183625 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 183625
CHECK DATE: 3/25/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 127392 25.00 EQUIPMENT REPAIRS M
1.i
622C S. Rangeline Road
YOU ARE RIDING ON OUR REPUTATION" LARK I f Carmel, IN 46032
41 '4111 (317) 844 -4839
RE
1 mational PEN1 IL
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. 1 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
AC°.NCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
Ali ce charge of 1314% Pee Monlh will 6c charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
SOLD TO: CAWIEL CLAY PARKS AND REC E.350 /01 SHIP TO.:, AME INPGICE4 112 3K
1411 E. 116TH STREET
CALL IN 46032
CLIST. P.O. MAKE MODEL' ID# MILEAGE`" 11 TEL- EPH Rb' E "'SLM °.SHIP VIA` ORDER* PXGES` REMARKS'
(317)571 -4136 0 5 N/A 130263 1
NUMBER P INVO CE NUMB ER SHIPPE D y i
INVOICE DATE TERMS
r GpEra
033 1 05,2Z10 1227392 NET 10TH 03/05/10 14 :27:56 8
1 't ,,UNIT s
STOCK NUMB.DESCRIPTIO ON QUANTITY
SIZE .DESCRIPTIO T F.E 7 EXTENSION
..,ORQERS SHIPPED PREV SHIP -PRICE
TWO TIRE REPAIR5
STEM BEH :VALVE STEM C 2 2.50 02 .00 5.00
CH EWJ4 ;TIRE CHANGE 2 2 10.00 .00 20,00
METHOD OF PAYMENT;
CHARK 25. $!0
CHANGE: ,00
"Y i
MAR 0 201
BY:.................
Thank you for yq* business Mech: Jo h.Harris
PARTS LABOR TAX e /U F E ''-TAXABLE I
'AMOUNT TAX T. AMOUNT ,,,,1NUOI�TOTAL
25.0221 251 00
"You're Riding On Our Reputation"
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
060700 Clark Tire Terms
622C S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
315110 127392 Tire repairs 25.00
Total 25.00
1 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
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
6220 S Rangeline Rd
Carmel, IN 46032
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO #or INVOICE NO, ACCT #/TITLE AMOUNT Board Members
Dept
1125 127392 4350000 25.00 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
25 -Mar 2010
Signature
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund