190705 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $158.50
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 190705
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 129461 60.00 TRASH COLLECTION
1125 4351000 129622 20.50 AUTO REPAIR MAINTEN
1110 4350101 129786 78.00 TRASH COLLECTION
LARK 622C S. Rangeline Road.
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46 032
(317) 844 -4839
Fi RE
mational PE,:°
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 THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREE THAT fN 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 BY LAWS 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) RECEIVED BY
SOLD TO: SHIP TO:
CARMEL CLAY PARKS AND REC 6350/ SAME
1411 E. 116TH STREET
CARMEL IN 46032
CU ST. 'P.O. MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE "SLry SHIP VIA" "ORDER REMARKS
836631 (317)571 -4]36 0 1 N/A 135049 1
INVOICE PREVIOUS SHIPPED
INVOICE DATE TERMS
NUMBER INVOICE NUMBER
_lD Opened by 006ratar
12x622
NET 10TH 09/24/10 09:38-53 8
STOCK NUMBER 0 NIT DESCRIPTION' QUANTirr T REM T I EXTENSION I
'ORDERS SHIPPED PREV. SHIPI PRICE i
REPO EACH IM51 REPAIR ON VEHICLE 1 1 8.50 .00 8.50
16 16 DISMOUNT M(UNT PASSENGER 1 1 12.0+0 .00 12.00
METHOD OF PAYMENT:
CHP.RCE: 20.50
CHANGE: .00
l� SE A' El 'i
8 2010
BY:
Purchme
P.O.I# Par F
Budget
lane Descr
Purchaser Date
'.Ap proval Date q Z V
Thank you for your blusiT Mech: mante
PARTS LABOR TAX TAXABLE TAX F.E.T." Mlsc: "IiV VOICI OT
AMOUNT AMOUNT k
xv i w
a. 50
"You're Riding On Our Reputation"
y
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
9124110 129622 Flat tire repair 20.50
Total 20.50
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
20.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 129622 4351000 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
7 -Oct 2010
Signature
20.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w F (317) 844 -4839 I
m ationai PENN0 IL
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 THAT IN THE EVE' T OF DEFAULT IN THE PAYW N'T 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 R TO j ST O COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS, �`rY��/
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
f S 1
V
SOLD TO: CARNEL POLICE MEAT. 6000101 SHIP TO: SANE INVOICE# 129786
THESE CIVIC SQUARE
CARMEL IN 46032
GUST. P.O. MAKE- MODEL ID# MILEAGE TE�L•EPHONE ,'ROUTE SAM SHIP VIA ORDER'# '"PAGE REMARKS
571 -2500 0 1 NIA 35417 1
INVOICE DATE INVOICE PREVIOUS SHIPPED', TERMS.I
NUMBER INVOICE NUMBER,
a by Operator 4 a
10/08/2010 12978E NET 10TH 10108/10 10:36:40 8 N IT`
STOCK NUMBER SIZE DESCRIPTIOt�Y sea o PREV.sHia. •PRICE T E'' F.EL I EXTENSION .t
SCRAP SCRAP TIRE 26 26 3.00 .00 76.00
FIETIfOD OF PAYMENT:
CHARGE: 78.00
CHANGE: .00
iF
i
r
Thank you for your business
PARTS LABOR TAX TAXABLE M
AMOUNT TAX F E.T.. AMOUNT L INUO CE TOTAL
78,00 78,00
"You're Riding On Our Reputation"
6220 S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4tri
{317} 844 -4839
ri iFE
r ational pgN o IL
L 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 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 T_ O 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) RECEIVED BY
SOLD TO: CRf Its POLICE DEPT. SeW /01 SHIP TO: SppE INVOICE# X'6461
THREE CIVIC SURE
CARI4EL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE (3TELEPHONE RouTE' SLM' SHIP VIA .ORDER'# "PAGE '.':REMARKS
571 -2500 0 1 K/A 134507 1
INVOICE'" PREVIOUS SHIPPED'
NUMBER INVOICE NUMBER TERMS
INVOICE DATE Open t n na
09119/ 129451 NET 10TH 09/ 10/10 13:12.01 e
STOCK NUMBER SIZE i DESCRIPTION QUANTITY 1 UNIT T FE T tt EXTENSION
w.
j ORDERS $HIPPED PREV, SHIP L
SC RAP SCRAP SGRRP TIRE 20 20 3.00 .00 r0.00
METHOD OF PAYMENT:
CHARGE: 60.00
CHANGE: .00
Ti ank you or your usiness
PARTS LABOR n TAXABLE MSC r
TpX /o AMOUNT TAX" F E T.�,= AMOUNT v F .'INVOICE'TOT,,'L
G0.00 (x0.00
k "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))
9/ 10/10 12 461 Daviment for scrap tires 60.00
10 8 :10 12 786 payment for &crap tires 78.00
Total 138.00.
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire IN SUM OF
622 C South Rangeline road
Carmel, Tn`!46032
1.38,00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 129461 501 --01 60.00 bill(s) is (are) true and correct and that the
1110 129786 501 -01 78.00 materials or services itemized thereon for
which charge is made were ordered and
received except
October 7 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund