HomeMy WebLinkAbout319364 12/05/17 -
`i�....,•+,f CITY OF CARMEL, INDIANA VENDOR: 060700
e. ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********23.50*
,aq CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 319364
CARMEL IN 46032 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 153799 23.50 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
Vendor# 060700 ACCOUNTS PAYABLE VOUCHER
CLARK TIRE INC IN SUM OF$ CITY OF CARMEL
622 C SOUTH RANGELI N E RD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$23.50
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
153799 43-510.00 $23.50 1 hereby certify that the attached invoice(s),or 12/1/17 153799 $23.50
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
Friday, December 01,2017
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 FIRE 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4) (317) 844-4839
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:
Cfll+t}L FIRE DEPT. 530-9/01 SAiI TNVOICEq 153'1'93
T6G CIVIC SQUARE
CARNEL IN 1,602
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE
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PHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
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INVOICE DATE INVOICE PREVIOUS SHIPPED r TERMS
NUMBER INVOICE NUMBER LL, V
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i Jr,7 f0i417 °47"7_i1 !.117T if)TLI i i !C7! 11
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT' T F.E.T. EXTENSION
ORDERS SHIPPED PREY.SHIP PRICE
is cAI t TTRF LCIGSE
ic, ,Gu DISNOLli f PiOUNT PASSENSER i ? I&C111 100 161,01
RCP Eilsr! INSIDE TME REPAIR ? 1 7.50 .00 7.5'
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CHARGE: 23.51
IP
ii°`PkARTS I Ul- YUTABOR'1 " TAX% TAXABLE TAX F.E.T. misc. INVOICE TOTAL"`cit: nt uIi'
AMOUNT AMOUNT
:u;touer Resa.lc PIa. PLEASE CIA' THIS r^i•1CUNT
23.MOi4 31cti'I t55-P+11?c-1 2101 50
"You're Riding On Our Reputation"