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307595 01/27/17 (9) CITY OF CARMEL, INDIANA VENDOR: 00351640CHECK AMOUNT: S*"****"176.50* ONE CIVIC SQUARE Po eo K195RE FISHERSCHECK NUMBER: 307595 CARMEL, INDIANA 46032 FISHERS IN 46038 CHECK DATE: 01/27/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 IN00156103 176.50 EQUIPMENT REPAIRS & M 2 T n f « } 4 m / / 7 > ® m \ q z k f R £ 2 2 C & 2 % R £ 2 / k E $ / rn 00 2 m O q ; S # G > / \ 0 C) / » \ K \ 0 � 9 # ® E ; RC z CL 2 2 2 Q f 692 . O | / 2 m \ G a # e ƒ g ( ¥ c k § { E g i � o m -n , , e ? G -no § ƒ _ - E 2 . ; J f 2 C a 2 7 k E _ § C \ a N a , f g \ / } \ k @ S. / w , § \ [ ] f E 3 § C | ; CL(D \ M § r 0 \ * E D /$ ) / 2 m0) C < ° ° o \ (/ k - \ GJ S © $ 4 3 2 KI § [ \ N »� E 2 | < \ \ a z - � E ) % \ q a > 66ƒ iq \ \ § 0 i \ i n # = z E ] A F c % # / ® § o $ C) ; CD m z 0- 0 o $ \ CO) \ \ \ ¥ { § E69 > & 2 7 0 . § m § � / CLINK 12371 Reynolds Drive _ CLARK TIRE FISHERS Fishers, IN 46038 s lyfRs 126TH&REYNOLDS RD. 317-842-0544 011A NIRS BOX 195 FISHERS,IN 46038 (317)842-0544 "Original"-Copy2 TYPE Invoice# Date 13Y IN IN00156103 01/11/2017 14:12 bs Account Name-Address Contact BROOKSH BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY H. (317)571-2427 W. (317)420-1676 CARMEL,IN 46033 M. (317)000-0000 ---------------------------- License# Year-Model Color Mileage Engine Inspection Date PO Number: Tag Number: VIN# : --------- --- ------- Item Description Qty Parts Labor FET/Core TC Extension 50D362 20X10.00-10 TURF TRAC R/S 2.00 88.00 HSE 176.00 TT INDIANA TIRE FEE 2.00 0.25 HSE 0.50 ---------- ---- - – — — -- -- — Estimate: Promised Revised: Auth by: Telephone 2nd Rev: Auth by: Telephone �ys�arraTRleSairtKeheltlYltem';sattthetebyare thaseTnadtrby themanufacnirerThesellerfL-ARI(TiRE,hereby-expresslytlisciabns-aH warrarrties-eitherncprcss— :*"�=—————————,�"'——— or implied,including any implied warranty of merchantability or fitness for a particular purpose and CLARK TIRE neither assumes nor authorizes any other person TOtals to assume for it any liability n connection with the sale of this item/items. 1 l RE-TORQUE LUGNUTS RECOMMENDED AFTER 100 MILES. 176.00 A SERVICE CHARGE OF 1 N%PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNTS PAST DUE 30 DAYS,NET 10th PROX. Labor I,THE UNDERSIGNED HEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE,AND IF THIS ACCOUNT IS PLACED IN THE 0.50 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 LAW GOVERNING THESE TRANSACTIONS. ) I hereby authorize the repair work to be done along with the necessary materials.You and your employees may operate vehicle for purposes of testing, ET/Core inspection,or delivery at my risk.An express mechanic's lien is acknowledged on vehicle to secure the amount of repairs thereto.It is also understood that you will not beheld responsible for loss or damage to cars or articles left in cars in case of fire,theft or any other cause beyond your control. *.r}nt 176.50 Customer Signature TAX 0.00 Total 176.50 Cash: Check: Cr Cd: Chrg: 176.50