HomeMy WebLinkAbout202502 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $32.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 202502
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 133155 32.00 GARAGE MOTOR SUPPIE
A RK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w ri RE (317) 844 -4839
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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
ASECURITY 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 BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4% Per Month will be charged on ail Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
SOLD TO: SHIP TO:
CAPMEL CLAY PARKS AND REC 6350/01 SANE
1411 E. 116TH STREET
CARMEL IN 46032
CUST P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)573 -4044
PO8 31218 (317)571 -4144 0 1 N/A 143056 1
INVOICE DATE INVOICE PREVIOUS sHIPPEO TERMS
NUMBER INVOICE NUMBER
Opened by Operator 4 7
09123/2011 13,3155 NET 10TH 09/23/11 11:10:40 7
QUANTITY UNIT
ORD ERS SHIPPED PREY SHIP(
STOCK NUMBER SIZE DESCRIPTION PRICE s T F.E.T. EXTENSION
REPAIR THE RIGHT REAR TIRE
t& 16" DISMOUNT MOUNT PASSENGER 1 1 16.00 .00 16.00
REPO EACH INSIDE REPAIR ON VEHICLE 2 2 8.00 .00 16.00
METHOD OF PAYMENT-
CHARGE: 32.00
CHANGE: .00
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Purchaser Date
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PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT
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"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.
060700 Clark Tire Terms
622C S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/23/11 133155 Tire repair to P08 '08 Ford F250 32.00
Total 32.00
1 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of
32.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 133155 4232100 32.00 1 hereby certify that the attached invoice(s), or
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
6 -Oct 2011
Signature
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund