190230 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
;f ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $3 83.13
s< CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 190230
CHECK DATE: 9/29/2010
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 128910 305.88 OTHER EXPENSES
1125 4237000 129378 21.50 REPAIR PARTS
2201 4232000 129469 55.75 TIRES TUBES
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Cannel, IN 46032
4w m (317) 844 -4839
WE
Jational PENd IL
Q
I. THE UNDERSIGNED, IIERE13Y AGREE UNTIL SUCH TIME AS TIi IS ACCOUNT 1S 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 rN TFIE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND
IF THIS ACCOUNT IS PLACED IN TI IE HANDS OF AN AGENCY OR JV170RNEY 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 13 /4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RECEIVED BY
SOLD r0: CARAEL CLAY PARRS AND REC 6350/01 SHIP TO: GPAE
141 k E. 116111 STREET
CAME IN 46U
COST. P.O. MAKE -MODEL ID# MILEAGETEL•EPN IVE ROUTE s�nn SHIP VIA "ORDER "Pace REMARKS
(317)571 -4136 0 1 N/A 13450✓_' 1
INVOICE PREVIOUS SHIPPED
INVOICE DATE' TERMS
NUMBER INVOICE NUMBER
Opened by Operat6l a
r•r. C kl"i 1229378 MET 19TH 09 /02/10 10:12:53 7
..UNIT
STOCK NUMBER SIZE DESCRIPTION QUANTITY T FET: EXTENSION c
tOROERS 5HIPPEO PREY. 5HIP1 -PRICE
CK TIRE FOR REPAIR
LT15 16" 'LIGHT TRWK DI5'Nf1f 4T /NOl NT 1 1 15.0G1 .09 15.90
REP EACH INSIDE TIRE REPAIR 1 1 6.50 .00 6.50
METHOD OF PAYMENT:
CHARGE: 21.50
CHA 9 3
?I�iE: .00
MARK s TiRr CI+ANC 4 d�rK
SEA' 1 5 2010
BY:
................a.
ate+
P.o. 0
_M_... P or F
7G;.L }o 37�uo
Bud
UneiD
Purchaser
APPMVa1 Date j '1 2O/(�
�(3
L /4
Thaflk you for your b usiness ec oorite
PARTS LABOR TAX AMOUn TAX F.E.T. Mlsc INVO[O F 70TiQL
AMOUNT: ,.d
:1.10 __F
i
"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
Date Number
or note attached invoice(s) or bill(s)) PO Amount
21.50
912110 129378 Flat tire repair on Expedition
Total 21.50
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
21.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
t'0# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 129378 4237000 21.50 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
23 -Sep 2010
��t�'�Z��IYI'[.rYUPJU
Signature
21.50 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 (317) 844 -4839.
Fi RE
J pEN IL
],THE UNDERSIGNED. HEREBY AGREE UNTIL SUCH TIME AS TI {IS 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 ORATTORNEY 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 13/4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIV ED B
SOLD TO: CARMEL STREET DEPT, 62MI01 SHIP TO: SAME INVOIC.E4 129469
3400 W 131ST
J
WESTFIELD 40074
CUST. P.O. MAKE -MODEL ID# MILEAGE TELrEPHONE ROUT& SLM 'SHIP VIA ORDER PAGE REMARKS
TRAILER 733 -2001 1 :II /A 134697 1
INVOICE DATE —INVOICE' PREVIOUS SNIPPED TERMS
NUMBER INVOICE NUMBER
tl A
+0911@!2010 129469 SET 10TH 09110114 16:55:57 7
4 rY e a
STOCK NUMBER SIZE' uArlrl UNIT T F.E.T XTENSION
DESCRIPTION ORDERS SHIPPED PREV SHIP; .,PRICE",, •t If
15014 16X,0 -8 NH :DEL-NAT TURF 1 1 35.00 02 .00 35.00
TF INDIANA TIRE FEE 1. 1 .25 .00 .25
C'H En TIRE CHANGE 1 1 15.00 .00 15.00
STEM EACH VALVE STEM 1 1 2.51 02 .00 2.50
SCRAP SCRAP TIRE 1 1 100 .00 3.00
METHOD OFF PA MPT.
CHARGE: a '55.75
CHANGE: 100
i
anu you t ar your b usiffe5a N ee nanh
TAXABLE MISC
PARTS LABOR TAX TAX.
AMOUNr
F.ET.` aMOUNr i PLFNS4NGIQIC,Ej1uOTAL}NT
55.75 55.75
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF
622 S. Rangeline Road
6armel, IN 46032
$55.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member
2201 129469 42 320.00 $55.75 f 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
�tlursdayjSe�pte "ber 23, 201 C
U W 4
Street Commissioner`
t pg.mrssroner
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))
09/10/10 129469 $55.75
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
20
Clerk- Treasurer
ORIGINAL 6220 S. Rangeline Road
"YOU RE R1bWG ON OUR REPUTATION" LARK Carmel, IN 46032
IRE (317) 844 -4$39
ationai °I�
I. THE UNDERSIGNED, f tRLBY AGREE LNTIL SUCK TIATE AS THIS ACCOUNT IS PAID IN PULL BY ME, THE SELLER SHALL RETAIN TITLE TD THE GOODS HEREBY Pti RCHASED AND SELLER SHALE. HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE- PAYMENT UNTIL 61Y ACCOUNT IS FL'L.I -Y P,4m. FURTHER AGREE THAT IN THE EVE.N7 OF DEFAULT IN THE PAYMENT OF ANY AMOUT.'T DUE, AND
IFTMSACCOUNTISPLACEDINTHEHANDS OP AN AGENCY OR ATTORNEY FOP, COLLECT11ON OR LEGAL ACTION TO PAY AN ADDITIONAL CILA RGE EPUAL TO Tl 1E COST OF COLLFCnON INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PER mmDBYLAW SGOVERNWGTHESETRANSACTIONS.
A 5nantt ClIM90 of 1314 F. Pkr I.Ion b will he charged nn all A- souota 3Od ys Past Doe. Annval PcRU.Cgc Rzto ia? IY.. (Pllnimum IS) RECEINTEl BY
SOLD TO: CARMEL WASTEWATER 610®101 SHIP TO: SAME INVOICE# 12891$
9609 HAZELDELL PKW.
IMIRMLIS IN 46280
CUST. P.O. MAKE-MODEL 10# MILEAGE TELEPHONE ROUTE SUI SHIP VIA ORDER PAGE REMARKS
571 -2634 0 1 N/A 133448 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
07/21/2010 128410 NET 10TH 07/21/10 16:33:05 7
STOCKNUMBER SIZE DESCRIPTION qu"!lTi7y T F.E.T. ExTENSION
REP �y �.r 7p� 0.0 RS SHIPPED PI�'l 541P PRICE
LACE T 1 �S
508-15
OUTSIDE 286437 500-15 AHURET 3 RIB 2 2 64.45 02 .00 128.90
TF INDIANA TIRE FEE 2 2 .25 .00 .50
WTSIDE 286437 5NXIS TUBE 2 2 8.24 02 .00 16.48
MSIDE 2054 MAN FILL 2 2 80.00 02 .00 160.00
KMOD OF PAYM MIX
CH ME: .09
A_ c
Thank you for your bm iness Neeh: B "I1
PARTS LABOR TAX T TAX F.E.T.
A 305.88 305.88
"You're Riding On pur Reputation"
4'd 41008 UOb e8L .'60 OL LO des
VOUCHER 106274 WARRANT ALLOWED
i
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
128910 01- 7502 -06 $305.88
I
Voucher Total $305.88
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 9/23/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/23/2010 128910 $305.88
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