HomeMy WebLinkAbout319577 12/12/17 raj.S�gMf`
a CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $*******120.00*
?4 CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 319577
vy_ CARMEL IN 46032 CHECK DATE: 12/12/17
F,ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 153890 120.00 TRASH COLLECTION
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CLARK TIRE INC IN SUM OF$ CITY OF CARMEL
622 C SOUTH RANG ELINE 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
$120.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
153890 43-501.01 $120.00 1 hereby certify that the attached invoice(s),or 12/7/17 153890 scrap tires $120.00
1110 101 1110 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
Tuesday, December 12,2017
&--� a"w
Jim Barlow
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
41 IRE 622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" Cannel, IN 46032
(317) 844-4839
1,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 ORATTORNEY 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:
CARS E.L POLICE DEPT. 600/01 SFltir !NVOICH 153990".
iHtiFE CIVIC SQUARE
CARMEL IN 46032
CLIST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM' SHIP VIA ORDER# PAGE REMARKS
(3.17)7571-2580
57 1—Isliitt 0 1 Nidi 18S11_119 I
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Orerled Operator � 7
I", iA7/-;3017 ir.;i207t 14 ` 11ATi.11 is/Q7/17 Pr''.6.p.", 7
auANrlrY
STOCK NUMBER SIZE DESCRIPTION LL u IT' T v F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
i
SCf Ac' CRAP TIRE 40 40 3.LOS .Mj_ 12':
t 101 OF i'IaVENl T
CHARGE c 120.C";
CHANSE. .ez
s
FAFZTS I'"'r Y"uLP;6bWL°2 TAX% TAXABLE AMOUNT TAX F.E.T. Ae sc. INVOICE TOTAL
PLUASE PAY THIS MIO11NT
120.(1b 1 N.010
"You're Riding On Our Reputation"