HomeMy WebLinkAbout155686 01/23/2008 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: $52.00
CARMEL IN 46032 CHECK NUMBER: 155686
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 118310 52.00 TRASH COLLECTION
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622 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
IRE
�Jational PENS IL
I. THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE "Ih TI[L' GOODS HEREBY PUR HA,61)�AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTIIERAGREE THAT IN THE EL� T OF DEFAULT IN PA EN'VOF ANY AMOUNT DUE, AND
IF TIiIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONA C RGE EQUAL T COS OP 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
I t` f 11
SOLD TO: CARWEL POLICE DEPT. G000/01 SHIP TO: SAS j WVOICE# 118316
THREE CIVIC SWARE
CARMEL IN 46032
CUST. P.O. MAKE- MODEL ID# MILEAGE TEL P N `ROUTE SLM SHIPVIA ORDER PAGE REMARKS
t�
571 -25QI0 5 N/A 118746
INVOICE I PREVIOUS SHIPPED
INVOICE DATE' TERMS
NUMBER INVOICE NUMBER a
411/07/21 116310 NET 10TH 01/01108 1124 :59 e
I
STOCK NUMBER SIZE DESCRIPTION oRDERS SHIPPED PREV.SHIP PRICE T F.E.T. EXTENSION
SCRAP -1 SCRAP TIRE at 26 2.8 .00 2 M
(METHOD OF PRYNENT
CHARGE: 52.00
CHANGE: .00 I
1
1 1
Than you for your business
PARTS LABOR TAX AMOUNT TAX F:E.T. AMOUNT PLFAStN IL P ff O Al
52.00 52.00
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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. Rangellne Road Terms
Carmel, IN 46432 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
118'11() vg=ent for Scrap tires S2.00
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
C1L %k Tire IN SUM OF
622 S. Rnagleine road
Carmel, IN 46032
52.00
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 119310 501-01 5 2.00 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
JanugrV 17 20 nR
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund