HomeMy WebLinkAbout166159 11/24/2008 Q CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $57.50
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
o ,r CARMEL IN 46032 CHECK NUMBER: 166159
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOU DESCRIPTION
1110 4350101 122383 57.50 TRASH COLLECTION
i r
L 622 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, TN 46032
4w' (317) 844 -4839
1 1RE
t .Jational PENOIL
I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO THE GOODS I TEREDY PURCHASED AND SELLER SIIALL 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 ORATTORNEY 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 Rate is 21%. (Minimum 75) RECE I V ED BY
SOLD TO:
CAME POLICE DEPT. 6600/01 SHIP TO: SAME INVOICED 122383
THREE CIVIC SQUARE
CARMEL IN 46032
CUST. P.O. MAKE- MODEL 'ID# MILEAGE TELEPHONE `'Route" SLM SHIP VIA ORDER_ 'PAGE' REMARKS
571 -2500 0 5 N/A� l 119328 1
INVOICE PREVIOUS SHIPPED
INVOICE DATE TERMS
INVOICE NUMBER
I:. NUMBER Opened Opera
11/2112008 122383 NET 10TH 11/21108 10:51:45 8
i
I QugNnTY UNIT EXTENSION
STOCK NUMBER Ie SIZE 11 DESCRIPTION T F.E_r.
s s a.- tORDERS .SHI PPLD PREY. SHIP __PRICE
SCRAP SCRAP TIRE 23 23 2:50 j .00 '57-59
METHOD OF PAWENT:
CHARGE: i 57.50
CHANGE:
I
11! I
I I
t
Thank you for your busines
PG° o J[ TAXABLE
'3 "MISC...
PARTS LABOR TAX /q I. AMOUNZ b TAX F.E.T. AMOUNT JNWOIC- .T07AU
57.50 57.50
"You're Riding On Our Reputation"
i
Prescri ed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
a
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))
11/21/08 122383 payment for scrap tires 57.50
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
57.50
ON ACCOUNT OF APPROPRIATION FOR
police general'furid
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 122383 501 01 57.50 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
November 21 2 0 08
At�,A,op 0 J�
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund