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Home My WebLink About302090 08/22/16 (9, CITY OF CARMEL, INDIANA VENDOR: 060700 ONE CIVIC SQUARE CLARK TIRE INC CHECKAMOUNT: $*******153.50* CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 302090 CARMEL IN 46032 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350101 149200 53.00 TRASH COLLECTION 601 5023990 149439 100.50 OTHER EXPENSES VOUCHER# 162352 WARRANT# ALLOWED 60700 IN SUM OF $ CLARK TIRE INC CARMEL 622 C SOUTH RANGELINE RD CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 149439 01-6500-04 100.50 Voucher Total 100.50 Cost distribution ledger classification if claim paid under vehicle highway fund 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 8/8/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2016 149439 100.50 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 LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w .IRE (317) 844-4839 Jatiollal PENS IE L 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 ORATTORNEY 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 PemcntagcRate is 21%.(Minimum 7s) RECEIVED BY SOLD TO: CARMEL WATER DISTRIBUTION 6300101 SHIP TO:SAME INVOICE# 149433 3450 W. 131ST ST. CARMEL IN 46074 CUST.P.O.# MAKE-MODEL ID# MILEAGE Tff4ADME ROUTE SLM SHIP VIA ORDER# PAGE REMARKS #98 51398 716-3939 0 '1 N/A 176615 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER pend by Opera n 08/04/2016 149439 NET 10TH 08/04/16 11:11:44 7 { STOCK NUMBER' SIZE DESCRIPTION _ -. QUANTITY : UNIT T F.E.T. EXTENSION '.ORDERS.SHIPPED PREY.SHIP PRICE RESET TP146 THEY REPLACED LF SENSOR 21193 TPNS SNAP-IN TPMS SENSOR 315MHZ 1 1 84.50 02 .00 84.50 CH 'EACHTIRE CHANGE 1 "1. 16.00 .00 16.00 METHOD OF`PAYMENT: CHARGE: 100.50 CHANGE: .00 Ree'ive �3�� d . _2 Dat• : PO o A:�CCT = C� Use �. !' 5 A>Ise r lzon�Z'TAXABLE - Hoch Run !f AMOUNT TAX F.E.T. AMOUNT PLEABE] �7,plpg(IIBNT X 100.50 "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. $53.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 149200 43-501.01 $53.00 1 hereby certify that the attached invoice(s),or $/5/16 149200 Scrap Tires $53.00 1110 101 1110 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,August 05,2016 Tim Green Chief of Police 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 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 4w IRE (317) 844-4839 alio al PENS IL 1,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: CARKEL POLICE DEPT. 6000/01 SHIP TO:SAME INVOICE# 149200 THREE CIVfIC byjUARE CARMEL IN 46032 CLIST. P.O.# MAKE-MODEL ID# MILEAGE MITE E HONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 5/1-nu .1 a INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator # 8 07/13/2016 149210 NET 10TH 07/13/16 10:29:48 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREY SHIP PRICE s• i 1 --15 &W SCRAP - SCRAP TIRE 2 2 4.00 .00 8.00 METHOD OF PAYMENT: CHARGE: 53.80 CHANI=7E: .00 PARTS LABOR TAX% AMOUBNT LE TAX F.E.T. AMOUNT PLEASEiKV1/6IG'EITOT90NT 53.00 53.05 "You're Riding On Our Reputation"