HomeMy WebLinkAbout202955 10/25/2011 *f CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
s ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 202955
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 133224 75.00 TRASH COLLECTION
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" L ARK Carmel, IN 46032
(317) 844 -4839
4w ri RE
tJational PEA
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 HEREB PICHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE TI IE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. 1 FURTHER AGREE THAT IN THE EVE T1 DEFAU HE 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 I RGE EO AL THE! COST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LA \VS GOVERNING THESE TRANSACTIONS.
A finance charge of 13/4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
A U
SOLD TO: SHIP TO: U t
CARNIEL POLICE DEPT. 6000/01 SAME t INVOICE# 133224
THREE CIVIC SQUARE
CARMEL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)571 -2580
5 —2500 (A A 1 NIA 14 3?26
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
r I PITY aq 1 11 1 0 i 154x0
STOCK NUMBER SIZE DESCRIPTION puArlTlry UNIT" T �F.E.T.9 EXTENSION
ORDERS SHIPPED PREV.SHIP; PRICE
SCRAP SCRAP TIRE 25 25 3.00 .00 75.00
NtTHOD OF PAYMENT:
CHARGE: '75. W
CHANGE: 00
i
"PARTS LABOR °C TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PRY THIS PJ40UNT
75.00 75.00
"You're Riding On Our Reputation"
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/30/11 133224 scrap tires $75.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF
622 C South Rangeline Road
Carmel, IN 46032
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 133224 43- 501.01 I $75.00 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
Thursday, October 20, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund