HomeMy WebLinkAbout203403 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
*f ONE CIVIC SQUARE CLARK TIRE INC
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $225.93
CARMEL IN 46032
CHECK NUMBER: 203403
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 132052 94.50 OTHER EXPENSES
651 5023990 132350 10.00 OTHER EXPENSES
651 5023990 132503 40.43 OTHER EXPENSES
1125 4351000 133416 23.50 AUTO REPAIR MAINTEN
1120 4351000 133460 27.50 AUTO REPAIR MAINTEN
1120 4351000 133489 30.00 AUTO REPAIR MAINTEN
LARK 622C S. Rangeline Road t
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
(317) 844 -4839
4w IRE
Jational PEA I�
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 BY LAWS 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
SOLD TO: SHIP TO:
CARPEL FIRE DEPT. 5900/01 SAME INVOICE# 133450
TWO CIVIC SQUARE
CARMEL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE' REMARKS
571 -2690
57 209 91 1 N/A 143
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
�'T fA.f3.17.
QUANTITY, °'U IT•
STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREV. SHIP PRICE T EXTENSION
CAR 1
2010 EXPEDITION
RR TIRE HAS SCREW
REPO EACH INSIDE REPAIR ON VEHICLE, 1 1 9.50 .00 9.50
17 17/18" DISMOUNT MOUNT PASSENGER 1 1 18.00 .90 18.00
METHOD OF PAY14MT:
CHAP,GE: 27.50
I
i
1
I I
e
1
1l d i U- r TAXABLE MISC. r Y,E
PARTS LAAOR TAX o �o AMOUNT TAX F.E.T. AMOUNT, INVOICE TOTAL
Custooer Resalt! No. PLEASE PAY THIS AMOUNT
'27.50 '393120155 -002- 27.50
"You're Riding On Our Reputation"
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
(317) 844 -4839
4w ri RE
t t Jational PEw lL
L 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 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) RECEIV BY
SOLD TO: SHIP TO:
CAM FIRE DEPT. 590N/01 SAME INVOICE# 133489
TVO CIVIC SQUARE
CARMEL IN 46032
CLIST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE sLM SHIP VIA ORDER PAGE REMARKS
571 -2600
450 30111 57 5 N/A 143863 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 7
1 1�n Y 101-g f 88.47.71
Ol1nNTITY SHIPPED PREV. SHIP 'UN T PRICE
STOCK NUMBER SIZE DESCRIPTfON S T F.E.T. EXTENSION
.ORDER
�LFgl� i2
LOW TIRE LIGHT IS ON sF�bItf``
17 17118" DISMOUNT :I MOUNT PASSENGER 1` 1 18.00 .00
REPO EACH INSIDE REPAIR ON VEHICLE 2 2 6.00 .00 12.00
METHOD OF PAYMENT:
CHARGE: 30.00
CHANGE: .00
I
1 laf ARTS I 1 LABOR C y TAX TAXABLE TAX F.E.T. misc. INVOICE TOTAL
KE
AMOUNT AMOUNT
unto ®er Resai No. PLEASE PAY THIS AMOUNT
30.00 903120155 -00 30.00
"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))
133489 C4507 $30.00
133460 C4501 $27.50
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 N
ALLOWED 20
Clark Tire
IN SUM OF
622 South Rangeline Road
Carmel, IN 46032
$57.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 133489 43- 510.00 $30.00 1 hereby certify that the attached invoice(s), or
1120 133460 43- 510.00 $27.50 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
7 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
IN
Carmel, bv�
(317) 844 -4839 ri`
,ON OUR REPUTATION"
E 4—
3,w atiooal
L HAVE
A1N TITLE TO Ti E GOOUS HEREB Y PU PAYS EKT OF A NY AE OU 1) AND
1 AS THIS ACCOUNT IS PAID W FULL 13Y ME. THE SELLER ALL RT:T
IL SUCH TIME (S FULLY PA1D.lYURTIII'- R AGREE TFIP •TIN -1TiL EVE>`'T OG£EQUAI -T
T COSTOFCOLLECi"lON INCLUDING
HE-06Y AGREE UNTIL THE PAYMENT UNTIL MY ACCOUNT oy OR 1_EOAL AC T O PAY AN ADDITIONAL CfSAR
'.ST iv SAID GOODS TO SECURE
AND PERMITTED BY LAWS I OVERNMGTHESETR.v'aSACT10NS-
1S PLACED h THE HANDS 0T ;IN AGC`CY OR ATTORNEY FOR COLAWS
L'RT COSTS INCURRED �Iiu;mum 7s) ItECEIV GD B]
fORNEY LEES AND CO a Past Due. Annual Prn:eatn6e RaIC is 21`.'T" l
1313 Per .,both will be charged on all Accounts 30 eWy ItNVOICEII 1
SHIP TO: SAW ►`r
CAME µASTEATER
610®/ ®1
%09 NAlE- LL PKU.
IPifIIANiY�()1 -IS Its 462a0
SHIP VIA
ORDER# !AGE REMARKS
MILEAGE TELEPHONEfJ ROUTE. 142477 1
4D# #c; G
MAKE
TERMS
�pREVtOUS SHIPPED
.DATE NUMBER INVOICENUMBER
NET IOTA EXTENSION
�P11 I32952 IT F.E.T.
QUANTITY
CRIP PRICE T
SIZE D ESTI�N �a�E�'SHIP�CO PRFY
.ABER 15.00 .N
TIRE It FORM. FILL 1 1 .00 2.50
TIRE CHR I I 2.50 02 .9? 3.00
G, i
V�rLVE 5TE4 I 3. t: .1a 3U. N 50 .50 60.00 44,
SCRAP TIRE ,00
CUT OFF U FORME') TIRE I 1 44.89 02 .09.
D 1 4#4.59
I
ORIGINAL
I
Ttank yaa ror yaar u5ine55 q!�I�
BT TAX F_E,T. f A>+ourvr 94.58
PARTS Lp80R TAX NT T
64.51
"You're Riding On Our Reputation"
I'd 6999 L LE y}008 uo�j eeo :ZI 60 CO adv
622C S. Rangeline Road
y
ON OUR REPUTATION" Carmel, IN 46032
(317) 844 -4839
n ail���l PE� It
.(ETi.NDER.SIGVFD. ITEREBYAGREF UNTIL SITCH TIME AS THISACCOUNT IS PAID IN FULL BY bI E, THE SELLER SHALL REWN TITLE To THE GOODS IBY PCRC I LASED AND SELLER SW Ll- HAVE
T:C�RIT'Y Ibl'ERES'F IN SAID GOODS TO SECURE THE PAYMENT UNTH. MY ACCOUNT 15 FULLY PAID. 1 FURTIIERAGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUI rr DUF-AND
7115 ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAYAN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING
EVCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNIING THESE TRANSACnONS.
t; rcc charge of 1314% Per Month will be charred on all Am=ts 36 days Post Due. Annual Percentage Rare it 21 (Minimum 75) RC' CEWED BY
LLD TO: CARAL WASTEWATER 61 /01 SHIP TO: SAW INVOICE# 132503
954 "AZP.a_1>EL.L.ITIR.
INDIANAPOLIS IN 45288
'UST. P -p. R MAKE MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
YI -2634 0 1 N/A 141593 1.
IVOICE DATE INVOICE PREVIOUSSHIPPED TERMS
NUMBER INVOICE NUMBER
1.. .1J.: itiGf 14�II'1 �J /GV(21 �il: G
3CKNUMBER SIZE DESCRIPTION OIAVTITY NIT T F.E.T. EXTENSION
ORD[RS SHIPPED PRE-J. StAlF PRICE
-•rrLt
413M DEL —NAT SAWTOM TREAD 1 1 22.93 02 .02 22.43
TEh EACH VALUE STEPI 1 1 2.50 02 .00 2.58
.H FpC}I TIRE
SCRAP TIRE 1. 1 3.00 .02 3.00
-iH[D OF PAYMENT:
40.43
t;rri2E:
ORIGINAL
17
lank you far your husiness O Recha P IRE
PARTS LABOR TAX on Booth
u N T_A T+ F.E.T. AMOUNT rat T+O
40, 43 40.43
F
"You're Riding On Our Reputation"
L•d L999 tte ul uo�j e90:Z6 LO Co adV
Apr 03 01 12:05a Ron Booth 317 844 -6561 p.1
622C S. Rangeline Road
ARE RIDING ON OUR REPU7A770N "j Carmel, IN 46032
(317) 844 -4839
ational IL
THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PA3D IN FULL BY N1E, THE SELLER SHALL RETAIN TI LE TO TlIE GOODS HERE -RY PURCIIA5FU A.ND SELI.ERSII.iLL IL%VE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID, I FURTHER AGRF_E THAT IN THE EVENT OF DEFAULT IN 771E PAYMENT OF ANY AMOUNT DUF -AND
.F THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL CO5T OF COLLE('FIODi INCLUDING
4GENCY AND ATTORNEY FEF_S AND COURT COSTS INCURRED AND PER,WPTED BY LAWS GovERNING THESE TRANSACTIONS.
;A finwim cluigc of 1314 Per Nlonlh will be charged on all Ac unt 30 days Ps+l Uoc. Ai=al Perceniage Ralu is 21 (Nininmm 7�) RE' CrMT -D RV
SOLD TO: CARPI. WASTEWATER 61 /61 SHIP TO: SW INVOICE# 132359
5509 WC-DELL PKW.
INDIANAPOLIS IN 462M
GUST. P.O. MAKE MODEL iD# MILEAGE TELEPHONE ROUTE SL AI SHIP VIA ORDER PAGE REMARKS
1 'A 1 NIA 1412 1
INVOICE DATE INVOICE PREVIOUS SHIPP T ERMS
NUMBER INVOICE NUMBER nprm?d 7y �I� at N 0
07/06/2011 132350 NET 10TH 07/06/11 13:20:27 B
sTOCKrauvesR T SIZE D ESCRIPTION J °UAN�'TM uNli T F.E.T. EXTENSION
ORDERS SHIPPED SHIP PRICE
CK LWSE FOR REPAIR
PLLE Ca�R PL-116 REPAIR 1 1 t0.00 .00 10.09
pET}iOD OF PAYMENT:
rxgRGF.- 19.06
l
ORIGINAL
KE
i
PARTS LABOR TAX% AMOUN TAX F_E.T. AM uryT EAS�I�
to r 16.00
I
"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 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 11/1/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2011 132052 $94.50
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.
Date Officer
VOUCHER 116120 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
132052 01- 7502 -06 $94.50
I t 46A
yb.�
350 3 3
3a35o
t o. 00
Voucher Total $94.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
6 C S. Rangeli e Road
"YOU ARE RIDING ON OUR REPUTATION" C armel, 46032
844 -4839
4w
Q *a
pEN i�
L 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. 1 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 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) RE CEIVED BY
SOLD TO: SHIP TO:
CARMEL CLAY PAPYS AND REC 6350/01 SANE INVOICED 133+16
1411 E. 116TH STREET
CARREL IN 46032
CUST P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)573 -4044
(117)571-4144 N
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
,1 0 kl a 101101i
r QUANTITY 'UNIT..
TOCKNUMBER SIZE DESCRIPTION' T F.E.T. EXTENSION
ORDERS SHIPPED PREY. SHIP, PRICE
Cot LOOSE FOR LEAP, i
REP EACH INSIDE TIRE R PAIR 1 1 7150 .00 7.50
16 16 DISMOUNT MOUNT PASSENGER 1 1 15.00 .00 16.00
METHOD OF PAYMENT:
C:HRRGE: 23.50
CHANGE: �p
Purchase I l 4�
Description
Ii(
P.O. lYl IVY)'7 P or F
1,fooD
Budget
Line Descr
OlJ) rat
ia-0�'-^r�
P_urchaser Date Iy. 1 D
Approv Date
-7 h i
T "PARTS TA ABOR TAX nMOUr TAX F.E.T. AMOUNT INVOICE TOTAL slrr r: y KE
PLEASE r ._G AMOUNT
23.50 23.50
"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
10/19/11 133416 Tire repair 23.50
Total 23.50
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.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of
23.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 133416 4351000 23.50 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
3 -Nov 2011
Signature
23.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
I