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307596 01/27/17
J,' � CITY OF CARMEL, INDIANA VENDOR: 060700 CHECK AMOUNT: $********25.50* g ONE CIVIC SQUARE CLARK TIRE INC s�,_� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 307596 �. CARMEL IN 46032 CHECK DATE: 01/27/17 �'iro �. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 150954 25.50 AUTO REPAIR & MAINTEN n @n < < o 0 O> h > � 0 ® CL z 0 f ° n % - ? g ® m 0 ? z \ m 9 m _ # I o 2 2 c « \ O £ \ z S > 0 o m § 0 ® 2 O4h, q # m # ] D % z 7 £ \ m \ § � / ƒ q 3 / / k § k \ ƒ 3 § a _ SU \ Z § 2 0 4 > - . \ $ \ q | � S z = > / i 3 R - r % $g k ƒ / k { k & £ e J 0 m 2 ) § 6 a - _ fm 2 - ; , 7 - § 2 k § + CL _ E 7 ca \ ƒ E ! 3 § e _ @ { / \ @ "IL\ , 7 \ k @ CL \ / w S ( R E & & § - D ƒ 2 « f g | � / _0 Kim ° ¥ G © - CL ° j m \ ƒ CD kk � � . }J ) \ #_ ; \ & c < @ � G \ ® 0 k CD \ ) ƒ \ k C o � ^ � 0 Z / G0 4 ) ID k \ J | 4 o< % 0 \f G \ � E ) K \_\ � o > 6� \ § / X \ f / 0 E / c a \ O / +_ f % / � f + ® § $ / } :cn G § R 0 \ ] m { d CL \cn ] § # CDz § k CD CL9 AV / \ _ 0 § E CD § \ 622C S. Rangeline Road "YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 4w € (317) 844-4839 riR�E� EArJENCY IGNED,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 TEREST 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 _-� NT 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 ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. of HA%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY SOLD TO: CALL FIRE DEPT. 5W/011 SHIP TO. 1KE INVOICU 15@954 TWO CIVIC 99JARE CARMEL IN 46032 CUST.P.O.# MAKE-MODEL ID# MILEAGE TEILEPPME ROUTE,SLM' SHIP VIA ORDER# PAGE REMARKS t 5 W 1794W INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator # 8 W09/2817 158954 NET 18TH 121189117 13:1c:52 7 STOCK NUMBER SIZE DESCRIPTION QU TEY T F.E.T. EXTENSION pRDERS SHIPPED PREV.: IP PRI I Lin REPAIR LOOSE 17 171181, DISUNT & KWT PASSENGER 1 18.N .012 REP EACH INSIDE TIRE REPAIR 1 1 7.50 .@i0 NETHOD OF PAYMENT: DIARGE: 25.50 CHANGE: PARTS LABOR TAX% CUS 0 ate Na. TAX F.E.T. AMOUNT 25.50 310155-W2-0 n, 50 e "You're Riding On Our Reputation"