HomeMy WebLinkAbout197132 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
O f CHECK AMOUNT: $23.50
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
i,�y Zu CARMEL IN 46032 CHECK NUMBER: 197132
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1120 4351000 131636 23.50 AUTO REPAIR MAINTEN
622C S. Rangelme Road
"YOU ARE RIDING ON OUR REPUTATION" C LARK'' Carmel, IN 46032
k, (317) 844 -4839
IRE
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[,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 1S PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TOtTHE C STS COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.•..•�r����
A finance charge of 1314 Per Month will be charged on all Accounts 30 days Past Due. Annual Pereentago Rate is Zl (Minimum 75) RECEIVED BY
E
SOLD TO: CARMEL FIRE DEPT. 5900/01 SHIP TO: SALE INVOICE# 131636
TWO CIVIC SQUARE
CARMEL IN 46032
6
CUST. PO. MAKE -MODEL ID# MILEAGE TELEP,. QNE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
�J 571 -2609 0 1 NIA 139665 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE, NUMBER
l
04/aUab11 I3163€ NET 10TH @4/26/11 16:21:27 7
QUANTITY v, UNIT I
STOCK NUMBER SIZE:, DESCRIPTION oROERS SHIPPED PREV. &HiP.> ..PRICE. x, T FE. T EXTENSION
LMSE TIRE! FOR. REPAIR
VEH #4562
16 16" DISM1 1T MOUNT P is 1 1 16.00 N 16.00
REP EAR INSME TIRE REPAIR I 1 7.50 .00 7.50
1IETHID OF PAYMENT:
I
CHARGE: 23.50
CHANGE: .00
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45F, Y011 fir your business eL uq
e TAXABLE'_ misc.-;x
PARTS LABOR TAX ,/o CI r AMOUI�IT 1 TAX F E.T. AMOUNT. INU
2 23.50 Qk03124')t55 -002-' 23.50
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
Clark Tire ALLOWED 20
IN SUM OF
622 South Rangeline Road
Carmel, IN 46032
$23.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 I 131636 43- 510.00 $23.50 1 hereby certify that the attached invoice(s), or
l bi[I(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
MAY ®091311
Fire Chief
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 invoice(s) or bifl(s))
131636 C4562 $23.50
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
20
Clerk- Treasurer