HomeMy WebLinkAbout192028 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
b ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $141.95
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 192028
CHECK DATE: 1 112 312 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 130063 141.95 OTHER EXPENSES
LARK 6220 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, 1N 46032
4w IRE (317) 844 -4839
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I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS "PHIS 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 SFCURE 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 TI IL" 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 fmaace charge °f 13A'A Per Mouth will he charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RECEI V ED BY
SOLD TO: CARMEL WATER DISTRIBUTION 6300/01 SHIP TO: SAME INVOICE# 13,0063
760 3FD AVENUE SW
CARMEL IN 46@32
CLIST. P.O. MAKE- MODEL ID# MILEAGE TELEPHONE `ROUT+ Sr M' SHIP VIA ORDER `PACE REMARKS
'15702 715-3939 0 1 N/A 136056 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 9
11105/20191 130063 NET 10TH 11/05/191 08:58 :32 8
STOCK NUMBER SIZE OR CUANTITY
DESCRIPTION' T F.E.T. EXTENSION
.a
HERS SHIPPEb PREV.SHIPi• PRICE
I
ALIENMENT, VENT FT END PART
PL5 EACH LARGE TRUCK ALIGNMENT 1 1 125.91 ,00 125.95
ROTATE EACH TIRE ROTATION 2 2 8.00 00 16.00
NETIiDD OF PAYMENT:
CHARGE: 141.95.
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Thank you for your business Mesh: J n UolleFIS
PARTS LABOR TAX aMO uNT TAX F E. T, AMO NT i INVOICE T,OT�AL
L J 1
141.95 141,95
I "You're Riding On Our Reputation"
VOUCHER 103281 WARRANT ALLOWED
607700 IN SUM OF
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032 WATER
OPERAT10
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
130063 01- 6500 -05 $141.95
Voucher Total $141.95
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
60700
CLARK TIRE INC CARMEL Purchase Order No.
622 C SOUTH RANGELINE RD Terms
CARMEL, IN 46032 Due Date 11/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/201( 130063 $141.95
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
C —A i Date Officer