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Home My WebLink About203810 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $102.50 d CARMEL IN 46032 CHECK NUMBER: 203810 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1120 4351000 133632 27.50 AUTO REPAIR MAINTEN 1110 4350101 133640 75.00 TRASH COLLECTION LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 (317) 844 -4839 4w ri RE ational J PENS IL I. THE UNDERSIGNED. IIEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO THE GOODS HEREBY PURCHASED AND SELLER SHALL HAVE A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL CHARGE EQUAL TO THE COST OF COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. A finance charge of 13/4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY SOLD TO: SHIP TO: CARMEL FIRE DEBT. X900/01 GAME INVOICE TW.O CIVIC SQUARE I CARMEL IN 4603 CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS 571 �G00 51259 571 -2609 0 1 N/A 144172 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER .Opened by Operator 8 I S I S itaw t 15.31 :@3 UNIT STOCK NUMBER SIZE QUANTITY DESCRIPTION T F.E.T. EXTENSION :ORDERS SHIPPED PREV. SHIP, PRICE DURANGO RR TIRE HAS SCREW 17 17/18" DISMOUNT MOUNT PASSENGER 1 1 18.00 .00 1$.00 REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50 UNIT 4541 METHOD OF PAYMENT; CHARGE: 27.50 CHANGE: .00 t I` f i Th You f op MI KE PARTS r" LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL I�sto®er Resah No. PLEASE PAY THIS AMOUNT 27.50 903120155 -002 -Y 2 "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)) 133632 C4541 $27.50 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 -1.6 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF 622 South Rangeline Road Carmel, IN 46032 $27.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 133632 I 43- 510.00 I $27.50 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 Nov 2 1 zwi Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 ri iFE (317) 844 -4839 Jational PEA I� I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO HE 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 EVE OF DEFAULT IN THE NT OF AN 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 CH ARGE EQUAL TO •H F COLLEC TION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. i''p 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 ✓v SOLD TO: SHIP TO: C "IMEL POLICE DEPT. 6000/01 SAME INVOICE# 133640 THREE CIVIC SQUARE CARMEE IN 46032 CLIST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE` REMARKS (317)571 —E5@0 571 -2500 0 1 N/A 144214 1 INVOICE DATE INVOICE P IN V I CE SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator 9 lig /pAl 1 1 3364A NET t TL1 t /t IT 1 1 i •(7IA•IA? 'UN STOCK NUMBER SIZE DESCRIPTION QUANTITY T F.E.T EXTENSION :ORDERS SHIPPED PREV. SHIP PRICE SCRAP SCRAP TIRE 25 25 3.00 100 75.00 METHOD OF PAYMENT: r, w CHARGE: 75.00 CHRWE: j I T PARTS LABOR` TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL PLEASE PAY THIS AMOUNT 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)) 11/10/11 133640 25 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 133640 43- 501.01 $75.00 I hereby certify that the attached invoice(s), or I 1 I 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 Wednesday, November 16, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund