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Home My WebLink About321140 01/25/18 ♦y u._.c,q,�F CITY OF CARMEL, INDIANA VENDOR: 060700 ® it ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $*******155.50' s- ?� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 321 140 CARMEL IN 46032 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 154183 132.00 AUTO REPAIR & MAINTEN 1120 4351000 154283 23.50 AUTO REPAIR & MAINTEN r . VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CLARK TIRE INC IN SUM OF$ CITY OF CARMEL 622 C SOUTH 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 154283 43-510.00 $23.50 1 hereby certify that the attached invoice(s),or 1/23/18 154283 VIN 1184 $23.50 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,January 23,2018 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 622C S. Rangeline Road "Y®U ARE RIDING.ON OUR REPUTATION CQLAFX.KF% Carmel,.IN 46032 --- 4,1RE (317) 844-4839 I,THE UNDERSIGNED.HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHERAGREB THAT'IN THE EVENT OF DEFAULT IN THE PAYMENT,OF ANY AMOUNT DUE,AND IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAYAN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PEMIITTED BY LAWS GOVERNING THESE TRANSACTIONS, A finance clmrge of 13/4°6 Per Month will bo chargcd on all Accounts 30.days Past Due.Annual Pcrccmago Rate.is 21%.(Minimum 75) RECEIVED BY SOLD TO. SHIP TO. ix, COST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE RouTE. sLM SHIP VIA ORDER# PAGE REMARKS INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER - 4i - er:..v.f112 •'R SIZE DESCRIPTIOQUANTITY TY PRICE Ta L z F.E.T. EXTENSIONsTocK NUMBER aoasNa PR v self p T. TAM �f PARTS LABOR TAX% Ar�OULT. TAX F.E.-T. AslourlT INVOICE TOTAL "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE YOUCHER CLARK TIRE INC IN SUM OF$ 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 $132.00 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 154183 43-510.00 $132.00 1 hereby certify that the attached invoice(s),or 1/19/18 154183 C46 $132.00 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 Monday,January 22,2018 V40D'_ZS_ David Haboush Fire Chief 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 (317) 844-4839 1w FIRE 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 he charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY SOLD TO: SHIP TO: CAF''rl_ Flffc J PT. `331/01 SP 1 INVOICED 154183 TL',13 CIVIC SLIME CARMEL IN 5,H32 CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS I+'1-z..-it INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS ^ NUMBER INVOICE NUMBER i nr : r"a ..n n ` i'+... a -.sire QUAW17Y t'-r UNITu yueWe,• r STCfCKNUMUR SIZE DESCRIPTION ORDERS SHIPPED PREV.SHIP PRICE T F.E.T. EXTENSION Fc�.)_'lu� r'.Fl3�i riL NIP :.K L DALANM PAS3ECTEER t 12.col .C,1I rrt E. T r I n,_ r r0 rf E '� 17 li/s._� DI ,;�,iL�'dt �; I,CLr,,I F��aaE�r�cP -, �, 19.4,' 1,21112"9 CIF P(f't toll E IM,gC Z, i22.�0 J,t / 1 LABOR"d5s TAX% F.E.T.AXABLE TAX FMlsc. INVOICE TOTAL"` '° AMOUNT AMOUNT I u nonrY ReSala Pia. P'FASE PAY THIS A�;Ctt1{T 13L.1 1;13fc81a�I-�;'3 1 K.0'ti "You're Riding On Our Reputation"