HomeMy WebLinkAbout305114 11/14/16 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CLARK TIRE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
622 C SOUTH RANGELINE RD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$63.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
150226 43-501.01 $63.00 1 hereby certify that the attached invoice(s),or 10/25/16 150226 scrap tires $63.00
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
Tuesday, November 01,2016
Tim Green
Chief of Police
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
SARK 6220 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
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1 1RE (317) 844-4839
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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: CARMEL POLICE SEPT. 5000/01 SHIP TO:SAME INUOICE4 150226
THREE CIVIC SQUARE
CARMEL IN 46032
CUST, P.O.# MAKE-MODEL ID# MILEAGE (3rlrz* EPA0'NE ROUTE SLM SHIP VIA ORDER# PACE REMARKS
5 _-n'oo 0 14
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER :Opened 6y Operator 7
10/25/2016 150225 NET 10TH W/25/16 13:40:"3
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNITT F.E.T. EXTENSION
ORDERS—S�tH+I�PPED PREV.SHIP E —p,
' SC t= GL' :fie J_ eN 63. —
METHOD OF PAYMENT: _ --- --- -- - - - -- —-- -
CHARGE: 63.00
CHANGE: ,00
-i1j—foi` y}#tip ti
PARTS LABOR TAX% A o NT TAX F.E.T. nrnouNr PLEASEirJVblc'>lfoCit-INT
63.00 63.00
"You're Riding On Our Reputation"