HomeMy WebLinkAbout245784 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 00351640
® CHECK AMOUNT: $*'******25.50*
ONE CIVIC SQUARE CLARK TIRE FISHERS
CARMEL, INDIANA 46032 PO Box 195 CHECK NUMBER: 245784
''droN"E° FISHERS IN 46038 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 145292 25.50 AUTO REPAIR & MAINTEN
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4r) IRE (317) 844-4839
�Jati®nal PENS IL
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 BY LAWS 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 BY
SOLD TO: SHIP TO:
CARREL FIRE DEPT. 59210/101 SANE INVOICE4 14523
TWO CIVIC SQUARE
CARKEL IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
#47 2490106 571-2609 21 1 N/A IK324 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opined by Operator # 7
05/15/2-1015 145292 NET i21TH 015!15/15 14:36:3; 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITT F.E.T. EXTENSION
_ ORDERS SHIPPED PREY SHIP PRICE
RECR THE RIGHT FRONT TIRE
16 16" DI INOUNT & V11P NT P'HSSENGkft 1 1 16.2121 .021 16.009
COMiIO EA COMBINATION REPAIR ON VEHICLE 1 1 9.5+0 .2101 9.5@
METHOD OI- PAYMENT:
CHARCE: 25.50
CHRNGE: .OD
Than{c you for your klSineS5 Mech: J1zleS
PARTS LABOR TAX% TAXABLE TAXF.E.T. misc. INVOICE TOTAL
AMOUNT AMOUNT
;ustoser Re5ale No. PLE 'c Pi Y THIS ,i NI
25.50 11'031 c 0155-X032-K 25.50
"You're Riding On Our Reputation"
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF$
622 South Rangeline Road
Carmel, IN 46032
$25.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 145292 43-510.00 $25.50 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
JUN
i
' 9
/
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
145292 Car 47 $25.50
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