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HomeMy WebLinkAbout325129 05/09/18 �y' �,q,�f CITY OF CARMEL, INDIANA VENDOR: 060700 .; ® :�• ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********25.50* r. ,?�; CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 325129 9,j;,__., CARMEL IN 46032 CHECK DATE: 05/09/18 �roN�°' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 154966 25.50 AUTO REPAIR & MAINTEN p . VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 060700 ALLOWED 20 -ACCOUNTS PAYABLE VOUCHER _ CLARK TIRE INC IN SUM OF$ 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 $25.50 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 154966 43-510.00 $25.50 1 hereby certify that the attached invoice(s),or 5/2/18 154966 $25.50 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 Thursday, May 03,2018 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer LARK 622C S. Rangeline Road "YOUARE RIDING ON OUR REPUTATION" Carmel, IN 46032 ta' (317) 844-4839 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 be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75) RECEIVED BY SOLD TO: FAWIEt.FIRE DEPT. 592101 SHIP TO:SiII'IE IN':'t1ICE� i5tafG6 100 civic SIRUA`c L =�_ Iia ;46&K2 Z l� CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# 'PAGE REMARKS i;�{•7i .5,71-5:09 @ 1 'W/A 187234 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER 04/2412319 1541356 t Ej iliTl t?I�.�,nai??� 1� =1;�,.� T STOCK NUMBER SIZE DESCRIPTION ORDERS SAPPED PREY.SHIP PRICE T F.E.TITY UNIT T. EXTENSION l�KP P-r AI THE 17 3 7/1 1" D 15i4uLUF & 143'UNT PASSU14 ER CUr1BI E.P.Ci i INSIDE COMBINATION REPAIR AIR 1 i 7.50 .00 i—jo CHARC-Es 25.5:9 C � t ; Thank you for your LusiTius �1ec�Io {Erb"�'Cr) PARTS LABOR TAX% ATF.E.T. misc. orrMONuaS Mnfi, TAX NT �JNUOICE;TOTALN'IT C5.J2A "You're Riding On Our Reputation"