HomeMy WebLinkAbout321663 02/13/18 ,C9A
CITY OF CARMEL, INDIANA VENDOR: 060700
j; ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********78.00*
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 321663
CARMEL IN 46032 CHECK DATE: 02/13/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 154290 78.00 TRASH COLLECTION
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CLARK TIRE INC IN SUM OF$ CITY OF CARMEL
622 C SOUTH RANGELINE 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
$78.00
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
154290 43-501.01 $78.00 1 hereby certify that the attached invoice(s),or 1/23/18 154290 scrap tires $78.00
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
Thursday, February 1,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
' S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" rc*a622CRKCarmel, IN 46032
RE (317) 844-4839
I
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 OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHAR ETEQUAL T.THE.COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. l� �
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 /�_h S✓ —'�' Lam._.
SOLD TO: SHIP TO:
CARREL POLICE DEPT. 6@10Oi>01 'UTIE !NVOIMi 134852
THREE CIVIC 5I90RE
CARMEL IN /16032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
(317)571-2580
571-c-ih" 0 5 N/A 1.85E11G 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
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NET ayLllcdd 1,'y' "Perat `i' is 8
'11IK/2018 1..�4 I1 NE 1 P A1/23/i%' 10:53418 a
QUANTITY UNIT
STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREV.SHIP PRICE T F.E.T. EXTENSION
1CRAP SCRAP TIRE 25 26 3,U) .tt0 7&NO
F,'ET'OD Or PAYii«S1T:
EX'PRGE° 78.08
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TAXA13LE misc.
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PARTS LABOR TAX% AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY T14IS f1tiMUNT
78.00 78.0,01
"You're Riding On Our Reputation"