HomeMy WebLinkAbout162298 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 'I of 1
t: ONE CIVIC SQUARE CLARK TIRE INC
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $196.98
CARMEL IN 46032 CHECK NUMBER: 162298
CHECK DATE: 817!2008
DEPARTMENT A CCOU NT PO NUMBE INVOIC N UMBER AMOUNT DESCRIPTION
651 5023990 120820 196.98 OTHER EXPENSES.
1
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 CHARGE .75). THE ANNUAL PERCENTAGE RATE IS 21
I I FAX (317) 844 -6561 AGRICULTURAL EXEMPTION CERTIFICATE
STATE DEPARTMENT OF HEVENUE —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
��L O RESALE.
0 CUSTOMER'S SIGNATURE
UNIROYAL
O
SOLD TO: CARMEL WASTEWATER 6100/01 SHIP TO: SAME INVOICE# 120820
9609 HA7.ELDELL PKW.
INDIANAPOLIS IN 46280
,GUST P.0 MAKE MODEL ID MILEAGE TELEPHONE ROUTE s�M SHIP VIA; ORDER P?� REMARKS
a.g�
JOE FAUCETT 1 571-263 1 5 r P. 115931 1
INVOICE PREVIOUS SHIPPED. �9e;X
INVOICE DATE INVOICE NUMBER TERMS
NUMBER as. a.m,e
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it
07/211 12082 6VT 10T117L'�f08' 15 23x39
STOCK NUMBER r SIZE s DESCRIPTION ,'oAOens 9 SNiPae� PaEJ,"5H€P^ .T F E T EXTENSION
30028 5UPE#�STONE TRAILER RAD. 8 PLY �8, 24 0 .00 1�
TF INDIANA TIRE FEE .25 .00
METHOD OF AAYtH7� CHARGE: 1
1-0
CHANGE:
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Thank you for your business
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PARTS LABOR` TAX /o TAX AM
F E.T I�VUOICE TOT
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"Ours is A Reputation You Can Ride On
CUSTOMER COPY
VOUCHER 085964 WARRANT ALLOWED
060700 IN SUM OF
CLARK TIRE CARMEL
622C S. Rangeline Road
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
120820 01- 7502 -06 $196.98
Voucher Total $196.98
F.
_Nost 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 r
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.
Payee
060700
CLARK TIRE CARMEL Purchase Order No.
622C S. Rangeline Road Terms
Carmel, IN 46032 Due Date 7/28/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2008 120820 $196.98
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
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Date Officer