HomeMy WebLinkAbout200822 08/30/2014 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
l ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $525.04
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
or CARMEL IN 46032 CHECK NUMBER: 200822
CHECK DATE: 813012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D
601 5023990 132819 525.04 OTHER EXPENSES
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844 -4839
RE
�Jationai P�� II.
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 TI {AT 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 X17ORNEY 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 BY LAWS 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) RECEIVED BY
SOLD TO: SHIP TO:
CARMEL STREET DEPT. 62T- 0/I91 SAME INVOICE# 132819
3400 W 131ST
WESTFIELD IN 46074
CUST. P.O. MAKE -MODEL ID'# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
571-EE 37
TRUCK ra 733- 2001 0 1 N/A 142335 1
I
INVOICE DATE. INVOICE PREVIOUS SHIPPED! TERMS
NUMBER. INVOICE NUMBER
Opened by Operator 2
08/18/22011 132019 NET 10TH 08/18/11 10:50.46 8
STOCK NUMBER SIZE DESCRIPTION DuANTITY_ UNIT T F E.T.
EXTENSION
,E .ORDERS .SHIPPED PREV.SHIPI PRICE .1
95802 22517OR19.5 COOPER RM170 HI —WAY 1 2 2 210.00 02 1.322 422.64.
TF INDIANA TIRE FEE 2 t .25 ,00 .50
TCFIH LARGE TRUCK DISMOUNT MOUNT 2s0.0lA .00 60,00
EQUAL °D" 6 EQUAL D 6 OZ SGL SAND BAG 2 2 18.45 02 .00 36.90
SCRAP SCRAP TIRE 1 1 5.00 .00 5.P0
METHOD OF PAYMENT:
HARGE: 525.04
CHANGE:
r
t
I
I
Tharsk Vaij for your business Mech. laug
PARTS :LABOR ;.TAX AMOUNT TAX RE. AMOU�fT INVOICE,TOTAL
PLEASE PAY THIS AMOUNT
522.40 2.64 525-04
"You're Riding On Our Reputation"
VOUCHER 112194 WARRANT ALLOWED
60700 IN SUM OF
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032
WA`iPit=R
wanONS
Carmel Dater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
132819 01- 6500 -05 $525.04
Voucher Total $525.04
Cost 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
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
60700
CLARK TIRE INC CARMEL Purchase Order No.
622 C SOUTH RANGELINE RD Terms
CARMEL, IN 46032 Due Date 8/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2011 132819 $525.04
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
?/L /ir 0-
Date Officer