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