HomeMy WebLinkAbout250620 10/21/15 .CAA .
*% . CITY OF CARMEL, INDIANA VENDOR: 060700
® ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $""""***207.96"
,r� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 250620
'�;,��H. CARMEL IN 46032 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 146717 207.96 AUTO REPAIR & MAINTEN
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844-4839
11RE
atiollal PENNIL
1,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 HA\'E
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 TI IIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CI IARGE EQUAL TOT[IE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LASVS 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 FIRE DEPT. 5988/01 SAME INVOICE# 146717
TWO CIVIC SQUARE .
CARMEL IN 46832
CUST.P.O.# MAKE-MODEL ID# MILEAGE TE E ROUTE SUM SHIP VIA ORDER# PAGE REMARKS
POOL CAR 3 571-2689 0 5 N/A 171211 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
pene — y uperator
18/87/2815 146717 NET 10TH 10/07/15 16:81:28 8
STOCK NUMBER SIZE DESCRIPTION, QUANTITY- QUANTITY . . UNIT T � F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
16 16° DISMOUNT & MOW PASSENGER B 8 16.88 .88 128.88
WBP EACH WHEEL BALANCE PASSENGER ,.4 4 12.88 .00 48.88
21131 TPMS GM SNAP—IN VALVE STEM 4 4 7.99 02 .88 31.%
METHOD OF PAYMENT:
CHARGE: 287.96
CHANGE: .08
I
Thank you for your business Mech: Dt ug K
PARTS LABOR TAX% TAXABLE TAX F.E.T. Ml U I VOI OT L
AMOU T AMOUNT
1 RIT
287.96 83128155-882 207.96
"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))
146717 Pool Car $207.96
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 South Rangeline Road
Carmel, IN 46032
$207.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 146717 43-510.00 $207.96 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
nrT .11
r
. a 5
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund