250172 10/07/15 I
0`''� '`•,"� CITY OF CARMEL, INDIANA VENDOR: 060700
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® 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
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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