HomeMy WebLinkAbout203809 11/21/2011 \,f CITY OF CARMEL, INDIANA VENDOR: 00351640 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE FISHERS CHECK AMOUNT: $207.00
CARMEL, INDIANA 46032 PO BOX 195
FISHERS IN 46038 CHECK NUMBER: 203809
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 IN00123998 207.00 EQUIPMENT REPAIRS M
126TH REYNOLDS ROAD (HWY 37 NO.) FAST! Service at our Farm,
P.O. BOX 195 Commercial Site or on the Road.
FISHERS, INDIANA 46038
TIRE FISHERS 317- 842 -0544 OR 1- 800 -4'44 69854 All Major Brands Available
Fax 317 577 3956;
NAME /ADDRESS ACCOUNT NO. ".�r "'HOME 'PHONE REFERENCE NO.
_,1 1 1 427 I NOQ1123998
BROOKSHIRE GOLF CLUB
12120 BROOKSHI RE PARKWAY P.O. NO. WORK PHONE DATE TIME
(317) 121126111 1 :02
CARMEL, IN 46033 RESALE NO. VIN NO. WO ES NO.
YEAR MAKE MODEL LICENSE NO. TAG NO. NEXT INSP. DATE BAR NO.
SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE TIME MILEAGE WRITTEN BY
Y N OTHERWISE SPECIFIED WS
ORIGINAL FREE ROTATION
REVISED 1 (EVERY 5,000 MILES)
REVISED 2
1 acknowledge notice and oral approval of an increase in the original estimate price. ROAD HAZARD WARRANTY
X
PARTS &OTHERS LABOR
DESCRIPTION EACH EXTENSION 0 D ESCRIPTION
2 519272 18/850 -8 4PLY LINKS 48.00 96.00 4.00 INDIANA TIRE FEE 1.00
2 511404 18X8.50 -814 TURFNASTEP. 55.00 110.00
Reason for original estivate:
Any warranties on the item/items sold hereby are those made by the manufacturer. The seller, CLARK TIRE,hereby expressly
disclaims all warranties either express or implied, including any implied warranty of merchantability or fitness for a particular
pur se, and CLARK TIRE neither assumes nor authorizes any other person to assume for it any liability to connection with the sale
of tPi item items.
A SERVICE CHARGE OF 1-/,% PER MONTH (21% ANNUALLY) WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30 DAYS. NET 10th PROX.
THE E HANDS OF AN OR ATTORNEY CV 1 OR VEGAL ACTION, T O F AY AN ADD TIONAL CHA LL O THE COSTDOF PARTS c:171r 2121
COLLECTION INCLUDING AGENCY AND ATTO ffES UR OSTS INCURRED AND PERMITTED BYLAW GOVERNING THESE TRANSACTIONS
LABOR 1. 111
I hereby authorize the repair ork to be a ng I th nec materials. You and your employees may operate vehicle for purposes of testing, OTHER
inspection, or delivery at isk. An ex s ch c' I' is, c owledged on vehicle to secure the amount of repairs thereto. It is also understood that
you will not be held resp ib f r l d as left In cars in case of fire, theft or any other cause beyond your control. SUBLET
Signature X SUBTOTAL 207. 0 L7
TAX 11 210
Rec'd By TOTAL 207.0
CASH AMOUNT CHECK AMOUNT CHECK NO. C.C. AMOUNT C.C. TYPE C.C. APPROVAL CODE ON ACCOUNT THANK
207.00 You1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1994
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))
10/26/11 in00123998 Repair Parts $207.0
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 Fishers
IN SUM OF
P.O. Box 195
Fishers, IN 46038
$207.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 in00123998 43- 500.00 $207.00 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
Tuesday, November 15, 2011
Director, Broo shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund