243183 3 /18/2015 f Cly
'*f. CITY OF CARMEL, INDIANA VENDOR: 060700
`` CHECK AMOUNT: $********51.00*
.j; ® "„• ONE CIVIC SQUARE CLARK TIRE INC
?� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 243183
9.y_TON��� CARMEL IN 46032 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 144505 51.00 TIRES & TUBES
Clark Tire 3178446561 p.1
622C S. Rangeline Road
4ING ON OUR REPUTATION" CCLAARNK Cannel, IN 46032
1
1RE
(317) 844-4839
t . -National peN IL
WE UNDERSIGNED,I IEREBYAGREE UNTJL SUCI I TIME AS THIS ACCOUNT IS PAID IN PULL B ME,THESELLER SliALL RETAIN TITLE TO THE GOODS HERI:BY PURCIIASED AVD SELLER SHALL,IIAVL•'
SECURITY INTEP.EST IN SAID GOODS TO SECUP.ETHE PAYb1FNT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREETHAT IN THE EVENT OF UEFAULT IN THE PAYMENT OF AIS VA.MOI INT DUF AND
�117 THIS ACCOUNT IS PLACED IN TI IE HANDS OF AN AGENCY Olt ATTORNFYFOR COLLECTION OR LEGAL ACTION TO RAY AN ADD117ONAL CHARGE'EQUAL TO THE COST OF COI I.=CTION INCLUDING
AGENCY AND ATTORVL"Y FEES AND COURT COSTS INCURRED AND PERMITTED BY LAINS GONER\ING T1IE6E TRANSACTIONS.
A rinanceclurge of I3r4ro Per Month will he charged un al:Accoums30 days Past Due.Annual Percentage Ralc is 21%.(Minimum In RECEIVED BY
SOLD TO: SHIP TO:
CAM POLICE DEPT. 600918i SAME INUOICE# 144505
THREE CIVIC SQUARE _
CARMEL IN 46932
COST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE sun SHIP VIA ORDER# PAGE REMARKS
571-2509 0 5 N/A 166676 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator # a
02/13/2015 144505 NET 10TH 02/!3/15 133:49:49 B
STOCK NUMBER SIZE DESCRIPTION QUANT,7— — T F.E.T. EXTENSION
._ ORCERS AHIPPE�PREV.SHP PRICE
SCRAP SCRAP TIRE 17 17 3.00 ,00 51.00
NETHOD OF PAYMENT:
CHARGE: 51.00
CHANGE: .00
Thank you for your business
PARTS LABOR TAX a/o TAXABLE TAX F.E.7__ AMOUNT INVOICE TOTAL
FLEWPAY TOI5 At4GONT
51.00 51.00
"You're Riding On Our Reputation"
LARK Elliott's Mohawk Place
622C S. Rangeline Road
KE Carmel, Indiana 46032
(31L 844-4839
CARMEL POLICE DEPT.
THREE CIVIC SQUARE DATE . ACCOUNTNUMBER
0E/E8/15 1 — E000 PAGE: 1
CARMEL IN 46032
51.E
AMOUNT PAID
PLEASE RETURN THIS PORTION WITH YOUR REMITTANCE
DATE REFERENCE, CUST.-P.O.NO. CHARGES. , CREDITS BALANCE
0?'/13/1'5 INV-, 144505 51. �0 51. 00 --
TOTAL' 1�AYMENTS: - tVEW 'BALAhICE 51. 00
FUTURE, CURRENT _` 31-60 DAYS 61-90 DAYS , 91 DAY
S'&OVER =
. 00 51. 00 . 00. . 00 .:OQ+ 51. 00
VOUCHER NO. WARRANT NO.
Clark Tire ALLOWED 20
IN SUM OF$
622 C South Rangeline Road
Carmel, IN 46032
$51.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1110 I 144505 I 42-320.00 I $51.00 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
Friday, March 13, 2015
Chief 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))
02/28/15 144505 tires $51.00
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