HomeMy WebLinkAbout193066 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 193066
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMO UNT DESCRIPTION
601 5023990 130436 35.00 OTHER EXPENSES
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4+ (317) 844 -4839
�Jational PEMOIL
L THE UNDERSIGNED. I- iEREBY 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. 1 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 CI4ARGE EQUAL TO THE COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS.
A finance charge a 1314% Per Month will be charged on alt Accounts 30 days Past Duo. Annual Percentage Rate is 21%. (Minimum 75) RECEIVED BY
SOLD TO: SHIP TO:
CARMEL DATER DISTRIBUTItNN x;300101 SAME INVOICE# 130436
760 3 'RD AVEM.JE Sal
CARMEL IN 46032
CLIST. P.O. MAKE- MODEL'' ID MILEAGE TELEPHONE `ROUTE sLM` I 'SHIP VIA ORDER 'PAGE' REMARKS'`
DIV
716 °3939 0 1 N/A 136925 1
INVOICE DATE''' INVOICE PREviOUs SHIPPED c
NUMBER LNYOICE NUMBER TERMS
U pened bil U perator 8
1211.012010 130436 NET 10TH 12/10/10 10:24:05 B
STOCK NUMBE QUANTITY, UNIT
R SIZE DESCRIPTION T Ff 7 't Fr EXTENSION
.ORDERS SHIPPED PREY SHIPS PRICE
TRACTOR TIRE REPAIR
TCH EACH LARGE TRUCK DISMOUNT MOUNT 1 1 30.09 ,00 'n.00
KEPT EACH TUBE REPAIR 1 1 1N .00 5.90
METHOD OF PAYK 641':
1fARGE: 35.00
CHANGE: .00
i7. '1 0 r•t3, l
i
1
i
1
Thant you for your business Mech: Jo Dollens
PARTS LABOR TAX TAXABLE TAX F'E.T: nMOUNT INVOICE'TOT4L
tH= iTUUP11
35.00 35.00
"You're Riding On Our Reputation"
VOUCHER 103636 WARRANT ALLOWED
60700 IN SUM OF
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032 WATT
OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
130436 01- 6500 -05 $35.00
Voucher Total $35.00
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 12/14/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/14/201( 130436 $35.00
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
Date Officer