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Home My WebLink About185690 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $34.50 CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 185690 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 128176 5.00 AUTO REPAIR 1AINTEN 1125 4350000 128197 29.50 EQUIPMENT REPAIRS M r LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION Carmel, IN 46032 4W (317) 844 -4839 ational PENS 14 [..THE UNDERSIGNED, HER AGREE UNTIL SUCH TIME AS THIS ACCOUNT 1S PAID IN FULL BY ME, Till 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 PERM [TIED BY LAWS GOVERNING THESE TRANSACTIONS. 'A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RE CEI V E.0 BY SOLD TO: SHIP TO: CARMEL CLAY PARKS AND REC 6350101 SAME INVOICE# 128197 1411 E. 116TH STREET CARMEL IN 46932 CUST P.O. MAKE -MODEL ID# MILEAGE' TELEPHONE 'ROUTE SLM.' SHIP VIA' ORDER# PAGE`'. REMARKS" LOOSE 5714144 (317)571-4136 0 5 N/A 131957 1 PE H S REVIO 'PU SIPD 1 INVOICE DATE INVOICE a NUMBER INVOICE NUMBER TERMS Opened by Operator 0571472010 126197 MET 10TH 05/14/10 15:11:04 8 QUANTITY UNIT e STOOK NUMBER SIZE DESCRIPTION ;ORDERS_ SHIPPED PREV SHIR; PRICE T F.E,Ty .y,. EXTENSION 13 13115 DISMOUNT B MOUNT PASSENGER 1 1 12.90 .00 12.00 NBP EACH NHEEL BALANCE PASSENGER 1 1 12.00 .00 12.a STEM EACH VALVE STEM 1 1 2 2.50 02 .00 2.50 SCRAP SCRAP TIRE 1 1 3.00 .00 3.90 METHOD OF PAYMENT. CHARGE.: 29.50 CHANGE: .00 t pi r ILI ftrchw a 8 1oj� t N P t PorF I a GL II 4 -3GJOOor� 6 ..r. Ll Budget ewes Cr t 'tio Qt y I a Purchaser Date Approval Date JL- 7 16 t r f Thank you for your business. PARTS LABOR .z TAX nMOUNT: TAX, F.E.T: AMOUi�T JNVOICE`TOTAL 29.50 E 29.50 "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 5/14/10 128197 Tire repair to mower 29.50 Total 29.50 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 29.50 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 128197 4350000 29.50 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 20 -May 2010 Signature 29.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 41 (317) 844 -4839 ri iTE mationaf L'rHE UNDERSIGNED, HEREBY AGREE UNTIL SUCII TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO T14E 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 INTHE 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 BY LAWS GOVERNING THESE TRANSACTIONS. A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEI BY r SOLE) TO: SHIP TO: CARP EIRE DEPT. 5900/01 SAME INVOICE# 128176 TWO CIVIC SQUARE CARMEL 1N 46032 CUST P.O: MAKE -MODEL 1D# "MILEAGE "TELEPHONE RouTE sLM SHIP VIA `ORDER PAGE REMARKS 571-2609 1 N/A 131925 1 INVOICE PREVIOUS SHIPPED INVOICE DATE, 'TERMS NUMBER:, INVOICE NUMBER peaea byuperat 05/13/2010 128176 NET 11TH 05/13!10 12:40:33 7 1: 'UANTITY 'UNIT STOCK NUMBER SIZE DESCRIPTION oROERS .SHIPPEE) PREV.SHP: PRICE a FE.T EXTENSION SCRAP SCRAP TIRE 1 1 5.00 .00 5.00 AETHOD Of PAYMENT: CHARGE: 5.00 CHANGE: .00 'l 1 f l l s k. Thank you for your busines TAXABLE s• TAX /a, TAX' F.ET y INVO,ICE,TOTAL PARTS LABOR AMOUNT AMOUNT Us ooer H esa a tl. E Y IMI3 HPIUUNI 5.09 7713120155 -002 >Z S. 00 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. ALLOWED 20 Clark''Tire IN SUM OF 622 South Rangeline Road Carmel, IN 46032 $5.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 128176 43- 510.00 $5.00 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 MAY 2 4 2010 t Ap v V Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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)) 128176 Dispose of Tire $5.00 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