331629 10/25/18, CITY OF CARMEL, INDIANA VENDOR: 060700
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $*******205.40*
9� ;a CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK NUMBER: 331629
CARMEL IN 46032 CHECK DATE: 10/25/18,
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 156667 89.95 OTHER EXPENSES
601 5023990 156673 89.95 OTHER EXPENSES
1120 4351000 156759 25.50 AUTO REPAIR & MAINTEN
VOUCHER NO. 183051 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor 0700 IN SUM OF$ 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
179.90 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
156667 01-6500-04 $89.95 and received except 10/17/2018 156667 $89.95
156673 01-6500-05 $89.95 10/17/2018 156673
$89.95
�L
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_
Cleric-Treasurer
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4`) _ (317) 844-4839
REI
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: CAREEEL. MATER DISTRIBUTION 6302/01 SHIP TO-'SAME INVOICED 156673
3453 W. 131ST ST.
CARMEL IN 46074
CUST.P.O.# MAKE-MODEL ID# MILEAGE TEkrLRH�O E ROUTE sLM SHIP VIA ORDER# PAGE REMARKS
11164 50 24 716-3939 0 1 N/A 190630 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER 1r222d 'r 9po_.._"._o_r. 4.. 7
1011212@18 156673 NET 10TH 10110/18 13:33;43 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
AL3 EACH LIGHT TRUCK ALIGtv°EW 1 1 89.95 .00 139.95
METHOD OF PAYMENT:
CHARGE: 89.95
CKgNGE; .00
DJ
Inank you for your business Meeh; StRVO
PARTS LABOR TAX% TAXABLE OUNT TAX F.E.T. AMOUNT DII:mclNUOIPP rTOT/}l�„T
85.95 89.95
"You're Riding On Our Reputation”
LARK 6220 S. Rangeline Road'
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4u (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: CARMEL WMER DISTRIEUION 6 TJO/011 SHIP TO-SAIIE INVOICE4 156663
3451 14. 131ST ST.
CARMEL M 46174
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEP_H �E ROUTE SLM SHIP VIA ORDER# PAGE- REMARKS
u.,
Pilo 1X917 716-3939 0 5 N111 1907593 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER +I, r y D„„-4 - 4 7
10/12/8018 156667 NET 10TH 113/12/18 19:25:51 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP.. PRICE
AL2 EAL:H OASSENSER 4 WHEEL ALIGNMENT 1 1 89.a4r .00 89.95
KETHOD OF PAYMENT:
CHARSE: 8`3.95
CHRINGE: ,X11
ICU+q
11 k
Thank you for your business ` �� «� (�j v T' ( lel : Rnirel--4
PARTS LABOR TAX% AMaUNr TAX F.E.T. AraouNT r.,I� �rINVOiG9 TOT/\Ld-
89.95 89.95
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO. Prescribed by State Board 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
$25.50
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
156759 43-510.00 $25.50 1 hereby certify that the attached invoice(s),or 10/23/18 156759 S304 $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
Tuesday, October 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" LARK Carmel,.IIS 46032
(31-7) 844-4839
- 1-
.
I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULLBY ME,THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASEDAND SELLER SHALLHAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTIIERAGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY ANIOUNT DLT,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-ME COST OF COLLECTION INCLUDING
AGENCY ANDATTORINEY FEES AND COURT COSTS INCURRED AND PEMYTED BY LAWS GOVEILNING THESE TRANSACTIONS.
A finance charge of 114%Per%lonth svill be charged uD all Accounts 30 days Past Duo.-ADnual Ferccutoge Rau is 22,j.(Minimum 75) RECEIVED BY d/
t�
SOLD TO: - �_, SHIP TO r:, L,
COST P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE.SLM- SHIP VIA ORDER# PAGE. :REMARKS
INVOICE DATE IWOICE. PREVIOUS SHIPPED TERMS.
NUMBER INVOICE NUMBER
STOCK NUMBER SIZE DESCRIPTION eD °",MP DE PREV.SHIP PRICE T F.E.T. EXTENSION
TAXAZLt
PARTS LABOR TAX% ;_t;» r• n N,� TAX F.E.T. gfeS INVOICE<TQTALa:,
"You're Riding On Our Reputation"