331148 10/17/18 0d Coq
CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $********12.00*
s� ��� CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 331 148
°M,�TON�` CARMEL IN 46032 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 156492 12.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 060700
CLARK TIRE INC IN SUM of$ 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
$12.00
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
156492 43-510.00 $12.00 1 hereby certify that the attached invoice(s),or 10/10/18 156492 Plug golf cart tire $12.00
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
Friday,October 12,2018
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
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
41 (317) 844-4839
FIR�E�
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. /ry�
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: CARMEL FIRE DEPT. 5900/01 SHIP T0:SAj,1G INUCICE4 1564KO
TWO CIVIC SQUARE
CARIIEL IN 46032
CLIST.P.O.# MAKE-MODEL ID# MILEAGE T6f�EPHOIyE ROUTE sLM SHIP VIA ORDER# PAGE REMARKS
CART 42 571-2609 0 1 NIA 190263 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
1.-..=_J L.. Il_e.-L_._ Y T
09/25/2015 156492 NET 10TH 09/25/16 07:45:09 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
REPAIR GULP CART TIRE
PLUG ERCH PLUG REPAIR 1 1 12.a'0 .013 12.0s0
14ETHBD OF PAYMENT.
CHARGE: 12.00
CFA;GE: .00
mans you for your ous>ness
TAXABLEPARTS LABOR TAX% Ellc;fPAMOUNTcaIP Nn_ TAX F.E.T. AMMO NT GIIF_)gpINUOICE70TAL;;IT
12.00 103120155-002—0 12.00
"You're Riding On Our Reputation"