HomeMy WebLinkAbout187064 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363306 Page 1 of 1
0 ONE CIVIC SQUARE TRIPLE S OF INDY INC
CARMEL, INDIANA 46032 405 S 9TH ST CHECK AMOUNT: $36.00
ELWOOD IN 46036
CHECK NUMBER: 187064
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 9061 36.00 TIRES TUBES
Printed. 6/4/201010:46:44 AM INVOICE Sales Receipt #9061
Store: IN
512'11'2010
Cashier: Dean
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TRIPLE S TIRE INDIANAPOLIS
405 So. Jih SIre6i
ELWOOD, IN 46036
(765) 552 -5765
FAX: (765) 552 -5761
REMIT PAYMENT ABOVE
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Carmel Street Dept,
3400 W 131 ST
Westfield, IN 46074
Description: I De 2 Ply Size Qty Price Ext Pricera)
Laaor re ail Mt /DisMt, Repai r,OnlOf f,lnspect 2 �1R.00 $36
Subtotal: $36.00
Exempt 0 Tax: +$0.00
Ship 5/21/2010 514623 Shipping:
RECEIPT TOTAL: $36.00
Account: $36.00
Signature
Pry aims Account Balance: $0.00
SWO# 514623
PLE=ASE PAY FROM THIS INVOICE SALES RECEIPT. TERMS NET 30
WITH BILLING QUESTIONS CALL 765- 552 -5765 THANK YOU
9061
SAFETY WORK ORDER NO.
SERVICE
SATISFA.CTION Trip of INDY, Inc 5 146 23
iJ INVOICE NO. Remit To. 405 SO. 9TH ST. 9DW
405 So. 9th SIT ELWOOD, IN 46036
Elwood, IN 46036 ACCOUNTING
PHONE: (765) 552 -5765
Branch Store: Whitestown, IN. 46075 (317) 873 -0900 24 HR. SERVICE: PHONE'(317) 873 -0900
CUSTOMER f fi PH. NO.
ADDRESS WORK DATE C
EQUIP. NO: MAKE SALESMAN
IRS OR MILEAGE: CUST. P.O.
SERVICE `DIRECTIONS:
SERVICE MERCHANDISE DELIVERED
r :MAKE IRESCAIPTIO O
i
o f f
TIRES TAKEN IN FOR
RETREAD, REPAIR, TRADE -IN
IT IS THE CUSTOMER'S RESPONSIBILITY TO CHECK
TIGHTNESS OF WHEELS PRIOR TO USE
AFTER SERVICE.
BUYER HEREBY ACKNOWLEDGES RECEIPT OF THE MERCHANDISE AND SERVICES SET FORTH HEREON TOGETHER
WITH A COPY OF THIS RETAIL. SALE AGREEMENT.
DATE
SERVICEMAN: Print f� Title
REMARKS: f
Sign ur e BUYER
CONDITIONAL SALE AGREEMENT
Under the conditions of this sale or ira action of merchandise listed hereon it is understood that the title to said merchandise remains in the
name of TRIPLE S TIRE CO., Inc. until the last payment is made according to the conditions on theface of this contract. In case this con"cl is
not properly and timely taken care of, the buyer agrees to permit the seller or any of their authorized agents to peacefully enter the premises
where the merchandise may be located, or kept and take possession of the same. The buyer also agrees to pay reasonable attorney or collection
tees, if any, and agrees not to sell, dispose of, mutilate, mortgage or remove said merchandise from immediate locality of place of sale until last
payment is made thereon -This merchandise listed hereon is not considered an integral part of the vehicle and is not subject to confiscation by
TIME ON JOB holder of former lien on which Merchandise is installed by the seller.
NOTICE -After the 10th of following month FINANCE CHARGE is computed by a
PERIODIC RATE OF 1 per monthly, billing cycle which is an ANNUAL
REG. O.T. PERCENTAGE RATE OF nimum Finance Charge $.50.
THANK YOU!
�ir. r.r rye
V N WARRANT N O.
ALLOW ED 20
Triple S. of Indy, Inc.
IN SUM OF
405 S. 9th Street
Elwood, IN 46036
$36.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 9061 42- 320.00 $36.00 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
Thu�sday�June 17, 2010
Street Commissioner
it e
r
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))
05/21/10 9061 $36.00
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