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Home My WebLink About303333 09/26/16 t Cqq CITY OF CARMEL, INDIANA VENDOR: 060700 • ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: S*******108.45* CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 303333 v CARMEL IN 46032 CHECK DATE: 09/26/16 F�ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350101 149664 54.00 TRASH COLLECTION 1120 4351000 149758 54.45 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. $54.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 149664 43-501.01 $54.00 1 hereby certify that the attached invoice(s),or 9/13/16 149664 Scrap Tire $54.00 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 Tuesday, September 13,2016 ' 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 20Cost 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 4w IRE (317) 844-4839 aL�f��llal 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 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 TI IE 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 POLICE DEPT. 6000/01 SHIP TO:SAME INVOICE# 149664 THREE CIVIC SQUARE CARMEL IN 46032 CLIST.P.O.# MAKE-MODEL ID# MILEAGE (31&HGHPIJOM ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 571-2500 0 1 N/A 177023 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Ope ed by Operator # 7 08/26/2016 149564 NET 10TH 08/26/16 11:18:21 7 QUANTITY UNIT STOCK NUMBER SIZE DESCRIPTION T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE SCRAP SCRAP TIRE 18 1B 3.00 .00 54.V;0 METHOD OF PA`!1=SENT:. CHARGE: 54.00 CHANGE: .00 t / Thank r s b5 PARTS LABOR TAX% AMOUNT TAX F.E.T. AMo NT PLEASHNV-Wi4q'E4TW1T 54.00 54.00 "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. $54.45 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 149758 43-510.00 $54.45 1 hereby certify that the attached invoice(s),or 9/13/16 149758 A342 $54.45 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 Thursday, September 15,2016 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 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w riRE (317) 844-4839 t ation i 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: SHIP TO: CARMEL FIRE DEFT. 5990/01 SAKE INVOICE# 149756 TWO CIVIC SQUARE CARMEL IN 4593E CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS b/1-6 00 #44 #3409 43319 571-2609 0 5 N/A 177191 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Openers by Operator # 6 09/07/2016 149756 NET 14TH 09/07/16 16:09:49 6 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITT F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE REPLACE TIRE PASS OUTSIDE TCH EACH LARGE TRUCK DISMOUNT & MOUNT 1 i 30.00 .00 30.09 EQD 6 OZ EQUAL D 6 OZ SGL SAND BAG 1 1 16.45 02 .00 18.45 SCRAP SCRAP TIRE 1 1 6.00 .00 6.0:3 METHOD OF PAYMENT: CPA RBE: 54.45 CHANGE: .00 Ajar / qz,i-\ Thank you your business Meeh: Doug K PARTS LABOR TAX% TAXABLEOUNT TAX' F.E.T. aM sc. INVOICE TOTAL vusto®er Resal , No. PLEASE PAY : NI 54.45 303120155-902-1 54.45 "You're Riding On Our Reputation"