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HomeMy WebLinkAbout185689 05/26/2010 a, CITY OF CARMEL, INDIANA VENDOR: 00351640 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE FISHERS CARMEL, INDIANA 46032 Po Box 195 CHECK AMOUNT: $130.50 •y FISHERS IN 46038 CHECK NUMBER: 185689 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 IN00114249 130.50 EQUIPMENT REPAIRS M N 126TH REYNOLDS ROAD (HWY 37 NO.) FAST! Service at our Farm, FISHERS, INDIANA 46038 P.O. BOX 195 Commercial Site or on the Road. TARE F�SffIt 317- 842 -0544 OR 1- 800 444 -5985 All Major Brands Available Fax 317 577 -3956 NAME I ADDRESS ACCOUNT NO- HOME PHONE' REFERENCE NO. �y �y BROOKSH ,.'.r 1 7) 57 T 1 NIL 7s 0 1 1 4r� 49 BROOKSHIRE GULF CLUB P.O. NO. WORK PHONE DATE 1 TIME 12120 BROOKSHIRE PARKWAY 3,17) 05/ 14/ 10I a 4" RESALE NO. VIN NO. WO ES NO. CARPEL, IN 46033 lnI007577 Y1 AR 1 MAKE 1 MODEL LICENSE NO. TAG NO. NEXT INSP. DATE BAR N0. SAVE PARTS ALL PARTS NEW UNLESS W PROMISED DATE I TIME a MILEAGE WRITTEN BY Y N OTHERWISE SPECIFIED' ORIGINAL D FREE ROTATION REVISED t (EVERY 5,000. MILES) REVISED 2 I acknowledge notice and oral approval of an increase in the original estimate price. El ROAD HAZARD WARRANTY X PARTS_ OTHERS LABOR pl e s ,il a a p o e e 2: 511257 20 %12.00 -10/4 TURFMASTER' 65.00; 130.0 INDIANA TIRE EE 0 50 i i l Reason for original esti ©ate: Any warranties on the itemlitems sold hereby are those made by the manufacturer. The seller, CLARK TIRE, hereby expressly; disclaims all warranties, either express Or implied, including .any implied warranty of merchantability or fitness Tor a articular'. purpose, and CLARK TIRE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale'. of this it¢mlltems. A SERVICE CHARGE OF f'/ h% PER MONTH (214 ANNUALLY) WILL BE CHARGED! ONE ALL ACCOUNT PAST DUE 3a DAYS: NET 10th PROX. t4 0 t g I, THE UNDERSIGNED, HEREBY AGREE THAT IN THE EVENT'OFDEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND IF THIS ACCOUNT IS PLACED IN PARTS 1 �r�. Q1 THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGALm ACTION, TO PAY AN ADDITIONAL CHARGE.: EQUAL TO THE COST OF COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY GOVERNING'THESE'TRANSACTIONS :LABOR ICJ. J I hereby author! She K,.vork t done ng th th necessary materials. You and your employees may operate vehicle for purposes of testing,. .OTHER inspection, or delivery sk. A press cha 's it !s acknowledged on vehicle to secure the amount of repairs thereto: It is also understood that you will not be held re €e r s or d agb c rticles left in cars in case of fire, theft or any other cause beyond your control. SUBLET d ''SUBTOTAL 1 30. J Signature X rax' IZI. 0 Recd By TOTAL 130. 5 CASH AMOUNT CHECK AMOUNT CHECK NO. C.C. AMOUNT C.C. TYPE C.C. APPROVAL CODE ON ACCOUNT 130 5#d THANK YOUR I i e VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire Fishers IN SUM OF 126THJ Reymolds Road (Hwy 37 NO.) Fishers, IN 46038 $130.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 IN00114249 43- 500.00 $130.50 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 Tuesday, May 18, 2010 Director, Brooks ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 199' 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)) 05/14/10 IN00114249 Tire $130.5 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