HomeMy WebLinkAbout314263 07/31/2017 CITY OF CARMEL, INDIANA VENDOR: 00351640 CHECK AMOUNT: $*******542.75*
CLARK TIRE FISHERS CHECK NUMBER: 314263
ONE CIVIC SQUARE PO BOX 195
CARMEL, INDIANA 46032 FISHERS IN asosa CHECK DATE: 07/31117
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER IN0015900 NVOICE NUMBER AM0UN
542T 75 EQUIPMENT REPAIRS & M
1207 4350000
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CMBK12371 Reynolds Drive
_ CLARK TIRE FISHERS Fishers, IN 46038
111ASNINS 126TH&REYNOLDS RD. 317-842-0544
P.O.BOX 195
FISHERS,IN 46038
(317)842-0544
**Original**-Copy2
TYPE Invoice# Date By
IN IN00159002 07/12/2017 9:22 WS
-------------------------------------------------
Account Name-Address Contact
BROOKSH BROOKSHIRE GOLF CLUB H. (317)571-2427
12120 BROOKSHIRE PARKWAY
W. (31720-1676
CARMEL,IN 46033M_(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
518096 16X6.50-8/4 RIB 2.00 60.00 HSE 120.00
CA510981 CAR 18-950-8/4 SMOOTHY 1.00 75.00 HSE 75.00
511404 18X8.50-8/4 TURFMASTER 2.00 85.00 HSE 170.00
575315 20X12.00-10 TURF TRAC RS 2.00 88.00 HSE r 176.00
TT INDIANA TIRE FEE 7.00 0.25 HSE 1.75
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Estimate
------------------ -- ----- — -------
Estimate: Promised
Revised: Auth by: Telephone
2nd Rev: Auth by: Telephone
------- -- -- — -- — ———— - - ----_—_ __
nywarranuesont�t�temsso herree yare Tose made YtFe na ufact er The sel�CLARKTRE,� >exp y � —
ssT��sTms all warranties,either express
ormpl ed,including any implied warranty of merchantability or fitness for a particular purpose and CLARK TIRE nether assumes nor authorizes any other person Totals
to assume Ior it any liability in connection with the sale of this item/items. r
RE TORQUE LUGNUTS RECOMMENDED AFTER 100 MILES. i 541.00
A SERVICE CHARGE OF 13/.96 PER MONTH(21%ANNUALLY)WILL BE CHARGED ON ALL ACCOUNTS PAST DUE 30 DAYS,NET 10th PROX. /,75
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 1
HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION,TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION fter
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, PET/
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 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 542.75
TaX 0.00
Customer Signature _'Total, 542.75
Cash: Check: Cr Cd: C;rg: 542.75