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HomeMy WebLinkAbout244677 04/29/15 J`' c p; CITY OF CARMEL, INDIANA VENDOR: 00351640 ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $**"••'"45.25` f. CARMEL, INDIANA 46032 PO BOX 195 CHECK NUMBER: 244677 'M,;�oN-�` FISHERS IN 46038 CHECK DATE: 04/29/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 IN00144839 45.25 EQUIPMENT REPAIRS & M I� 126TH & REYNOLDS ROAD (HWY 37 NO.) FAST!Service at our Farm, FISHERS, INDIANA 46038 P.O. BOX 195 Commercial Site or on the Road. 400000000000 317-842-0544 OR 1-800-444-5985 All Major Brands Available TIRE FISHERS Fax 317-577-3956 NAME/ADDRESS ACCOUNT NO. HOME PHONE REFERENCE NO. I"tRniV1K-31.-1 '.31. 7) 57'1. 1.N0IZI144113r BR1OOKS1­1IRE GOLF CLUB P.O.NO. WORKPHONE DATE/TIME f2120 BROOKSHI RE PARKWAY -'73 1 7:) 4 w=:iu1 1.E71,76 0 4/2"D/15 J. 1. o 58 RESALE N0. VIN NO. WO-ES NO. CARMEL, IN 46033 YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO. SAVE PARTS _ ALL PARTS NEW UNLESS PROMISED DATE/TIME MILEAGE WRITTEN BY Y N OTHERWISE SPECIFIED ESTIMATE AMOUNT DATE TIME EMPLOYEE PHONE CUSTOMER ORIGINAL ❑ FREE ROTATION REVISED 1 (EVERY 5,000 MILES) REVISED 2 1 acknowledge notice and oral approval of an increase in the original estimate price. ❑ ROAD HAZARD WARRANTY X PARTS & OTHERS LABOR CITY. PART NO. DESCRIPTION EAC DESCRIPTION ME= �I 1 5'-112 18.5X8.5+,-8i5 TRAILER 45. 1 45.00 1.50 IWDIA,A TIRE FEE @+.c5 Reason for original esti©ate: Any warranties on the itemiiitems sold hereby are those made by the manufacturer.The seller,CLARK TIRE,hereby expressly disclaims all warranties either express or implied,including any implied warranty of merchantability or fitness for a particular purpose and CLARK TIRE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of this ijeaa tems. A SERVICE CHARGE OF 11A%PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS.NET 10th PROX. THE HANDSTHE OFANDAGENCY OREBY AGREE ATTORNEY FORTHE COLLEC ION OR LEGAL ACTION TO PAF DEFAULT IN THE PAYMENT OF YNAN ADDITIONAL CHAE AND IRGETHIS EQUALL TO TIHE COSTPLACED OF PARTS <tt•'.-�„ ti llfl COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND OURT COSTS INCURRE(J AND PERMITTED BY LAW GOVERNING THESE TRANSACTIONS LABOR ^, 17.1. E.5 I hereby authorize the repair work to Ff�l don along y!1 h the ecessary materials.You and your employees may operate vehicle for purposes of testing, OTHER inspection,or delivery at"y risk.An res hnecharlfic's Ii i�acknowledged on vehicle to secure the amount of repairs thereto.It is also understood that you will not be held res onsible for oo t�amageto ca r chicles left in cars in case of fire,theft or any other cause beyond your control. SUBLET SUBTOTAL -11.5. 1.5 Signature X TAX C Y, Iiljl Rec'd By TOTAL 45. 25 CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT THANK �rJ. YOU! i VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire Fishers IN SUM OF$ P.O. Box 195 Fishers, IN 46038 $45.25 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I IN00144839 I 43-500.00 I $45.25 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 27, 2015 Director, 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)) 04/20/15 IN00144839 Repair Parts $45.25 i I 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