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HomeMy WebLinkAbout185199 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $63.00 CARMEL, INDIANA 46032 622 C SOUTH RANGE=LINF RD CARMEL IN 46032 CHECK NUMBER: 185199 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4351000 128001 4.2.50 AUTO REPAIR MAINTEN 1125 4351000 128047 20.50 AUTO REPAIR MAINTEN 622C S. Rangeline Road "YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 4w IRE (317) $44 -4839 t wational E NNZQIL 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 PERMITTED BYLAWS 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: SHIP TO: CARKI CLAY PARY•.S AND REC 635 SAME �INVOICEI# 128001 1411 E. 116TH STREET CARMEL IN 46032 CUST. P.O. MAKE -MODEL ID# MILEAGE TELERKONE RouTE" SAM SHIP VIA ""ORDER PAGE''. REMARKS 13171571 °4136 0 1 N/A 131544 t INVOICE PREVIOUS SHIPPED l INVOICE DATE„ TERMS NUMBER INVOICE NUMBER '5 r ��04/25fcP�10 128003 NET 13TH 04/28110 13 :37:07 7 STOCK.NUMBER SIZE DESCRIPTION _QUANTITY UNIT T r, ,FET. EXTENSION. „ORDERS SHIPPED PREY. SHIP °.P.RICE REPAIR ATU:`TIRE STEM 'EACH VALUE STEM 1 1 2. 50 92 .00 2.50 PLUG EACH PLUG REPAIR 4 4 10.00 .00 40.00 METHOD OF PAYMENT. CHARGE- 42.50 CHANGE: .00 R MUTED 4 17 APR 2 8 2010 t i BY: I Itij r.f Thank you for your business Mesh: Bi I TAXABLE PARTS LABOR TAX.,% AMOUNT TAX F.E.T• AnnourlT ,1INUOIGE�TOT L J r 42.5Q 42.50 "You're Riding On Our Reputation" LARK 6220 S. Rangelirle Road. "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4W (317) 844 -4839 ri RE matianal PSI IL 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 SFCURITY INTEREST IN SAID GOODS TO SECURF 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 OFAN 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 BYLAWS GOVERNING THESE TRANSACTIONS. A finance charge of I3 /4% Per Month will be charged on all Accounts 30 days Past Due, Annual Percentage Race is 21%. (Minimum 75), RECEIVED BY SOLD TO: SHIP TO: CARL' -L CLAY PARRS AND REC 6350/01 SAME �I'N�IOIC�128 14 11 F. 116TH STREET CARMEL IN 46832 GUST. P.O.# MAKE- MODEL' FID# "MILEAGE TELEPHONE ROUTE sLM `SHIP VIA,' ORDER'# PAGE' REMARKS' 1� Pte/ 29230 (317)571 -4136 1 N /R. 131623 1 t INVOICE-DATE INVOICE `PREV[OUS SHIPPED. TERMS' NUMBER °INVOICE NUMBER 1 O Opened by Operator 0G5103/2010 128047 NET 101 05/03110 09:49:32 7 STOCK S NUMBER SIZE DESCRIPTION .EXTENSION ORDER PREV. SHIP, RRCE, I REPAIR THE LEFT FRONT TIRE B 13115" DISMOUNT MOUNT PASSENGER 1 i 12.Q0 .00. 12.00 REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 .00 8.50 METHOD OF PAYMENT- CHARGE: 20.50 CHANGE: .00 cur D �'-10 �a�r Po MAY U 4 2010 =�Md Ji' Line 0 1� BY:: -Purchaser Date fpV gtg aPP D I i tp i I Thank you for your business Mech: Joi Dollen. PARTS LABOR TAX °/p TAXABLE Mlsc AMOUNr.. TAX F E a,`, T. AMOUNT >:t; "IN1/OICE-TOTAL_. c PHV IM HP ILPJNl- 20.50 �y y _s "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 4/28/10 128001 ATV tire 42.50 5/3110 128047 Tire repair P07 20.50 Total 63.00 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 ,622C S Rangeline Rd Carmel, IN 46032 In Sum of 63.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 128001 4351000 42.50 1 hereby certify that the attached invoice(s), or 1125 128047 4351000 20.50 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 5 -May 2010 Signature 63.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund