242236 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $ ....'"62.50'
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 242236
9M.roN. CARMEL IN 46032 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 144402 27.50 AUTO REPAIR & MAINTEN
2200 4351000 144493 35.00 AUTO REPAIR & MAINTEN
Clark Tire 3178446561 P.1
6220 S. Rangeline Road
rrG ON OUR REPUTATION" k91RE Carmel, IN 46032
(317) 844-4839
afj®naI PENN&IL
],T]IL UNDLRSIGN ED.HL-RLDY AGREC UNTIL SUCK I IMC AS THIS ACCOUNT IS PAID IN FULL HT ME."HIE SELLER SII ALL IiITAIN TITLE'IT 1IL GOODS IILRE13Y PURCHASED At V SELL_R SHALL I!AVE
A SECDRAY INTLRL'ST 1N SAID GOODS'ID SL•CURP.TH6 PAYh1ENT UNTIL MY ACCOLNT 1S FLLLY PAID.I FURTI IER AGRH_l'IIAC(N TI IE EV L•IT OF UCPAUUF I V'THE I'.AY MLNF OI•ANY A:,IOUYL DLL.AND
IF IHIS ACCOUNT IS PLACED IN 111.1,HANUS Or'ANAGLNCY OXATFORNLY FOR COLLECTION OK LEGAL ACTION•1'0 PAY AN AD:N'FIONAI.CIIA11GE EQUAI,9.O THE COSI'OF C'OLLECITON INCLUDING
AG ENCt AN D ATTOKNEY LEES AND COURT COS-IS INCU{1160 AND PLRLUTTLI3 DY'LAWS GUV ERNING TI]ESE I•KANSAC LION S.
A finance char&,.1'13,4%Per Month will he char&edon nII Accounts 30 days Pail Duc.Annual Perccnla&c Anla is]I"'-n.(h7inimum J RECEIVED BY
SOLD TO: SHIP TO:
CARMEL FIRE DEPT. 5908/01 SAME INVOICE# 144402
TWO CIVIC SURE
CARMEL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE TWME ROUTE S'_M SHIP VIA ORDER# PAGE REMARKS
BAT 384 571-2609 0 1 NIA 166451 1
I
INVOICE DATE INVOICE PREVIOUS S1iIPPED TERMS
INVOICE NUMBER
_.__—�.._.. OpenedY per, or
01/30/2015 144402 NET 10TH 01/30/15 10:00:36 7
STOCKNIIMBER SIZE DESCRIPTION OUANTI-Y UNIT T F.ET EXTENSION
ORDERS SHIPPED PREV,SHIP PRICE
REPAIR RIGHT REAR
17 17118" DISMOUNT # MOUNT PASSENGER 1 1 18.00 .00 16.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50 i
i
METHOD OF PAYMENT:
I
CHARGE: 27.50
CHANGE: .00
Thank Vou forY our business Mech: JJ'tes
o TAXABLE
/o
PARTS LABOR TAX AI,IO T TAX F.E.I. AMOUNT INVOICE TOTAL
PLEASE PAY-THTS-AMWNT-------
27.50 03120155-002-0 27.50
"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 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))
144402 B304 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
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 144402 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
which charge is made were ordered and
received except
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w M (317) 844-4839
2200 -
4S5 , 000 ri RE
National P�OW
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 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 BV
SOLD TO: SHIP TO:
CARMEL ENGINEERING DEPT. 5850/01 SAME INVOICE# 144493
ONE CIVIC SQUARE
` CARMEL IN 46032.
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
FORD 48249 571-2441 0 '1 N/A 166649 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator # 7
02/11/22015 144493 NET 10TH 02/11/15 13:53:55 7
STOCK NUMBER SIZE DESCRIPTIONQUANTITY UNIT T . F.E.T. EXTENSION
'ORDERS SHIPPED PREV.SHIP PRICE
REPAIR THE LEFT REAR
16 1611 DISNOL!NT & MOUNT PASSENGER I 1 16.00 .00 16.00
REPU EACH INSIDE REPAIR ON VEHICLE 2 2 9.50 .00 19.00
METHOD OF PAYMENT:
CHARGE: 35.N
CHANGE: .00
I ,
I f -
' E
Thank you for your businp5s_ Men, tii .e
PARTS LABOR TAX% AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
35.00 35.00
"You're Riding On Our Reputation"
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
Clark Tire Purchase Order No.
622C S. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
2/11/2015 144493 Tire repair for E-2 $ 35.00
Total $ 35.00
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
VOUCHER NO WARRANT NO,
Clark Tire ALLOWED 20
622C S. Rangeline Road IN SUM OF $
Carmel, IN 46032
$ 35.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 144493 2200-4351000 $ 35.00 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
2/16/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund