HomeMy WebLinkAbout251946 12/02/15 ����CAH*
a>.' CITY OF CARMEL, INDIANA VENDOR: 060700
® it ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $ .....*25.50*
;? CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 251946
v oN. CARMEL IN 46032 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 147129 25.50 AUTO REPAIR & MAINTEN
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARKCarmel, IN 46032
4w ri RE (317) 844-4839
a�IOI1C�1 PENS IL
I.THE UNDERSIGNED,HEREI3Y AGREE UNTIL SUCK TIME AS THIS ACCOUNT IS PAID IN FULL BY NIE,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 1N 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 BYLAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4%Per Month will be charged on all Accounts 30 drys Past Due Annual Percentage Rate is 21'%.(Minimum 75) RECEIVED BY
SOLD TO: CARREL FIRE DEPT. 5900/01 SHIP TO:SAME INVOICE# 147129
TWO CIVIC SQUARE
CARREL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE TEkVF_QW ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
#431 56706 571-2609 0 5 N/A 171988 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
erlell-by OPer-�t
11/20/2015 147129 NET 10TH 11/20/15 15:07:42 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
DRIVER FRONT TIRE REPAIR
16 160 DISMOUNT & MOUNT PASSENGER 1 1 16.00 .00 16.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
METHOD OF PAYMENT:
CHARGE: 25.50
CHANGE: .00
A � (O S � Ll
an you or your usi ss Mech: jues
PARTS LABOR TAX% 1'U5 0uMFE5r31a No. TAX F.E.T. AMOUNT PLEASE W1IT9I$494WNT
25.50 3120155-002-Q 25.50
"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))
147129 431 $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
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 147129 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
Nov n 719;
K Ix AIY "'P'-aT' 4Ar'" 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund