HomeMy WebLinkAbout193700 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $36.50
s` �o CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
ah ao, CARMEL IN 46032 CHECK NUMBER: 193700
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 130627 36.50 TRANSPORTATION EXPENS
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" R K Carmel, IN 46032
4w
ri (317) 844 -4839
RE
national P�M�
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLFR SHALL RETAIN TITLF 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 PLACFD IN THE BANDS 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 BYLAWS GOVERNING THESE TRANSACTIONS.
1
A finance charge of 1314% Per Month Will he charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECE V E.D BY
SOLD TO: CARMEL WRTER DISTRIBUTION 6300/01 SHIP TO.SAME INVOICH 130627
760 3R6 AVENUE SW
CARMEL IN 46632
CLIST. P.O. MAKE-MODEL '!D# MILEAGE TELE�PH- ;''ROUTE s�M SHIP VIA`, ORDER PACE REMARKS
#7 716 -3939 0 1 N /P. 137351 1
INVOICE' PREVIOUS SHIOPED
NVOICE DATE, TERMS
NUMBER INVOICE NUMBER f
O pm
.j
2"/ 30 /2010 1306x".7 NET 10TH IC /30110 14:29:44 8
ST KNUMBER SIZE .'DESCRIPTION _QUANTITY_ .'UNI -�7t FE'T.EX7ENSION
ORDERS. SHIPPED PREV.SHIP,.': PRICE
REPAIR'LOME TIRE
TCH EACH LARGE TRUCK DISMOUNT MOUNT 1 1 30 »00 .00 30.00
REP ERCH INSIDE TIRE REPAIR 1 1 6.50 .00 6.50
IKETHOD IF PAMT
CHAR6E: 36.50
CHANGE:
IrD WO
I ll
/411
4 u
-f
Tha nk 7 L1
PARTS LABOR TAX TAXABLE TAX F.E.T. Mlsc.
1 AMOUNT.. ....AMOUNT a P1:ESEINU�OICE.;QTALNT 1 _L T 36.50 36-50
"You're Riding On Our Reputation”
VOUCHER 103764 WARRANT ALLOWED
60700 IN SUM OF
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032 WAS
OPERA nONS
Carmel Water Utility
ON ACCOUNT OF APPROP N FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
130627 01- 6500 -05 $36.50
j
Voucher Total $36.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
i
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 12/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/301201( 130627 $36.50
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
Date Officer