HomeMy WebLinkAbout257852 04/26/16 .C4q
r% ''�. CITY OF CARMEL, INDIANA VENDOR: 060700
�` z CHECKAMOUNT: $*********8.50*
. ® .I• ONE CIVIC SQUARE CLARK TIRE INC
_�: CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 257852
%M,�T�N�; CARMEL IN 46032 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 148312 8.50 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO.
ALLOWED 20
CLARK TIRE INC
622 C SOUTH RANGELINE RD IN SUM OF$
CARMEL, IN 46032
$8.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
I 148312 I 43-510.00 I $8.50 1 hereby certify that the attached invoice(s), or
1120 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
Tuesday, April 19, 2016
p4mDr '-Z�-
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
�n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Et.
Date invoice# Description Amount
Fund# (or note attached invoice(s)or bill(s))
04/15/16 I 148312 I I $8.50
1120 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
CL:*A4RK 622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4`q (317) 844-4839
11RE
t ationa( PENS
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I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCII TIME AS THIS ACCOUNT 1S 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 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%.(Minimum 75) RECEIVED BY
SOLD TO: C1 SHIP TO: INVOICE# 148322
NL
AWR
CUST. P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
114355
W4
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS J
NUMBER INVOICE NUMBER RP Xh t�v'nmer
112016 °; 04/15115
QUANTITY UNIT
STOCK NUMBER SIZE DESCRIPTION T F.E.T. EXTENSION
_ ORDERS SHIPPED PREV.SHIP PRICE
STEN E ur _X T ENT' 1 1 S.50 @2 .&Li
fETHDD OF PAYNE t
CHUGS: ,.50
CHANGE:
0
Thank you for your —cin ee ill I(r_
PARTS LABOR TAX% ,l .c s OUNE' a TAX F.E.T. AMOUNT 1 Ih{VOICE'TO,TA INT
8.50 Z-002 0 8.50
"You're Riding On Our Reputation"
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