HomeMy WebLinkAbout194142 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $81.00
CARMEL IN 46032 CHECK NUMBER: 194142
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 130850 81.00 TRASH COLLECTION
rcA 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION Carmel, IN 46032
4w (31.7) 844 -4839
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I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCTI TIME AS T14ES ACCOLTNT 1S PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO T" NT HEREBY PURCHASED F�4�AXD ELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREETHAT IN' HE EVENT OF FAULT IN THE !TIOF Al Y 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 CHA EE E (k�d THE CO5 O OL4CTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
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A finance charge of 13/41 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:
CARME. POLICE DEPT. 900101 SAME INVOICE# 130850
THREE CIVIC SQUARE
CAGl1EL IN 46032
COST. P.O. MAKE- MODEL ID# MILEAGE TELEPHpNE 'ROUTE sLM SHIP VIA ORDER PACE; REMARKS
571 -2500, 0 1 NIA 1373Po I
INVOICE DATE INVOICE PREVIOUS SHIPPED' TERMS
NUMBER INVOICE NUMBER
Ope ned by Opura
01/281'2811 130850 NET 10TH 01/28/11 12:21:22 8
UNIT 14
STOCK NUMBER SIZE` DESCRIPTION `ORDERS QUANTITY,-- SHIPPEDPREV,SHIP; PRICE-,, T FE 7. y EXTENSION
SCRAP SCRAP TIRE 27 27 3.00 .@a 81.9
METHOD O F PAYMENT:.
CHARGE: 31.00
CHARGE: 100
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I Thank you for your Lasines5
TAXABLE AMOUNT Mlsc
TAX FLT.3 INVOICE "TO L
AMOUNT AMOUNT
PARTS LABOR TAX
81.00 91, Q0
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"You're Riding On Our Rebutation"
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VOUCHER NO. WARRANT NO.
Clark Tire ALLOWED 20
IN SUM OF
622 C South Rangeline Road
Carmel, IN 46032
$81.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 130850 43- 501.01 $81.00 I 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
Friday, January 28, 2011
Chief of Police
Title
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 invoices) or bill(s))
01/28/11 130850 payment for 27 scrap tires $81.00
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