HomeMy WebLinkAbout300052 07/12/16 f Cly
a` �"�'� CITY OF CARMEL, INDIANA VENDOR: 060700
�= ONE CIVIC SQUARE CLARK TIRE INC
CHECK AMOUNT: $********12.00*
�'a CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 300052
s�;�toN� CARMEL IN 46032 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 149006 12.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
CLARK TIRE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
622 C SOUTH RANGELINE RD IN SUM OF$ 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.
$12.00 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
149006 43-510.00 $12.00 1 hereby certify that the attached invoice(s),or 7/1/16 149006 $12.00
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
Friday,July 01,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4rj
ri RE (317) 844-4839
PENIL�fl®IL/ S
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. 5306/01 SHIP TO:SA14E INVOICE#1 143006
TWO CIVIC SQUARE
CARKEL IN 46032
CUST. P.O.# MAKE-MODEL ID# MILEAGE TE EI'M'ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2609 6 5
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator # 8
06/23/2016 143006 NET 16TH 06/23/16 12:22:14 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITT F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
REPAIRLOUSE
PLUG EACH PLUG REPAIR 1 1 12.60 .00 12.06
METHOD OF PAYMENT:
CHARGE: 12.:N
CHANGE: .00
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PARTS LABOR TAX% CuSto "�hESale No. TAX F.E.T. AMourIT PLEASO141V1" ItlE,1�'KUNT
12.00 163120155-002-Q 12.00
"You're Riding On Our Reputation"