161773 07/23/2008 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: $232.40
CARMEL IN 46032 CHECK NUMBER: 161773
CHECK DATE: 7/23/2008
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238000 120538 126.45 SMALL TOOLS MINOR E
1110 4232000 120595 72.70 TIRES TUBES
7 1110 4350101 120595 2.75 TRASH COLLECTION
601 5023990 120642 20.50 OTHER EXPENSES
-1125 4237000 120718 10.00 REPAIR PARTS
622 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, 1N 46032
4w 4 (317) 844 -4839
RE
tJational E NNZQIL
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS TH[S ACCOUNT IS PAID IN FULL "BY ME, THE SELLER SHALL RETAIN TITLE TO THEyODS HEREBY PURCHASED D SELLER SHALL RAVE
A SECURITY INTFREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREE THAT IN THE EVENT F EFAULT IN TILE PAYMIfNOF 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 CHAR�G EQUAL TO THE COST F OLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS.
A finance charge of IN4% Per Month will he charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEWED BY
SOLD TO: SHIP TO:
CARMEL POLICE DEPT. 6000/01 SANE INVOICED IM95
THREE CIVIC SURE
CARNET. IN 46032
CLIST. P.O. MAKE' MODEL' ID# MILEAGE TELEPHONE `RbUTL' SAM SHIP VIA ORDER PAGE. REMARKS
a 571 -2644
57 2 50 0 .0 5 N/A 115480 1
`INVOICE PREVIOUS SHIPPED I
INVOICE DATE.' TERMS
,j NUMBER INVOICE NUMBER
1
Opened by Operator 4 8
07/02/2008 1 120595 NET 10TH 07/02/08 15:28 :15 8
i,.�._OUANTITY�_ q
STOCK NUMBER,, SIZE DESCRIPTION UNIT 7 T F.E.T. EXTENSION
H
.L ORDERS SPED.PREV.SHIP. ..PRICE 3
519161 1175/80613 .,CARLISLE USA TRAILER 6PLY 1 1 69.95 02 .00 69.95
TF i INDIANA TIRE FEE 1 1 .25 .00 .25
STEM EACH 'VALVE STEM 1 1 2.50 02 .00 2
SCRAP P 'SCRAP TIRE 1 1 2.75 .00 2.75
METHOD OF PAYMENT:
CHARGE: 75.45
.CHANGE: .00
I
1 y
Th ank You for your busine
_PAR S LABOR TAX I TAXABL MT TAX F.E.T. AMOUNT ii INVOICE TOTAL
PLEASE PAY THIS AMOUNT
75.45 75.45
"You're Riding On Our Reputation"
PrescM d 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
Clark Tire Purchase Order No.
622 S. Rangeline road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/2/08 115480 payment for repairs to old radar trailer 75.45
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire IN SUM OF
622 S. Rangeline Road
Carmel, IN 46032
75.45
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 120595 72.70 bill(s) is (are) true and correct and that the
1110 120595 501 --01 2.75 materials or services itemized thereon for
which charge is made were ordered and
received except
July 18 20 08
&"419 J)
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1�
622 S. Rangeline Road
"YOUARERIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
FiR
t atlonal E"
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLERS] IALL 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, 1 FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND
IF THIS ACCOUNT IS PLACED IN THE FIANDS 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.
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: SHIP TO:
CARMEL WATER DISTRIBUTION 638@41 SAME INVOICE# 120642
760 3RD AVENUE SW
CARMEL IN 46032
CUST. P.O. MAKE MODEL e ID.# MILEAGE TELEPHONE "ROUTE` sLM SHIP VIA ORDER PAGE REMARKS
733 -2953
4140 20310 716 -3439 0 1 N/A 115568 .1
'I PREVIOUS SHIPPED If I'
IN VOICE
INVOICE DATE, TERMS_
NUMBER. INVOICE NUMBER 31
'Opened-by Operator D 7
07/0712008 is 120642 NET 10TH 07/07/08 11:46:15 9
i _QUANTITY___ UNIT
STOCK NUMBER SIZE DESCRIPTION T EE7 EXTENSION'
-.ORDERS SHIPPED.PREV.SHIP PRICE e
REPAIR THE 'LEFT FRONT
16 16 1DISMOUNT 4 MOUNT PASSENGER 1 1 12.00 .00 2.90
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 .00 8.50
I
METHOD OF PAYMENT:
CHARGE: i 20.50
CHANGE: .00
qv�
Thank You for yo b i s Mech: B iI
PARTS, LABOR TAX 'I TAXABLE MI c.
AMOUNT' tl ,.TAX F.E.7. AMOUNT .,s INVOICE TOTAL
PLEASE PAY THIS AMOUNT
20.50 20.50
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts
P�;m No. 301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
7// Z/ C-1— 1
Mo. Day Yr. Officer Title
f
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ^NOT.
CARMEL, INDIANA
CIA r k Favor Of
1,'QP
Total Amount of Voucher
Deductions
2
.bso0.o7 2D s
Amount of Warrant
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325
622 S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" LA Carmel, IN 46032
4 (317) 844 -4839
IRE
00 mational PENN
I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS TI HS 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 PAYMFNT UNTIL MY ACCOUNT IS FULLY PAID, I FURTHER AGREE THAT IN T14E 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.
A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Raze is 21 (Minimum 75) RECEIVED BY
SOLD TO: SHIP TO:
CARMEL CLAY PARKS AND REC 6356101 SAME INVOICE# 120538
1411 E. 116TH STREET
CARMEL IN 46032
OUST. P.O. MAKE- MODEL ID# MILEAGE 'TELEPHONE RouTE' SLO SHIP VIA ORDER# PACE REMARKS
(317)571 -2645
(317)571 -4136 0 1 N/A 115221 1
INVOICE DATE INVOICE PREVIOUS.SHIPPEo TERMS
*:NUMBER
INVOICE NUMBER
Opened by Operator 0 a
06/30/2008 120538' NET 10TH 06/30/08 07:54:59 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY I UNIT FE.T EXTENSION
RDERS SHIPPED PREV. SHIP +t< PRICE n Il I
LABOR HOUR SHOP LABOR 1 1 20.00. .00 20.00
S j SHOP SUPPLIES i 1 5.00 .00 5.00
OUTSIDE j145170 24)(9. -10 CARL ALL TRAIL II 1 1 81.20 02 .00 81.20
TF �INDIANA`TIRE FEE 1 1 .25 .00 .25
SCRAP SCRAP TIRE 1 1 2.50 .00 2.50
STEM EACH VALVE STEM 1 1 2.50 02 .00 2.50
CH EACH TIRE CHANGE 1 1 15.00 .00 15.00
I
METHOD OF PAYMENT:
ti
CHARGE: i
CHANGE: .00 C �`.IV Ex
i
JUL 0 2 2008
I
FUN
DEP
l LINE
DESC 6
I
Thank you for your business
PARTS LABOR" TAX ,•nMO�tuT TAX:,.' F.E T AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT
106.45 20.00 126.45
"You're Riding On Our Reputation"
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 /a% PER MONTH WILL BE ADDED TO PAST DUE BALANCE (MINIMUM
e (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
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
TWO RESALE.
X
CUSTOMER'S SIGNATURE
UNI RCIYAL
CAME CLAY PARKS AND REC 6350/01 SAME INVOICE# 120718
SOLD TO: 1411 E. 116TH STREET SH TO:
CAMEL IN 46032
CUST. P.O. MAKE -MODEL ID MILEAGE d ,ROUTE sLM SHIP VIA ORDER PAGE REMARKS
r (317)571-4136 0 1 1 N/A 115718 11
�t INVOICE PREVIOUS SHIPPED
INVOICE DATE TERMS
NUMBER ,j INVOICE NUMBER
-v Opei
07/1412008 120718 NET 10TH 07/14/08 11:10:38 8
QUANTITY UNIT
STOCK NUMBER SIZE DESCRIPTION `diiosas" "`sHiaaeo"' ORE vtsHie,. PRICE „_T F.E.T. EXTENSION
REPAIR TIRE
PLUG EACH PLUG REPAIR 1 1 10.00 .00 10.00
METHOD OF PAYMENT:
CHARGE: 10.00
CHANGE: .00
JUL 1 4 2008
a
I j
'FUND
�EP'I' I 1
LINE /V
DESC
Thank you for your Mech: Steven
PARTS LABOR TAX TAXABLE MISC
AMOUNT TAX F.E.T AMOUNT A EASE 'N29qffiMNT
10.00 10.00
"Ours is A Reputation You Can Ride On"
ORIGINAL 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
6/30/08 120538 New tire for gator 126.45
7/14/08 120718 Flat tire repair on Ferris rider 10.00
Total 136.45
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
60700 Clark Tire Allowed 20
1.4. 622 S Rangeline Rd
Carmel, IN 46032
In Sum of
136.45
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1125 120538 4238000 126.45 1 hereby certify that the attached invoice(s), or
1125 120718 4237000 10.00 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
16 -Jul 2008
Signature
136.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Z