252583 12/15/15 a o..C�gMF
�,% ;� CITY OF CARMEL, INDIANA VENDOR: 060700
® ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $**......78.00"
f. CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 252583
1.j,�,_ON,�� CARMEL IN 46032 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 147258 39.00 TRASH COLLECTION
1110 4350101 147262 39.00 TRASH COLLECTION
622C S. Rangelme Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
"' (317) 844-4839
KE
a$IOI1aO PENS IL
LT ifIE UNDERSIGNED,IIEREBI'AGREE UNTIL SUCH TIME AST]IIS ACCOUNT IS PAID IN FULL BS'ME.'PHE SELLER SHALL RETAIN TITLE TO TI IE 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 I(ANDS 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) RECEI VED BY
SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO:SAME INVOICE# 147258
THREE CIVIC SGUARE
CARMEL IN 46032
CLIST.P.O.# MAKE-MODEL ID# MILEAGE (31W5FPjlDT[E ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 0 1 N/A 172272 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator # 7
12/08/2015 147258 NET 10TH 12/08/15 11:43:35 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
SCRAP SCRAP TIRE 13 13 3.00 .00 39.00
METHOD OF PAYMENT:
CHARGE: 39.00
CHANGE: .00
Thank you for your businebb
PARTS LABOR TAX% TAXABLE AMOUNT TAX F.E.T. AMOUNT PLEASN►WINETRUNT
39.N 39.00
"You're Riding On Our Reputation"
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" C(aLbA Carmel, IN 46032
4w _RE
(317) 844-4839
4M
atronal PENNIL
1,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TOT[IE 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 ANN'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 days Past Due.Annual Percentage Rate is 21%.(Minunum 75) RECEIVED BY
SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO:SAME INVOICE# 147262
THREE CIVIC SQUARE
Ij CARMEL IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE (31W5e 'rt10J`1i ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 0 1 N/A 172279 1
INVOICE DATE INVOICE ' PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBEROpened by Operator # 7
12/08/2015 147262 NET 10TH 12/08/15 15:32:19 7
QUANTITY UNIT
STOCK NUMBER SIZE_ DESCRIPTION - - T F.E.T. EXTENSION
ORDERS SHIPPED PREV SHIP PRICE
SCRAP SCRAP TIRE 13 13 3.00 .00 39.00 '
METHOD OF PAYMENT:
CHARGE: 39.00
CHANGE: .00
Thank you for your bu
PARTS LABOR TAX% F.E.T.TAXABLE TAX F.E. MISC. PLEASHrI�IIrl�lllNT
AMOUNT AMOUNT
39.00 39.00
"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))
12/08/15 147262 scrap tires $39.00
12/08/15 147258 scrap tires $39.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 C South Rangeline Road
Carmel, IN 46032
$78.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 147262 43-501.01 $39.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 147258 43-501.01 $39.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, December 10, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund