HomeMy WebLinkAbout255730 03/01/16 i
CITY OF CARMEL, INDIANA VENDOR: 060700
.T ® h\ ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $***``***60.00*
,>• CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 255730
9M���ON� CARMEL IN 46032 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 147777 60.00 TRASH COLLECTION
CCL �� 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844-4839
11RE
atonal PENS IL
I,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 EVENT OF DEFAULT IN 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 BY LAWS GOVERNING TI IESE TRANSACTIONS.
A finance charge of 13/4%Per Month will he charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY
SOLD TO: CARMEL FIRE DEPT, 5900!01 SHIP TO:SAME INVOICE## 147777
TWO CIVIC SQUARE
CARMEL IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELPEM���N ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2609 0 1 N/A 1733336 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
t
02/12/2016 147777 NET 10TH 02/12/16 11:06:324 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
SCRAP SCRAP TIRE 20 20 00 .00 60.00
METHOD OF PAYMENT:
CHARGE: 60.00
CHANCE: .00
Thank you for your business
TAXABLE TAX F.E.T. MISC.
PARTS LABOR TAX% OIGE-TO AL
r �OU�T �I_y AMOUNT C � ��,�y-y
60.00 I j03120155-002—II 50.00
"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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
02/12/16 147777 scrap tires $60.00
1110 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
CLARK TIRE INC
622 C SOUTH RANGELINE RD IN SUM OF$
CARMEL, IN 46032
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
1110 I 147777 I 43-501.01 I $60.00 1 hereby certify that the attached invoice(s), or
101
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
Monday, February 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund