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310296 04/18/17 9o,; .�� CITY OF CARMEL, INDIANA VENDOR: 00351640 ,,,,�,,,,,,, „ ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $ 90.50 ��?Q; CARMEL, INDIANA 46032 FISHERS S 46038 BO 95CHECK NUMBER: 310296 M�roH�° CHECK DATE: 04/18/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 IN00157235 90.50 EQUIPMENT REPAIRS & M 2 -0 O < « \ § \ § k m \ 0 ? ® # D � 0 �0 ® M \ 0 z k $ R L § o § � E m 2 E § k p = m o m m # 7 -n # f 9 D E \ § -n > / � Sk0 0 q X ] \ # E X ° C z z4 > z. O | j \ § m 7 0 � # i § K = / \ k 0 f y ° E o PL & g E E � , / 2 ; k § 0 2 - E q 2 $ 2 7 (D k > + - E C % ID K k 0 r4* k ƒ - © k C? @ « E - E k CL @ - , -4S J ° E E f - k ƒ § I 3 3 ( o [ # T CL I # % m § i e CL$ -4 - j ) / \ cr , = E ) K =r \ -� ) CY g � / k - CD n 0 00e § g « ] Q k g} / 2 m ƒ 7 C o ) / m D ƒ \ CD \ \ e/ \ � � Ut - Q 0 > %k cn }$ \ \ • o D j \ / \ \ M § 0 q 0 / / j _E CD \ \ 0 CD ) % # C % ( ƒ 7 ) n0 / § \ \ ] P. ƒ \ � R ( E > § § _ 0 ƒ § k o ® k CMBK 12371 Reynolds Drive CLARK TIRE FISHERS Fishers, IN 46038 f/slflERs 126TH&REYNOLDS RD. 317-842-0544 P.O.BOX 195 FISHERS,IN 46038 (317)842-0544 **Original**-Copy2 TYPE Invoice# Date By IN IN0015723 5 04/05/2017 12:20 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 TIC Extension 5189761 18/850-8/4 FAIRWAY PRO 2.00 45.00 HSE 90.00 TT INDIANA TIRE FEE 2.00 0.25 HSE 0.50 ve e Estimate : Promised Revised: Auth by: Telephone 2nd Rev: Auth by: Telephone; Amywarrantte=thenem/nems sold-herebyare thostrmade-by the manufact m ThesellerCL-M*TfRE,fiere byexprersiq�iscWm�R werraMies�itherexlxess--or implied,including any implied warranty of merchantability or fitness fora particular purpose and CLARK TIRE neither assumes nor authorizes any other person to assume for it any liTotals ability in connection with the sale of this item/items. 1 ` RE-TORQUE LUGNUTS RECOMMENDED AFTER 100 MILES. Parts .90.00 A SERVICE CHARGE OF 1Y%PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNTS PAST DUE 30 DAYS,NET 10th PRO%. �.+lTiJk7r 7 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 V�1eT INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BYLAW GOVERNING THESE TRANSACTIONS. Vf 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, FET/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 �v G you will not be held responsible for loss or damage to cars or articles left in cars in case of fire,theft or any other cause beyond your control. Subtotal 90.50 Customer Signature Tax 0.00 Total 90.50 Cash: Check: Cr Cd: Chrg: 90.50