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Home My WebLink About181152 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 I. g1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $57.00 c; CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD -J.., CARMEL IN 46032 CHECK NUMBER: 181152 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 126749 38.50 TIRES TUBES 651 5023990 126797 18.50 TRANSPORTATION EXPENS 622C S. Rangeline Road "YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 SCO ElpenServer(Th!) Release 5 telark.tire >caf�! ttt}�a13? (317) 844 -4839 l i RE Cooper National PEA IL TIRES I. TH£ 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. 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 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RECEIVED BY SOLD TO: CARMEL STREET DEPT. 6200/01 SHIP TO.dAME INVOICEft 126749 3400 W 131ST WESTFIELD IN 46074 OUST. P.O. MAKE- MODEL' ID# MILEAGE" TELPIiC% ENE „ROUT R E SLM "SHIP VIA ORDER PAGE REMARKS LUUEt i ,i u i f NIA 12ews INVOICE 3 PREVIOUS SHIPPED INVOICE DATE TERMS NUMBER INVOICE NUMBER Cipvned by Operator 41 7 12/30/2009 126749 NET 10TH 12/30/09 11:10 8 Ql1ANYITV UNIT STOCK NUMBER SIZE DESCRIPTION E• 7 FE T EXTENSION d ORDER3SHIPPED PREV. SHIP,...':P- -RIDE 2?s It, ktt} Uftt: LLIUSt 19.5 19.5" TRUCK D1SN UNT /MOUNT 1 1 30.00 .00 30.00 REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 >00 8.50 METHOD OF PAYMENT: CHARGE: 38.50 CHANGE: .00 /1)-6 t Th2 r,I{ ynw f sr vcnr b1I4inP45 Meeh: Steven TAXABLE MISC art PLEASE PARTS LABOR /o TAX aMOUNT TAX F E T. AMOUNT I r INVOTCE'TOfiAL,, 38.51= 08.. 1 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF 622 S. Rangeline Road Carmel, IN 46032 $38.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 126749 42 320.0: i $38.50 1 hereby certify that the attached invoice(s), or 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 7 Thur sc uary 07, 2010 1)QVt-ilY /86 Street Commis r Street Corrassioner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/30/09 126749 $38.50 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 Clerk- Treasurer 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION LARK Carmel, IN 46032 (317) 844 -4839 f RE ooper National PEN IL TIRES 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 Duc. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY SOLD TO: CARMEL WASTEWATER 6100/01 SHIP TO:` -'AME INVOICE/ 126797 9609 Hf1ZELDELL PKW. INDIANAPOLIS IN 46280 CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE' RouTE sLM SHIP VIA ORDER PAGE REMARKS 7EFF COOPER 57i-E634 A/A 1E89 i6 1 INVOICE h, PREVIOUS SHIPPED INVOICE DATE TERMS NUMBER INVOICE NUMBER )O pened by L�Perat or B evemolo 4/ 126797 NET 10TH 01/04/10 11 :47 :45 8 QUANTITY NIT sr4< STOCK NUMBER SIZE DESCRIPTION T F.E.T. EXTENSION !ORDERS SHIPPED PREY, SNIP 0 r epolr t ire IUUSC 1G 16" DISMOUNT MOUNT PASSENGER 1 1 12.00 .00 12.00 REP EACH INSIDE TIRE REPAIR ,1 1 6.50 .00 6.50 METHOD OF PAYMENT: CHARGE: 18.50 CHANGE: .00 CS C 1j 1 Orir Thank you for vow. huciness Mech: MIKE 7AXABL MISC VI.kHC t'' r.kE PARS 5th LABOR TAX; /4 AMOUNT ;F.E.T. nMOUNT .rr INV OTAL "You're Riding On Our Reputation" VOUCHER 097090 WARRANT ALLOWED 060700 IN SUM OF CLARK TIRE CARMEL 622C S. Rangeline Road Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 126797 01- 7502 -06 $18.50 Voucher Total $18.50 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER. CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 060700 CLARK TIRE CARMEL Purchase Order No. 622C S. Rangeline Road Terms Carmel, IN 46032 Due Date 1/6/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/6/2010 126797 $18.50 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 i �l Date Officer