HomeMy WebLinkAbout204749 12/20/2011 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: $81.00
CARMEL IN 46032
CHECK NUMBER: 204749
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 133981 81.00 TRASH COLLECTION
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
ri RE (317) $44 -4839
ationaf PEA
1, THE UNDERSIGNED. I IEREBY AGREE UNTIL SUCH TIME AS TI IIS ACCOUNT IS PAID IN FULL BY ME, THE SELLER SHALL RETAIN TITLE TO HE GOODS HEREBY PURCLD SED 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 EVgT OF DEFAULT IN T PA' 'M�NT 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 C RGE EQUAL T TH OST OF COLLECTION INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS.
A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) R' CEIV ED BY
1 f 1
SOLD TO: SHIP TO:
CARMEL POLICE DEPT, 6:000/01 SANE INVOICE# 133981
THREE CIVIC SURE
CADIEL 1N 46032
CUST P.O. MAKE-MODEL' `IQ# MILEAGE FEL- EP.H Rour °`s�nn SHIP VIA `ORDER `Price REMARKS
571 -2,01 0 1 N/A 14521 1
INVOICE DATE', INVOICE--' PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER .w
O
12/16/211.1 133981 NET 10TH 12/16/11 1.0;17:49 8
STOCK NUMBER SIZE DESCRIPTION' QUANTITY a uNir
'ORDERS $HIPPEDPREV.SHIPI PRICE T FET 'EXTENSION.
SCRAP SGRAP TIRE 27 27 3.00 .00 81.03
METHOD OF PAYMENT:
CHARGE. 81,10
CHANGE; .00
i
Ih ank you tar ffi M ;Ines
PARTS, LABOR TAX AMOUNT TAXABLE TAX' F.E.T. r =M!S
AMOUNT AMOUN -a INVQICE'TOfTAL
81.00 til.. 00
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF
622 C South Rangeline Road
Carmel, IN 46032
$81.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 I 133981 I 43-501.01 81.00 I 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
Friday, December 16, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/16/11 133981 27 scrap tires $81.00
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