244208 4 /15/2015 �u1.£inNb
CITY OF CARMEL, INDIANA VENDOR: 00351640
I; ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $****""190.50`
CARMEL, INDIANA 46032 Po Box 195 CHECK NUMBER: 244208
+y�TON FISHERS IN 46038 CHECK DATE: ' 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN100144645 190.50 EQUIPMENT REPAIRS & M
126TH & REYNOLDS ROAD (HWY 37 NO.)
P.O. BOX 195 FAST! service at your Farm,
FISHERS, INDIANA 46038 Commercial Site or on the Road.
317-842-0544 OR 1-800-444-5985
FISHERS A.I I'M ajor Brands Available
TIRE F Fax 317-577-3956
NAME/ADDRESS ACCOUNT NO. HOME PHONE REFERENCE NO.
(-,1.7)571.- 427 .`T.N001,446,45
DI'MOKSHIRE GOLF CLUB P.O.NO. WORK PHONE bNTE/TIME
12120 B110014IRE PARKWAY 317) 12..til 7
RESALE NO. VIN NO. WO-ES NO.
CARMEL, Iti 46033 I7109718_7;
YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO.
SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE WRITT
Y N OTHERWISE SPECIFIED B
ESTIMATE AP40UNT DATE TIME EMPLOYEE PHONE CUSTOMER
ORIGINAL El FREE ROTATION
REVISED 1 (EVERY 5,000 MILES)
REVISED 2
I acknowledge notice and oral approval of an increase in the original estimate price. ❑ ROAD HAZARD WARRANTY
X
PARTS & OTHERS LABOR
DESCRIPTION EACH DESCRIPTION
1 574362 20XII0.10OX10/4 TURFMASTER 95.00 95.00 2.00 INDIANA TIRE FEE 0.50
1 511257 20X12.00-10/4 TURFRASTER 95.00 95.00
Reason for original estimate:
Any warranties on the iternfitems sold hereby are those made by the manufacturer.The seller,CLARK TIRE,hereby expressly
claims all warranties either express or implied,including any implied warranty of merchantability or fitness for a particular
N
t 9se a R
, ZdCLA CLARK TIRE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale
of is ie items,
'A'SERVICE CHARGE OF I'H%PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS.NET 10th PROX.
THE UNDERSIGNEDHEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE AND IF THIS ACCOUNT IS PLACED IN
uE HANDS OF AN AGENCY OR ATTORNEY FOP
,eCOLLECTjION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EcluAL TO THE COST OF PARTS f2l 0 I-A
AR
COLLECTION INCLUDING AGENCY AND ATTORN Y EES AN COU COSTS INCURREb AND PERMITTED BYLAW GOVERNING THESE TRANSACTIONS PARTS
jl LABOR Ill. 51D
I hereby authorize the repAr work to be pne 9 with t�7, n.c a, aterials.You and your employees may operate vehicle for purposes of testing, OTHER 1
inspection,or delivery t7l risk.A Viss ;4nIc's 1i n is/ n [edged on vehicle to secure the amount of repairs thereto.It is also understood that U L
(�c , 7 7
you will not be held re r d age to or c 6s left In cars in case of fire,theft or any other cause beyond your control. SUBLET
Signature (If
SUBTOTAL 1.9 0. 50
TAX F1.1 1"14 0
5 1-'
Rec'd By TOTAL .190. 50
CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT, C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT
THANK
OU!j190.50 YOU!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire Fishers
IN SUM OF $
P.O. Box 195
Fishers, IN 46038
$190.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I IN100144645 I 43-500.00 I $190.50 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
Monday, April 13, 2015
irector, Brookshire Club
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))
04/09/15 IN100144645 Repair Parts $190.50
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