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250172 10/07/15 I 0`''� '`•,"� CITY OF CARMEL, INDIANA VENDOR: 060700 „ ® it ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: S"""'155.95' CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 250172 CARMEL IN 46032 CHECK DATE: 10/07/15 < <�ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 146482 89.95 OTHER EXPENSES 1110 4350101 146646 66.00 TRASH COLLECTION LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w ri RE (317) 844-4839 Jati®nal PENS IL 1.THE UNDERSIGNED.HEREBY AGREE UNTIL SUCH TINIE AS THIS ACCOUNT IS PAID IN FULL BY ME.THE SELLER SHALL RETAIN TITLE TO TI IE GOODS HEREBY PURCIIASEDAND SELLER SHALL HAVE A SECURITY INTEREST IN SAID GOODS TO SECURE TI IE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN TI IE 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: CARMEL POLICE DEPT. 6000/01 SANE INVOICE# 146646 THREE CIVIC SQUARE CARNEL IN 46032 CUST P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 7t-31 1-25DW-0 571-2500 0 5 N/A 171067 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER . Opened by Operator # 09/30/2015 146646 NET 10TH 09/30/15 12:29:24 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT ORDERS F.E.T. EXTENSION ORDERS SHIPPED PREY SHIP PRICE SCRAP SCRAP TIRE 22 '22 3.00 .00 66.00 METHOD OF PAYMENT: CHARGE: 66.00 CHANGE: .00 ' I I Thank you for your business PARTS LABOR TAX% TAXABLE TAX' F.E.T. misc. INVOICE TOTAL AMOUNT AMOUNT SE PAY IHIS AW3UNT-- 66.00 66.00 "You're Riding On Our Reputation" 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)) 09/30/15 146646 scrap tires $66.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF $ 622 C South Rangeline Road Carmel, IN 46032 $66.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 146646 43-501.01 $66.00 I hereby certify that the attached invoice(s), or I 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 Friday, Octo er 02, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 622CS. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 4w � I iFE (317) 844-4839 meati®nal PENNIL L 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 E\LENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND IF THIS ACCOUNT IS PLACED IN TIIE 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 TI[ESE TRANSACTIONS. A finance charge of 13/1%Per Month will be charged on all Accounts 30 days Past Due Annual Percentage Rale is 2l%.(Minimum 75) RECEI V ED BV SOLD TO: SHIP TO: CARMEL WATER DISTRIBUTION 6300/01 SAME INVOICE# 146482 3450 W. 131ST ST. CARMEL IN .46074 CLIST. P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS F250 F-250 88084 716-3939 0 1 N/A 170700 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER 'Opened by Operator # 7 09/14!2015 146482 NET 10TH 09/14/15 10:11:10 '7 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T}: F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE AL3 EACH LIGHT TRUCK ALIGNMENT 1 1 89.95 .00 89,95 METHOD OF PAYMENT: CHARGE: 89.95 CHANGE: .00 P 7 Thank you for your business Mech: Doug K PARTS LABOR TAX% TAXABLE TAX F.E.T. MI INVOICE TOTAL PLEASE AMOUNT AMOUUNT 89.95 89.95 "You're Riding On Our Reputation" 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 60700 CLARK TIRE INC CARMEL Purchase Order No. 622 C SOUTH RANGELINE RD Terms CARMEL, IN 46032 Due Date 9/25/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/25/2015 146482 x$89.95 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 /s Date Officer VOUCHER # 153149 WARRANT# ALLOWED 60700 ` IN SUM OF $ CLARK TIRE INC CARMEL i 622 C SOUTH RANGELINE RD CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 146482 01-6500-05 $89.95 I ' Voucher Total $89.95 Cost distribution ledger classification if claim paid under vehicle highway fund