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Home My WebLink About260134 06/28/16 i Coq ��a. MF. CITY OF CARMEL, INDIANA VENDOR: 060700 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********56.50* i° CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 260134 9M�roN��o` CARMEL IN 46032 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 148850 31.00 OTHER EXPENSES 1120 4351000 148878 25.50 AUTO REPAIR &- MAINTEN 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 60700 CLARK TIRE INC CARMEL Purchase Order No. 622 C SOUTH RANGELINE RD Terms CARMEL, IN 46032 Due Date 6/10/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/10/2016 148850 $31.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer L /+ �� 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" A Cannel, IN 46032 4w (317) 844-4839 IRE t National O PENS IL I.THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,TI4E SELLER SHALL RETAIN TITLE TO THE GOODS HER PURCHASED AND SELLER SHALL HAVE A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LASVS GOVERNING THESE TRANSACTIONS. A finance charge of 13/4%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY SOLD TO: CARMEL NATER DISTRIBUTION 6300/01 SHIP TO:SAME INVOICE# 148850 3450 W. 131ST ST. CARMEL IN 46074 CUST.P.O.# MAKE-MODEL ID# MILEAGE TELt-t_'PkieNE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 716-3939 0 1 N/A 175153 i INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER 06/08/2016 148B50 NET 10T4 06/08/16 15:40:09 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITT F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE REPAIR TIRE BACK 16 16n DISCOUNT 9 MOUNT PASSENGER 1 1 16.00 .00 16.00 REP EACH INSIDE TIRE REPAIR 2 c' 7.50 .00 15.00 KETHOD OF P01ENT: CHARGE: 31.00 CHANGE: ,00 TAXABLE PARTS LABOR TAX% AMOUNT TAX RE T. AMOUNT PLEASE1t5V01��ISO;TALINT 31.00 31.00 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) CLARK TIRE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 622 C SOUTH RANGELINE RD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $25.50 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 148878 43-510.00 $25.50 1 hereby certify that the attached invoice(s),or 6/13/16 148878 Pub Ed Truck $25.50 1120 101 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,June 14,2016 David Haboush Fire Chief 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- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer LARK E 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w (317) 844-483I�R 9 M mational 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 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: CARMEL FIRE DEPT. 5900/61 SHIP TO:SAME 148878 TWO CIVIC SDUARE � CARIFEL IW 46032 CUST. P.O.# MAKE-MODEL ID# MILEAGE TE5rP40NE ROUTE SUM SHIP VIA ORDER# PAGE REMARKS PUBED 125900 571-2609 0 1 N/A 175456 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator t 7 06/10/2016 148878 NET 10TH 06/10/16 10:51:51 8 -- UNIT STOCK NUMBER SIZE DESCRIPTION QUANTITY T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP .PRICE REPAIR LEFT FRONT 16 1611 DISMOUNT & MOUNT PASSENGER 1 1 16.00 .00 16.00 REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50 NOTE BALL JOINTS ARE LOOSE METHOD OF PAYMENT: CHARGE. 25.50 CHANGE: .00 —Thr#r yuu for-Your btrsi Meth;-Djug K PARTS LABOR TAX% CuStaAWMouN�sale No. TAX F.E.T. AMOUNT PLEASfi 06 16MIT7&,' JNT 25.50 11@3'120155-002- 25.517 "You're.Riding On Our Reputation"