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186772 06/23/2010 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: $183.25 CARMEL IN 46032 CHECK NUMBER: 186772 ON CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 127842 30.00 AUTO REPAIR MAINTEN 1125 4350000 128433 17.50 EQUIPMENT REPAIRS M 651 5023990 13287 135.75 OTHER EXPENSES -t 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" LARK Carmel IN 46032 (317) 844 -4839 4 i w ational pEN� IL 1, HE 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 1714% Per Month wit] be charged on all AccomAs 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVE BY SOLD TO: SHIP TO: CARREL CLAY PARKS AND REC 6350/01 SANE C LINVOICE# 128433 1411 E. 116TH STREET CARMIEL IN 4603? CUST PO. MAKE -MODEL ID# MILEAGE. TELEPHONE ''ROUTE' SAM SHIP VIA ORDER PAG REMARKS {31.7)571 -2695. INVOICE' PREVIOUS SHIPPED 31 1 INVOICE DATE TERMS NUMBER INVOICE NUMBER. c Opened by Operator 8 DESCR QUANTITY... ONdI -a socA'r1uia'ea IcF51ZE IP.TIOIVOTH C T.F` �KrENSION n ORDERS SHIPPED PREV SHIP; PRI i• REPAIR TIRE,LOOSE CH EACH TIRE CHANGE :1 1 15.00 .00 15:00 STEM EACH VALVE STEM 1 1 2.50 02 .00 2.50 METHOD OF PAYMW: a4 CH.GRGE: 17.50 CHANGE. .0@ Is.�' JUN` a 2010 f rlwcdption� �I �A P.O. I Po¢ Budget j i Line Descx 1 t, Purchaser Date� Approval -5 S Date V. ThanPA 7sfor„ GU�LAB ©.R, TAX n O uNe A MOUNT TAX PLEASE PAY THIS ANOWT 17 501 17 501 "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. Terms 060700 Clark Tire 622C S Rangeline Rd Carmel, IN 46032 Invoice Invoice Description PO Amount Date Number (or note attached invoice {s) or bill {s)) 17.50 6/7110 1.28433 Flat tire repair Total 17.50 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 17.50 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 128433 4350000 17.50 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 17 -Jun 2010 1�J Signature 17.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032 4:-0 (317) 844 -4839 ri RE �Jational W PENNN� IL I.THE UNDERSIGNED, 11 EREBY 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. d� 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 CHA��,,,rrrE,(BQUAL TO THE COST OF CQLLECTIOJ INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. �l 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 CEIVED BY r SOLD TO: SHIP TO: CARMEL WASTEWATER 6t00/01 SAME INVOICE# 128385 9609 KZELDELL PKW. INDIANAPOLIS Its 46280 COST P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE sLM SHIP VIA "ORDER PACE' ;REMARKS i #112 571 -2634 0 t N/A 132387 1 INVOICE DATE INVOICE {I "PREvloussHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator 7 00 102/2016 12a385 NET 16TH 06/02/10 14:51,:39 7 STOCK NUMBER SIZE ,,t. L'DESCRIPTION _QUANTITY, °UNIT T s FET EXTENSION ct ORDERS SHIPPED PREV. SHIPI PRICE 65578 235170816 COOPER DISCOVER ATR OWL 1 1 118.86 02 .00 118.06 WBP ;EACH WHEEL BALM PASSMER 1 1 12.09 .06 12.66 STEM EACH VALVE STEM 1 1 2 2.56 .06 2 2.56 SCKP SCRAP TIRE 1 I 3.00 .06 3.100 TF 114DIMA TIRE FEE 1 1 .25 .00 .25 METHOD OF PAYMENT: CHARGE: 135.75 CHANSE: .06 JUN 2010 Th ank you for your business PARTS LABOR :TAX TAXABLE =r TAX F.E.T MISC. tix INVOICE,�TOTAL AMOUNT a AMOUNT PLEASE PAY THIS AMOUNT 135.74 135.75 "You're Riding On Our Reputation" ,VOUCHER 1Q5620- WARRANT ALLOWED 060700 IN SUM OF CLARK TIRE CARMEL 622C S. Rangeline Road Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 13287 01- 7502 -06 $135.75 Voucher Total $135.75 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 060700 CLARK TIRE CARMEL Purchase Order No. 622C S. Rangeline Road Terms Carmel, IN 46032 Due Date 6/14/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/14/2010 13287 $135.75 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 Date Officer Jun 16 1. Q 09:53a Ron Booth 317- 844 -6561 p.1 4LAR 622C S. Rangeline Road RE RIDING ON OUR REPUTATION" Cannel IN 46032 (317) 844 -4839 a3tiona l PAN 1 I.7HE UNDERSIGNED, HEREBY AGREE LNTIL SUC1 TLME AS THIS ACCOUNT IS PAID FN FULL BY ME, THE SELLER SHALL RETAIN TTTLL TO THE GOOD} FIEREBY I'URCNASED AN l) SELLER SHALL HAVE .A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL NfYACCOlN7 IS FULLY PAID.I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN F E PAY6)ENT OF ANY AMOUNT DCE,AND :F TH35 ACCOUNT IS PLACED IN THE HANDS OPAIY AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTIOK TO PAYANADDI '(TONAL CHARGE I!IlUAL OP ECOSTOF COLLLCTION IN AGENCY AND ATTORNEY FEES AVD COURT COSTS MC LRRED AND PERNI ITTED BY LAWS GOV ERNTNG THESE TRANSACTIONS. .4 finance clwrE� of l' "5 Pcr Mon7h gall be chargctl nn all Accauats J6 days Past Duc. Annual PcrccnLlgc Rare is (Minimum 75) RECE] V.ED DY SOLD TO: SHIP TO: CAMEL FIRE DEPT. 5400101 SAME [NPGICE# 127842 T40 CIVIC SURE CARMEL IN 46032 CUST. P.O_ MAKE -MODEL ID# MILEAGE TELEPHONE RouTE SLM SHIP VIA O RDER PAGE REMARKS TRH 44551 #4551 87513 571 0 1 NIA 131204 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NU MBER INVOICE NUMBER Opened by Operator 7 04/1412010 127842 NET 10TH 04/1 4/10 12: 44:14 8 STOCK NUMBER SIZE DESCREPTION QUANTrtY UNIT— 7 F.E,T, EXTENSION ORDERS SHIPPED PREV.5NIP PRICE REPAIR THE LEFT REAR TIRE LT16 16" LIGHT TRUCK DISMOUNT /MOUNT 1 1 15.00 .00 15.00 NBP EACH W EEIL BRACE PASSENGER 1 1 12.00 .00 12.00 SCRAP SCRAP TIRE 1 1 3.00 ,00 3.00 METHOD OF PAYMENT: CHARM: 30.00 CHANGE: 00 i L C 1- +0 yes r Thank you for yo business Mech: MIKE PARTS LA80R TAX AM NT TAX FE.T. AMOU I NVO ICE TOTAL QstBier Resal Nn, I PLEASE PAY THIS AMOUNT 30. in 03120155 -002 -2 30.00 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF d22 South.Rangeline Road Carmel, IN 46032 $30.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 127842 43- 510.00 $30.00 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 NN 2 1 2910 n 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)) 127842 $30.00 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