HomeMy WebLinkAbout187752 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
O 622 C SOUTH RANGELINE RD CHECK AMOUNT: $121.50
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 187752
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CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 128579 20.00 EQUIPMENT REPAIRS M
1120 4351000 128845 23.50 AUTO REPAIR MAINTEN
1110 4350101 128851 78.00 TRASH COLLECTION
s.
fir.
622C r gelne Roa
"YOU ARE RIDING ON OUR REPUTATION" LARK IN 46032
4� 7) 844 -48
r atio PE:OIL. IL
I,-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 TIME PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND
WTHIS 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 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEI BY
SOLD TO: SHIP TO:
CARMEL CLAY PADRE AND REC E350/01 SAME =INVDICE#
1411 E. 116TH STREET
CARMEL IN 46032
OUST. P.O. MAKE -MODEL 'ID# :MILEAGE "m TELEPHONE ROUTE SAM SHIP VIA ORDER PjOGE REMARKS
(317) 571--2695
(317)571 -4]36 0 1 N/A 132795 1
INVOICE PREVIOUS SHI
y
RRED 9
NUMBER NVOICE NUMBER TERMS
INVOICE DATE
Opened by Operator 7
X 1 q7q NFT i m 12.1 !14
TOCKNYMBE SIZE DESCRIPTION __QUANTITY UNIT T F.E.T. EkfENSiON
ORDERS. SHIPPED PREY. -SHIP sr PRICE
EMIR CER TIRE
CH EACH. :TIRE CHANGE 1 1 15.00 .00 15.00
RUT EACH XSE. REPAIR Ir 1 5.00 .00 5.010
METHOD OF PAYMEW
CHARGE: 26.00
CHAWE: Pulchms .60 ti
PAS 4 pap p Ct
&L• aD S JUG! 2 2 201
I
Pulthes
3 20 f o
-MIS -s a.
e r TAXABf_E 17 Lr15
PARTS: `LABOR TAX.1e, AMOUNT TAX F.E.T. AMOUNr.• INVOICE TOTAL::
PLEA r5 AMOUNT
"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
6/21110 128579 Mower tire repair 20.00
Total 20.00
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$
20.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 128579 4350000 20.00 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
15 -Jul 2010
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
A
622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
Jational p EN1 IL
I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AST] I1S 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 FURTHERAGREE THAT IN THE EVET� OF DEFAULT IN THE PAYMEn OF ANY AMOUNT DUE, AND
IF THIS ACCOUNT IS PLACED IN THE HANDS DEAN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL C RGE EQUAL TO T OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FFFS AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS. n
A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVE'?
r Y
SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO: SAME V U INVOICE# 128851
THREE CIVIC SGUARE
CARMEL IN 46032
COST. P.O. MAKE- MODEL ID# MILEAGE TELEPHONE ROUTE` SLM "`SHIP VIA ORDER# "PAGE REMARKS`
571 --2500 0 1 N/A 133.?68 1
INVOICE DATE' INVOICE PREVIOUS SHIPP TERMS,
NUMBER INVOICE NUMBER y
Opened by Operator 1
07/151201.0 126853 NET 10TH 07/15/10 11:53 :37 7
STOCK NUMBER .SIZE DESCRIPTJON QUANTITY
1 1 UNIT T EXTENSION t 1. a r
,'ORDERS SHIPPED PREV SHIP PRICE
SCRAP SCRAP TIRE 26 26 3.00 .00 78.E
METHOD Or PAYMENT:
CHARGE: 76.00
CHANGE: .00
i
r
j 1
i
Thank you for your business
KARTS LABOR, TAX L TAX ;F.E.T.
AMOUNT AMOUNT sl. C INVOICE P TO AL'
_F 75.09 78.00 y
"You're Riding On Our Reputation"
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
Clark 'tire Purchase Order No.
622 C South Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/15/10 128851 payment for scrap tires 78.00
Total
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.
ALLOWED 20
Clark Tire
IN SUM OF
522 C South Rangeline Road
Carmel, IN
78.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 128851 501 -01 78.00 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
July 15 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r
i
622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION LARK C armel, IN 46032
4w IRE (317} 844 -4839
40 �Jational �EN�:IL
h 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 �DEE.,FAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND
ARGG
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CH QUA TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERN[ NG THESE TRANSACTIONS.
A finance charge of 13/4% Per Month will he charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RECEIVED
SOLD TO: CARREL FIRE DEPT. -�990f01 SHIP TO: SAME INVOICE# 128845
TW- CIVIC SQUARE
CARREL IN 4
COST. P.O. MAKE-MODII ID# MI EAGE T EPH ROUTE 3,1-nn SHIP VIA ORDER "PAGE REMARKS
DODGE 450c 4502 4489 571 -2609 0 5 N/A 133348 1
INVOICE REVIQUS SHIP "D
INVOICE DATE` TERMS
NUMBER „I ICE N ER
Opened ay upe
07/14/2010 128845 NET 10TH 07114/10 15:28:13 8
QUANTITY 4 tk
STOCK
NUMBER SIZE DESCRI PTION dtoEtts SHIPPED PRevs ias. PRICE T as W. F.E.T. EXTENSION
RIGHT REAR.TIRE REPAIR
ATTN JASIX FORCE
17 17/18" DISMOUNT It MOUNT PASSENGER 1 1 15.00 .00 15.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 .00 8.50
METHOD OF PAYMENT-
CHARGE: 233.50
CHANGE.: .00
f
Thank you for your business Nech: n Dollens
PARTS LABOR TAX TAX ABLE „TAX F.E.T. MIS INV CE TOTA
tee,. AMOUNT it.�
AMO
23.50 003120155002 23.50
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ciark Tire
IN SUM OF
622 South Rangeline Road
Carmel, IN 46032
$23.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 128845 43- 510.00 $23.50 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
JUL 19 2010
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))
128845 4502 $23.50
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