HomeMy WebLinkAbout184231 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CHECK AMOUNT: $21.00
CARMEL IN 46032
CHECK NUMBER: 184231
CHECK DATE: 411412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 127711 21.00 EQUIPMENT REPAIRS M
6220 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LA C �Me l, IN 46032
4w
ri (317) 844 -4839
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1, 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 PER10=ED BY LAWS GOVERNING THESE TRANSACTIONS.
A fmirnce 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' CARREL CLAY PARKS AND REC 6;50/01 SHIP TO AME QINVC-ICEI- 12771 -t
1411 E. 116TH STREET
CAM IN 46032
ID# MILEAGE TELEPHONE ROUTE'SLM 'SHIP VIA "ORDER PAGE REMARKS'
GUST. P.O. MAKE MODEL'. (31,,....
TRAILER (317 )571 -4136 0 1 N/A 130651 1
INVOICE PREVIOUS SHIPPED
INVOICE DATE TERMS
NUMBER ii INVOICE NUMBER. O pened b y gppr ator 7
127711. NET 1 OTH 041@'2/ 10 09-02.22 7
QUANTITY i UNIT 4 rI z
STOCK NUMBER SIZE:'. DESCRIPTION 7 F.
1 EXTENSION
.ORDERS. SHIPPED PREV. SHIP PIECE. t.
REPAIR TRAILER TIRE
13 13/15" DISMOUNT &MOUNT PASSENGER 1 1 12.00 00 12.00
REP EACH INSIDE TIRE REPAIR 1 1 5150 .m 6.50
STEM EACH VALUE STELE 1. 1 2.50 02 .00 2.50
METHOD OF PAYMENT.
CHARGE: 21.00
CHANGE: .00
i 5
DW
!.I 1 I I u 1 i. �1 Pled'; h Harris
TAXABLE
PARTS LABOR' TAX AMOUNT TAX f E T A PLEASE IN�l01'GE;zT,O,TAL P
21.00
"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
412110 127711 Equipment repairs 21.00
Total 21.00
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
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of
21.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 127711 4350000 21.00 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
8 -Apr 2010
P,I &Wmou
Signature
21.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund