HomeMy WebLinkAbout319813 12/21/2017 o
CITY OF CARMEL, INDIANA VENDOR: 060700
CHECKAMOUNT: $********89.95*ONE CIVIC SQUARE CLARK TIRE INCCARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 319813
CARMEL IN 46032 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 153897 89.95 OTHER EXPENSES
VOUCHER NO. 173639 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 60700 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
CLARK TIRE INC CARMEL CITY OF CARMEL
622 C SOUTH RANGELINE RD An invoice or bill to be properly itemized must show: kind of service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
89.95 60700 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CLARK TIRE INC CARMEL Terms
Carmel Water Utility 622 C SOUTH RANGELINE RD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL, IN 46032
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
153897 01-6500-07 $89,95 and received except 12/12/2017 153897 $89.95
IN
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
LARK FIRE 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4v (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 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:
CFIt71i<EL UTILITIES 61E0/0i SAME IN'VOICEtt 11:.397
30 GJ P1,FIIN ST
>AR!EL IN 4603E
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
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INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
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STOCK NUMBER SIZE DESCRIPTION QUANTITY "" UNIT' T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
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t 'PARTS 671 }u"Ub6W" TAX% AMOUNT TAX F.E.T. AMo NT INVOICE TOTAL"
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PLEF)SE PPY THIS MOUNT
8'3.9 2913.93
"You're Riding.`On Our Reputation"