HomeMy WebLinkAbout321140 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 $23.50
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,January 23,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
622C S. Rangeline Road
"Y®U ARE RIDING.ON OUR REPUTATION CQLAFX.KF% Carmel,.IN 46032
--- 4,1RE
(317) 844-4839
I,THE UNDERSIGNED.HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHERAGREB THAT'IN THE EVENT OF DEFAULT IN THE PAYMENT,OF ANY AMOUNT DUE,AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAYAN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PEMIITTED BY LAWS GOVERNING THESE TRANSACTIONS,
A finance clmrge of 13/4°6 Per Month will bo chargcd on all Accounts 30.days Past Due.Annual Pcrccmago Rate.is 21%.(Minimum 75) RECEIVED BY
SOLD TO. SHIP TO.
ix,
COST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE RouTE. sLM SHIP VIA ORDER# PAGE REMARKS
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER -
4i - er:..v.f112 •'R
SIZE DESCRIPTIOQUANTITY TY PRICE Ta L z F.E.T. EXTENSIONsTocK NUMBER aoasNa PR v self
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PARTS LABOR TAX% Ar�OULT. TAX F.E.-T. AslourlT INVOICE TOTAL
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE YOUCHER
CLARK TIRE INC IN SUM OF$ 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
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` 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
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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"