HomeMy WebLinkAbout326718 06/29/18 (' "''r CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC
CHECK AMOUNT: $*******164.95*
%� =a CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 326718
Marorl• . CARMEL IN 46032 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 155376 75.00 TRASH COLLECTION
601 5023990 155511 89.95 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 060700 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CLARK TIRE INC IN SUM OF$ 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
$75.00
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
155376 43-501.01 $75.00 1 hereby certify that the attached invoice(s),or 6/7/18 155376 scrap tires $75.00
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,June 21,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
u`'' FIRE (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 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: CARN—EL PGI-ICE LEPT. ENTiiMM SHIP TO:Cp,I Ifd'vCiICI J 15 376
THREECIVIC �;C�A}tE
CARt-'E1. IN; K032-
CLIST.P.O.# MAKE-MODEL ID# MILEAGE { j,;ELrEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
lA I B,1123
INVOICE DATE: INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
i 11107/c016 1_111_537E, NET WTH 06/`0118 - 3.14.K, P
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
5,B;
L�1�>62�3 ;
shank ylau Ifur you), business
TAXABLE PARTS LABOR TAX% AMOUNT AMOUNT
TAX F.E.T. e JNuQICErTOTALa
75.@0 75.IN
"You're Riding On Our Reputation"
VOUCHER NO. 181926 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
$9,95 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
155511 01-6500-07 $89,95 and received except 6/25/2018 155511 $89.95
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 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4., FIR=E (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 HER 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: SHIP TO:
L=A h-a.-i 1JTILIT£E'S CAME INVOI"E 15:,511
30 U IIMN ST
GAR IEL IN 4F03-2
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
4 1311)sl1":'F�.'1<. 07 i �/�l 5L'f.fcfr a
INVOICE DATE INVOICE PREVIOUSSHIPPED TERMS
NUMBER INVOICE NUMBER
I:Ipned by uprate1" tt
i1i;WP91MA 15 FS I i WT WTH •@1�/SCI.F ''V1ry' Al—,' .7°21 7
QUANTITY
STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREY SHIP PRICE T F.E.T. EXTENSION
55
itls t Ai s i'PISSE�SES �: �i�G t. �1'IC ;Ea is 1 8`1.
i
L-HORGE. 91j
o TAXABLE MSC.
/o
L PARTS LABOR�v� TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY TMS WGUNT
81.95 89.9-3
"You're Riding On Our Reputation"