DESCRIPTION QUANT17`-_ URUFRS.SHIPPED Pit5K:iHll?__ PRICE,_--_ � RE.T.Y_-EXTENSION
�._... REPAIR 14-175
2@26 14-17.5 COOPER TUBE 1 1 36,99 0 ,00 36,99
CH EACH TIRE CHANGE f 1 310.00 100 30.00
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METHOD OF PAYMENT:
CHARGE; 66.99
CHANGE; ,00
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Thank you for your business - Piech; t4zke i
PARTS LABOR % T em TAX F.E.T. r O
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66.99 � 66.99
"You're Riding On Our Reputation"
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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
11/21/14_ 1.43803 John Deere skid steer tire repair xx1422 $ 66.99
Total $ 66.99
1 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
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Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 66.99
ON ACCOUNT OF APPROPRIATION FOR
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101 General Fund
PO#or
Dept
INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 143803 4350000 $ 66.99 1 hereby certify that the attached invoice(s), or
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bill(s) is(are)true and correct and that the
materials or services itemized thereon for
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which charge is made were ordered and
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received except
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February 5, 2015
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Signature
$ 66.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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