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Home My WebLink About198952 07/06/2011 a 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: $179.53 a� CARMEL IN 46032 CHECK NUMBER: 198952 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 131856 156.03 OTHER EXPENSES 651 5023990 132118 23.50 OTHER EXPENSES 6222 S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION LARK Carmel, IN 46032 (317) 844 -4839 4w IRE C7fl0/1a� PENS IL 1, 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 IS PLACED IN THE 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 finance charge of 13/4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RE CEIVED BY SOLD TO: SHIP TO: i CARMEL WASTEWATER 6100/01 SAME' INVOICE# 1318% 9609 HAZELDELL PEW, INDIA NAPOLIS iN 46280 CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS 71 57, 79/ INVOICE DATE INVOICE PREVIOUS SHIPPED 57 TERMS 1 N/A 140155 1 NUMBER INVOICE NUMBER Opened by Operator ak °r QUANTITY,, 11EE�� UNIT STUB 'N B�ER1 1•SM DESCRIPTItOdV oROeRS SHIPPED PREV.SHIP. Y1.t EI T i ,F EXTENSION ChJt 1ilL •F RF TIRE HAS LEAK WBP EACH tTAEEL BALANCE PASSENGER 1 1 12.00 .00 12.00 STEM EACH VALUE STEM 1 1 2.50 02 .00 2.50 IF INDIANA TIRE FEE 1 1 .25 .00 .2S 05501 LT245/75RIG COOPER DISCOVERER ATR AK (E) 1 1 141.28 02 ,00 141.28 ADJLISTNENT:C 418380 METHOD OF PAYMENTS CHARGE: 156.03 a ,rr`4 r.; I PARTS LABOR TAX TAXABLE MISC. Y f tc AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL PLEASE PAY THIS AMOUNT trr n� ter nti Ia!✓r V.l 1VY• Vu "You're Riding On Our Reputation" LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4 r (317) 844 -4839 1 1RE pEN IL 1, 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 IS PLACED IN THE 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 finance charge of 13/4% Per Month Will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY SOLD TO: CARMEL �IASTEI -LATER 61001 SHIP TO: SAME INVOICE# 132118 9609 HAZEL.DELL PKW. INDIANAPOLIS IN 46280 I CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER 'PAGE REMARKS 571-2634 0` 1 NIA 140741 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER n npnp d hv 0El14120ll 132118 NET 10TH 06114/11 17:00:37 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY_ UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV. SHIP PRICE LOOK FFOR REPA i R CALL JOE AT 716 3905 REP EACH INSIDE TIRE REPAIR 1 1 7.50 .00 7. 16 16`.' DISMOUNT MOUNT PASSENGER 1 1 16.00 .00 16<00.,f:::,: METHOD Qr PAYMENT. 23.50 I COR I I GINAL D� 5 2011 Thank yo ror• your busin es: i IM KE PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT PL NUQIGEITOT1AWjT 23.50 2 3.50 "You're Riding On Our Reputation" 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 060700 4 CLARK TIRE CARMEL Purchase Order No. 622C S. Rangeline Road Terms Carmel, IN 46032 Due Date 6/27/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/27/2011 131856 $156.03 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 Officer VOUCHER 115339 WARRANT ALLOWED 060700 IN SUM OF CLARK TIRE CARMEL 622C S. Rangeline Road Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 131856 01- 7502 -06 $156.03 �3all� 23 -Sv 17q.s3 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund