HomeMy WebLinkAbout247197 07/15/15 ,1+��_C�q�f
CITY OF CARMEL, INDIANA VENDOR: 060700
® ', ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********57.00*
4 ?� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 247197
9�;,.._, CARMEL IN 46032 CHECK DATE: 07/15/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 145800 57.00 TRASH COLLECTION
LARK 6226 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
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(317) 844-4839
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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: CARIhEL POLICE DEPT. 6ON/01 SHIP TO:SAME INVOICE4 145900
THREE CIVIC 139UARE
CARK,EL IN 46032
CUST. P.O.# MAKE-MODEL ID# MILEAGE (3jTELi FH9)NE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
511-2530 0 1 N/A 169335 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER AfrinAdhy (I , `a„
417/0612015 145800 NET 10TH 07/0E,/15 11:14:43 7
I
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
SCRAP SCRAP URE 19 19 3,PO .041 57.93
METHOD Or PMNEN T:
CHAIRSE: 57.00
CHANGE: ,00
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iloik yuu fur y!)ur bushiess
PARTS LABOR TAX% TAXABLE AMOUNT TAX F.E.T. AMOUNT PLEASE]NVP1C j13O-TAL1�(T
57,09 57.00
"You're Riding On Our Reputation”
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF$
622 C South Rangeline Road
Carmel, IN 46032
- —
---$57-.00--
ON
--$57:00-ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 145800 43-501.01 $57.00
I hereby certify that the attached invoice(s), or
I 1 I
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
Frida , my 10, 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))
07/06/15 145800 scrap tires $57.00
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