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Home My WebLink About162687 08/20/2008 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: $764.68 CARMEL IN 46032 CHECK NUMBER: 162687 CHECK DATE: 8/20/2008 DEPARTMENT ACC PO NUMBER IN VOICE NUMBE AMOUNT DESCRIPTION 1125 4237000 120833 21.60 REPAIR PARTS 1125 4350000 120889 56.14 EQUIPMENT REPAIRS M 601 5023990 W08348 120900 684.44 TIRES 601 5023990 121154 20.50 TRANS EXPENSES -OUST A 1125 4350000 154569 -18.00 EQUIPMENT REPAIRS'& M I I LAG= .1 Elliott's Mohawk Place 622C S. Rangeline Road Carmel, Indiana 46032 (317) 844 -4839 CARMEL CLAY PARKS AND REC 1411 E. 116TH STREET DATE ACCOUNTNUMBER CARMEL IN 46032 06/28/06 1 635 PAGE. AMOUNT PAID PLEASE RETURN THIS PORTION WITH YOUR REMITTANCE DATE REFERENCE CUST. P.O. NO. CHARGES CREDITS BALANCE 12/20/07 PMT 154569 18.00 18.01 .06/12/08 INV 120250 20.00 2.00 TOTAL PAYMENTS: 18.00— NEW BALANCE 2.00 JUL 7 2QQ8 FUTURE CURRENT 31 60 DAYS 61 90 DAYS 91 DAYS OVER 0 00 20. 00 00 IZ 0 18. 00- 0 L AM CARMEL All Claims and Returns MUST Be Accompanied By THIS INVOICE 622 C. South Rangeline Road TERMS: NET 10TH FOLLOWING DATE OF PURCHASE. A SERVICE CHARGE Carmel, IN 46032 OF 1V4% PER MONTH WILL BE ADDED TO PAST DUE BALANCE (MINIMUM (317) 844.4839 CHARGE .75). THE ANNUAL PERCENTAGE RATE IS 21 I I I FAX (317) 844 -6561 AGRICULTURAL EXEMPTION CERTIFICATE I IL1��( STATE DEPARTMENT OF REVENUE —SALES TAX DIVISION I HEREBY CERTIFY UNDER THE PENALTIES OF PERJURY THAT THE PERSONAL PROPERTY PURCHASED BY THE USE OF THIS EXEMPTION CERTIFICATE WILL BE DIRECTLY USED IN THE DIRECT PRODUCTION OF AGRICULTURAL PRODUCTS FOR RESALE. CUSTOMER'S SIGNATURE UNIROYAL SOLD TO: CARMEL CLAY PARIS AND REC 6"350101 SHIP T0: SAME CEIV' 12�e33 1411 E. ,115TH STREET JUL 2 4 2008 CARMEL IN 46032 BY: CUST P`.0 MAKE MODEL 1 D MILEAGE T.EL PH, NE ROUTE s�M SHIP VIA ORDER PACE REMARKS 4 571 4136 1� I 34 1159 31. Yti x- t3 I 15 IA f ,:e axtl i ^a 'kF• »tiR E<.r€u ,$'dP k. EVIOUS SHIPPED 4 x. 1NVOfCE PR n� a INVOICE DATE NUMBERINVOICe NuMeEa TERMS, b I, N�1 10T}i 07122108 20.�6:`3C STOCK NUMBER SIZE" DESCRPTIC.�N o °°ees ..,�st,i Peo. Paev sHiP,, UNIT »C F E T ON EXTENSI PRICE Air gg V �PI1T "I RGAIN.;� 533777 2 iOif'e TUBE i 1 G 21.60 METHOD OF PA T m CHAD: 21.60 CHANGE: .00 tz 1 pp g E mz r a 4 1 1{ x 1 F r P i y EE t 11 Yk LJ V01 -14 v'�A ��w �c 1 �f �l�,Ta s Ewa a ,`�I 6" gg 3 E" y r s NPWP Ta d H III s x Thank you for your busineA_ LL AXP�BCE MISC 0160 LABOR r_ 3..�..TAx 21.60 PARTS A ouNTM TAX F E T AMOUNTS "Ours Is A Reputation You Can Ride On" CUSTOMER COPY LAMM CARMEL All Claims and Returns MUST Be Accompanied By THIS INVOICE 622 C. South Rangeline Road TERMS: NET 10TH FOLLOWING DATE OF PURCHASE. A SERVICE CHARGE Carmel IN 46032 OF 1 PER MONTH WILL BE ADDED TO PAST DUE BALANCE (MINIMUM (317) 844 -4839 CHAHGE .75). THE ANNUAL PERCENTAGE RATE IS 21 I I I FAX (317) 844 -6561 AGRICULTURAL EXEMPTION CERTIFICATE STATE DEPARTMENT OF REVENUE —SALES TAX DIVISION I HEREBY CERTIFY UNDER THE PENALTIES OF PERJURY THAT THE PERSONAL PROPERTY PURCHASED BY THE USE OF THIS EXEMPTION CERTIFICATE WILL BE DIRECTLY USED IN THE DIRECT PRODUCTION OF AGRICULTURAL PRODUCTS FOR RESALE. CUSTOMER'S SIGNATURE u1HROVAL 0 SOLD TO: CARMEL CLAY PARKS AND REC 6350101 SHIP TO: SAME ICES i20es� 1411 E. 116TH STREET JUL 3 0 2008 CARMEL IN 460322 BY: OUST P.,O y "MAKE MODEL ID'H MILEAGE TE 'EPIi NE RouTE y sLM SHIP VIA ORDER pAC� REMARKS m v 4 3171 41 1 1 t I16061 l� INVOICE PREVIOUS SHIPPED' INVOICE DATE INVOICE NuMeER TERMS NUMBER 'd7 ._t� 071251 008 I 889 NET 10TFIe 7 %08 0.14: 6 SIZE c... DE §CRIP7101V" ORDERS PPED UNIT STOCK NUMBER SH T F.E.T. EXTEN910N A IPPEO_ PFEV. SHIP ,xPR�i� 6L 1 TI E LW23 t3-6� KURD LA101 TURF 22.77 02 00 TF INDIANA TIRE FEE SCRAP SCRAP TIRE. 2.50 .00 y 1342 150 COWER TUBE s T r 8.12 Q►2 0 00 I2 CH EACH EACH T IRE. CHANFSE c 15.00 30 STEM VALUE STEM 1` 2, 50 02 .00 2 0 COUPON EACI ;DISCOUNT COUPON I�' t 10, .00 1 METHOD OF PAY�iEhFI. ARfisE n tk �rra 4.t a qp ry'1 xjt r R OO Mech: MI x Thank you for yau� business 4 PARTS LABOR TAX aMOUN IN TAX F E T AMOUNT, O 7�A��« 56.14 "Ours Is A Reputation You Can Ride On" CUSTOMER COPY ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 60700 Clark Tire Terms 622 S Rangeline Rd Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/20/07 154569 Credit on account 18.00 7/22/08 120833 Flat tire repair on Ferris rider 21:60 7/25/08 120889 New tire for batwin 56.14 Total 59.74 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 i Voucher No, Warrant No. 60700 Clark Tire Allowed 20 622 S Rangeline Rd Carmel, IN 46032 In Sum of 59.74 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1125 154569 35DO Oa 18.00 1 hereby certify that the attached invoice(s), or 1125 120833 4237000 21.60 bill(s) is (are) true and correct and that the 1125 120889 4350000 56.14 materials or services itemized thereon for which charge is made were ordered and received except 31 -Jul 2008 Signature 59.74 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I CARMEL All Claims and Returns MUST Be Accompanied By THIS INVOICE 622 C. South Rangeline Road TERMS: NET 10TH FOLLOWING DATE OF PURCHASE. A SERVICE CHARGE �I Carmel IN 46032 OF 1 PER MONTH WILL BE ADDED TO PAST DUE BALANCE (MINIMUM (317) 844 -4839 CHARGE .75). THE ANNUAL PERCENTAGE RATE IS 21 FAX (317) 844 6561 AGRICULTURAL EXEMPTION CERTIFICATE STATE DEPARTMENT OF REVENUE —SALES TAX DIVISION L AM I HEREBY CERTIFY UNDER THE PENALTIES OF PERJURY THAT THE PERSONAL PROPERTY PURCHASED BY THE USE OF THIS EXEMPTION CERTIFICATE WILL BE DIRECTLY USED IN THE DIRECT PRODUCTION OF AGRICULTURAL PRODUCTS FOR RESALE. r X 0 CUSTOMER'S SIGNATURE UNIRGYRI D CARMEL WATER DISTRIBUTION 6300101 SAME INVOICE# 120900 SOLD TO: 760 3RD AVENUE SW SH TO: CARMEL IN 4603 CUST. P.O. MAKE MODEL ID MILEAGE TELEPHO E „ROUTE,, sLM SHIP VIA ORDER PAGE REMARKS i FORD EQ #139 31813 716 -3939 6 15 6 1116079 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS j NUMBER a INVOICE NUMBER 07/25/2008 120900 I NET 10TH 67/25/08 15 :33;07 7 STOCK NUMBER SIZE DESCRIPTION ,"`oaoens ,7C"UAw9Y UNIT SOIPP07 Pnv.- skO', PRICE T F.E.T. EXTENSION NEW TIRE 50503 235/70816 COOPER DISCOVER H/T OWL (T) 4 4 153.36 02 .00 613.44 WBP EACH WHEEL BALANCE PASSENGER 4 4 12.00 .00 j 48.00 STEM EACH VALVE STEM 4 4 2.50 02 .00 I 10.00 SCRAP SCRAP TIRE 4 4 3.00 .00 12,00 TF INDIANA TIRE FEE f 4 4 .25 .00 1.00 I i METHOD OF PAYMENT: I CHARGE: 684.44 I CHANGE: f �`.�DQ►) �i E I Thank you for your business Mech: DO' PARTS LABOR TAX nMOUNT TAX F.E.T AnnouNT VOLC,E TOT L 684.44 684.44 v "Ours Is A Reputation You Can Ride On" CUSTOMER COPY 622 S. Rangeline Road YOU ARE RIDING ON OUR REPUTATION" C LARK Carmel, IN 46032 41 (317) 844 -4839 IRE atonal PAN 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 I 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 BYLAWS GOVERNING THESE. TRANSACTIONS. t A finance charge of 13/4 /o Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY R SOLD TO: SHIP TO: CARMEL WASTEWATER 6100/01 SAME INVOICE# 121154 9609 HAZELDEL.L PKW. INDIANAPOLIS IN 46289 COST. P.O' MAKE-MODEL .q "'[D# MILEAGE I TELEPHONE "ROUTE` s M" SHIP VIA ORDER PAGE REMARKS 571 -2634 1 0 5 N/A 116610 1 r t INVOICE; 11 PREVIOUS SHIPPED it INVOICE DATE`- TERMS 'NUMBER Is JNVOICE NUMBER 11 Opened by Operator 0 8 08/1312009 i 121154 NET 10TH 98/13/99 13:49 :14 9 13 QUANTITY,__.,_.,``` UNIT s. STOCK NUMBER i "SIZE ,t DESCRfPTION 'ORDERS SHIPPED T, F.E.T. EXTENSIONS' .PREV. SHIPk PRICE. RI6HTN FRONT TIRE REPAIR 13 13/15" DISMOUNT 8 MOUNT PASSENGER �1 1 12.02 .00 12.08 REPO i EACH INSIDE REPAIR ON VEHICLE 1 l 9.59 .00 8.50 NETHOD OF PAYMENT: CHARD: 20.59 CHANGE: 00 S: I i Th nb %)Oil fpr uatir hq5jnaS5 MA AXABL S o TAX f FE.7. MIS IN TOTAL ITC m `PA TS LABOR' TAX /o „r; AMOUNT 'I' u.' 'AMOUNT 3I PLEASE PAY THIS AMOUNT 20.50 20.50 "You're Riding On Our Reputation” VOUCHER 082682 WARRANT ALLOWED 810700 IN SUM OF CLARK TIRE INC CARMEL 622 C SOUTH RANGELINE RD CARMEL, IN 46032 t Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 121154 01- 6500 -07 $20.50 a� o�� 1�Ugoo o �,soo.o� b�y.yY Q ca�.gy y Voucher Total $2 .t Cast 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.) 'i X Payee 60700 CLARK TIRE INC CARMEL Purchase Order No. 622 C SOUTH RANGELINE RD Terms CARMEL, IN 46032 Due Date 8/14/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/14/2008 121154 $20.50 hereby certify that the attached invoice(s), or bill(s) is (are) true and h orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer