HomeMy WebLinkAbout189733 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
®t. CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $133.50
CARMEL IN 46032 CHECK NUMBER: 189733
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 129232 41.00 AUTO REPAIR MAINTEN
1120 4351000 129385 20.50 AUTO REPAIR MAINTEN
1110 4350101 129398 72.00 TRASH COLLECTION
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LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
(317) 844 -4839
onal 'qIL
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1, 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 TIIAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND
_IF THfS ACCOUNT IS PLACED IN THE HANDS OF E OR ATTORNEY FOR COLLECTION R LEGAL ACTION TO PAY AN ADDITIONAL CHARGE h_Q L TO THE COST OF C INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS TS INCURRED AND PERb11TTEb BY LAWS GOVERNING THESE TRANSACTIONS. JY
A finance charge of 13/4% Per Month will be charged on all Accounts 30 days Past Due, Annual Percentage Rate is 21%_ (Minimum 75) RECEIVED B j
l
SOLD TO: CARMEL FIRE 'DEPT, 5900/01 SHIP TO: SAME INVOICE# 1c`9385
TWO CIVIC SQUARE
CARMEL IN 46032 C
OUST. P.O. MAKE- MODEL ID# MILEAGE TEL -E -PHONE 'RoUTE sLM SHIP VIA ORDER "PAGE REMARKS
120890 571 -2609 0 1 N/A 134503 1
INVOICE PREVIQUSSHIPPED
INVOICE DA INVOICENUMBER� TERMS
Opened by Operator It 9
NUMBER,.
09/0212010 129385 NET 10TH 09/02/10 14:26:09 8
6,._... QUANTITY_ UNIT
STOCK NUMBER. SIZE DESCRIPTION T �FET Ex7ENSION.
ORDERS .SNIPPED PREV.SHIP. F)
fiF TIME HA
5 LEAN
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 .00 6.50
16 16u DISMOUNT 14OUNT PASSENGER 1 1 12.00 .00 12,00
I I
METHOD GF PAYMENT:
CHARGE: 20.50
CHANGE-' 0�
II Thank you for your business
PARTS LABOR TAXABLE misc.
TAX /n TAX
AMOUnFtr� F E:T. AMOUNT �IN�OtCE TOTAL
20.50 003120155 -002 20.50
1
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark,Tire
IN SUM OF
621 South Rangeline Road
Carmel, IN 46032
$20.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1 120 129385 43- 510.00 $20.50 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
SEF 13 u
v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properl 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))
129385 4552 $20.50
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
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" CCA R K Carmel, IN 46032
4w (317) 844 -4839
11R
National
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 HER 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 EVFIhh l` DEFAULT IN THE PAYMENT OFANY AMOUNT DUE, AND
IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY ORATTORNIFY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQU L7 THE C ST COLLHCTI N INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS
A finance charge of 1314% Per Month will he charged on all Accou ❑ts 30 days Pant Due. Annual Perccntagc Katc is 21%. (Minimum 75) RECE BY
SOLD TO: SHIP TO:
CAIMEL CLAY PARKS AND REC 6350/01 SAME INVOICE#1 129232
1411 E. 116TH STREET
CARMEEL IN 45032
OUST. P.O. MAKE- MODEL'' 1D# `MILEAGE TELETHON ROOTE�'sLM 'SHIP VIA ORDER PAGE "REMARKS
TRL (317)571 -4135 0 1 NIA 134144 1
INN TE 6NVOICE PREVIOUS SHIPPED TERMS
N 8ER INVOICE NUMBER
u pened BY Ope rator
Qi8/f9I2010 129232 NET 10TH 0A /19If0 11;17;15 l3
S S DESCRIPTION QUANT" UNIT T FET EXTENSION
ORDERS .SHIPPED PREV.SHIP. PRICE
I.
NO11NT 2 TIRES ONTO TWUR
TIRES IN BACK LIE TRUCK J Esx ?R
CH EACH TIRE CHANGE a G 15.00 .00 30.
STEM EACH VALVE STEM rl e 2.50 02 .00 5.0��..
SCRAP SCRAP TIRE 2 2 3.00
METHOD OF PAYMENT:
CHARGE: 41.180
CHANGE: .00
�In II W
AUG: 0 2010
BY
Purehase
Description
P.Q. f I P or F
G.L
Una
Line Descx
Purchaser Date
Approval Date 2- 0
4
Thanes you for your business Mech: JGn Dollens
AX:% TAXABLE .E. MISC. 'It
PARTS LABOR T
TAX FT
aMOUNT S IN OT,AL
AMOUNT
UUN
"You're Riding On Our Reputation"
�.a
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
8/19/10 129232 Install tires on trailer 41.00
Total 41.00
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
2a
Clerk- Treasurer
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of
41.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 129232 4351000 41.00 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
9 -Sep 2010
Signature
41.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION Carmel, IN 46032
4 w {317) 844 -4839"
IRE
r mational pE
1, T14E UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TETHE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHL'RAGREE THAT IN THE EV NT 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 Ii GE EQU i. O�7ME.1S OF COLLECTION INCLUDING
AGENCY AND ATTORNEY PEES AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4% Per Month will be charged on all Accounts 30 days Past Due, Annual Percentage Rate is 21%. (Minimum 75) RECEIVED BY
SOLD TO: CARMEL POLICE DEPT. 5000/01 SHIP TO: SA14E INVOICE# 129399
THREE CIVIC SQUARE
CARPEL IN 4603 2
CUST. P.O. MAKE-MODEL' ID#1 MILEAGE I T Hp ROUTE sub' SHIP VIA ORDER "P PE` REMARKS
571 -2500 0 1 N/A 134546 1
INVOICE DATE INVOICE `PREVIOUS SHipPED TERMS
NUMBER INVOICE NUMBER z,..
09/0312010 129398 NET 10TH 09/03/10 12:25:03 7
Q0ANTITY k "UNIT
STOCK NUMBER SIZE DESCRIPTION T F.E EXTENSION'
.ORDERS SHIPPED PREY. SHIP te.' PRICE ,...ii
SCRAP SCRAP TIRE 24 24 3.00 .00 72. OZ
METHOD Of PAYMENT:
CHARGE: 72.00
CHANGE: .00
I
i
Thank you for your business
PARTS LABOR- AMO uvr ,TAX. F E.T. nMOUnIT.. N. OIG> TOTAIu. 7
72.00 72.00
1
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Cla Tire Purchase Order No.
622C S. Rangeline Rd
Terms
Carmel, IN 46032
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/3/10 129398 payment -for scrap tires 72.00
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
622C S Rangeline Rd
Carmel, IN 46032
72.00
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 129398 501 -01 72.00 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
Sept 10, 2010
1
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund