HomeMy WebLinkAbout165179 10/29/2008 d CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $180.45
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
o; CARMEL IN 46032 CHECK NUMBER: 165179
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 121841 63.00 EQUIPMENT REPAIRS M
`1125 4350000 121927 54.95 EQUIPMENT REPAIRS M
1110 4350101 121989 62.50 TRASH COLLECTION
I
622 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, N 46032
4w (317) 844 -4839
1 1PE
mational PE A pIL
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 FURTHERAGR -EI: 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 GOVERN INC. TH ESE TRANSACTIONS.
A finance charge of 1314% Per Month will he charged an all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
SOLD TO: CARREL CLAY PARKS AND REC 6350/01 SHIP TO:SApE INVOICE# 121841
1411 E. 116TH STREET
CARREL IN 46032
OUST. P.O. MAKE-MODEL` ID# MILEAGE TELFf -H, N ROUTE; SLM SHIP VIA ORDER PAGE REMARKS
(317)571 -4136 0 S NIA 116M5 1�
INVOICE PREVIOUS SHIPPED
INVOICE DATE' TERMS
NUMBER. INVOICE NUMBER
.o.
10/06/2008 121841 NET 10TH 10106108 11 25:41 7
SHIPPED PRE QUANTITY,_ UNIT EXTENSION i
sroGKNUmeER SIZE DESCRIPTION T F. T.
.1r it., '.ORDERS Y. SHIP? .:1PRICE ,tea:
THREE TTI?1y REPAIRS
CH EACH TIRE CHANGE 3 3 15.00 .410 45,00
C5 ERC#1 CLEAN RESEAL TIRE BEADS 3 3 6.00 18.00
METHOD OF PAYMENT s f
CHARGE: 63.80
CHANGE: .00
I
RECEIVED
OCT 1 6 2008
v\
—Tu_ is
y
Purchase I. r
Description
P.o. S 3 J P w F
I Budget
Purchases .a.� Date
Thank you for your busine s Approval PDate f vtv
n c .Tim
PARTS LABOR TAX °Io i3 AMOUNT L AnMnouNr J T
TAX F.E.T. INUQIEE OTAL
63.00 63.00
"You're Riding On Our Reputation"
622 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
IRE
t National 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 BYLAWS GOVERNING Ti IrSE TRANSACTIONS.
A finance charge of 1314% Per Month will he charged on ali Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
SOLD TO: CARMEL CLAY PARKS AND REC 6350101 SHIP TO: SAME INVOICE# 121927
1411 E. 116TH STREET
CARMEL IN 46032
COST. P O. MAKE -MODEL ID# MILEAGE �3iT LEP �O�N1= ROUTE SLM SHIP VIA `ORDER an�e REMARKS
13171571 -4136 '0 1 'N /A 119292
INVOICE PREVIOUS SHIPPED
INVOICE DATE,; ,TERMS
NUMBER INVOICE NUMBER J I.
10/1412008 121927 NET 10TH 10/14/08 12 :11:44 7
L
STOCK NUMBER t "SIZE DESCRIPTION _QUANTITY r UNIT a T F.E.T. EXTENSION
a :.ORDERS SHIPPED PREY. SHIP! PRICE n
REPAIR 2 MOWER TIRES
1863 2611200112 tCOOPER TUBE i 1 19.95 02 i .00 19.95
REPT EACH i TUBE REPAIR 1 1 i 5.00 .00 -5.00
GH EACH iTI RE CHANGE 2 2 15. N .00 30.00
METHOD OF PAYMENT
CHARGE: 54.95
CHANGE. .00
Purchase
Description r f P 5
Pore,
G.L It l S 4� dDUU- r `a te
Budget
Line Descr OCT 2 1 7'0N
Purchaser bate
Approval Date 10 7 0 j I
BY
Thank you for your business e
i TAXABLE i 't MISC.
PARTS T LABOR aMOUNT i a'TAX" F.E.T AMOUNT
54.95 54.95
"You're Riding On Our Reputation"
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. 19515 F
060700 Clark Tire Terms
622 S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1016108 121841 Flat tire repairs 63.00
10/14/08 121927 Tires for ferris rider 54.95
Total 117.95
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
fi
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622 S Rangeline Rd
Carmel, IN 46032
In Sum of
117.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 121841 4350000 63.00 1 hereby certify that the attached invoice(s), or
112.5 121927 4350000 54.95 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
22 -Oct 2008
Signature
117.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
622 S. Rangeline Road
f' "Yed ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
IRE
ational PE IL
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO E 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 TIIE EV OF DEFAULT IN THE YMrNTIOF 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 i RGERGE EQU 1 C 9'r OF LLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING TI {ESE 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) RECEIVED BY
1 A
�J
SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO:SAME INVOICE# 121989
THREE CIVIC SQUARE
CARMEL IN 46032
LUST. P.O. MAKE -MODEL iD# MILEAGE T- LEP.HON E "ROUrE sLrn SHIP VIA ORDER'# 'PAGE" REMARKS
571 °2500 0 5 N/A 119447 1
INVOICE DATE] RMS
NUMBER �r P vo� E NuMaER j TE �t
e
10720/2009 121989: NET 10TH 10720709 08-45-39 B
STOCK NUMBER t SIZE A' DESCRIPTION" _QUANTIT Y� JNIT T F.E.T: EXTENSION
SHIPPED PREY. SHIP' PRICE :I ji
SCRAP 'SCRAP TIRE 25 25 2.50 .00 62.5p
METHOD OF PAYMENT:
CHARGE: 62.50
CHANGE: .00
i
F
t
Thanes you for your businese
LABOR TAX O
,i, AMOUNT 'I TAX F.E.T. AM ur
PARTS IT 6 INUIGE
62.50 62.50
"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. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10120103 121989 a ent for scrap tires 62.50
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.
2.0
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
C lack Tire
IN SUM OF
622 S. Rangleine road
Carmel, IN 46032
62.50
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 121989 501 01 62.50 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
Ql�er 24 20
Signature
to t Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund