178094 10/14/2009 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: $162.45
CARMEL IN 46032 CHECK NUMBER: 178094
CHECK DATE: 10/1412009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1125 4232100 125576 15.00 GARAGE MOTOR SUPPIE
1125 4351000 125692 63.45 AUTO REPAIR MAINTEN
i:110 4350101 125836 84.00 TRASH COLLECTION
i
s�w
7 cc 622C —S. Rangeli�ne Road
"YOUARE RIDING ON OUR REPUTATION" RK Carme.l.;_IN 4:6032
(317) 844 -4839
J a tional PE inv&
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 BYLAWS GOVERNING THESE TRANSACTIONS.
1
A finance charge of 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RECEIVE BY
SOLD TO: SHIP TO:
CARMEL CLAY PARKS AND REC 6350/01 SAME INVOICE# 125692
1411 E. 116TH STREET
CARMEL I" 460 "s2
CUST. P.O. MAKE MODEL ID# MILEAGE TELEPHONE 'ROUTE SUM SHIP VIA ORDER PAGE REMARKS
(317) 571- t,f5
(317)5 -4136 0 5 NIA 126351 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
09/16i2009� 1c692 NET 10TH 09/16/09 13:25:17 8
`SIZ E QUANTITY UNIT
STOCK:NOMBER E DESCRIPTION T F.E.T. EXTENSION
ORDERS SHIPPED PREV. SHIP PRICE r
PLUG EACH PLUG REPAIR I 1 10.00 .00 10.00
CH EACH TIRE CHANGE 1 1 15.00 .00 15.00
1863 26I COOPER TUBE 1 1 19.95 02 .00 19.95
13 13/15" DISMOUNT MOUNT PASSENGER 1 1 12.00 100 12.00
REP EACH INSIDE TIRE REPAIR 1 1 6.50 .00 6.50
REPAIR THREE TIRES
METHOD OF PAYMENT:
CHARGE: x 63. 45
CHANGE J.00
Descxlptioal
P.O.0
S E P 2 3 2009
audget
Line Desol
Pmhaser
AfpMvaL E
Thank you for y our business Mech: St yen TAXABLE PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASEY4H UNT
63.45 63.45��
"You're Riding On Our Reputation"
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
414 (317) 844 -4839
ri RE
mational PEN °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 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) RECEIVED BY
SOLD TO: SHIP TO:
CAWEL CLAY PARKS AND REC 6350/01 SAME INVOICE# 125576
1.411 E. 116TH STREET
CARt�EL IN 46032_
CUST P.O. MAKE -MODEL ID# MILEAGE f TELEPHONE ROUTE SLM` SHIP VIA ORDER PAGE REMARKS
TORO (317)571- -4136 0 1 N/A 126074 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
O by r
99/03/2009 125576 NET 10TH 09/03/09 10:52:46 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT
T F.E.T. EXTENSION
ORDERS SHIPPED PREV. SHIP.. PRICE
REPAIR TIRE LOOSE
CS EACH CLEAN RESEAL TIRE BEADS 1 i 15.00 .06 15.00
METHOD OF PAYMENT:
CHARGE: t5,00
CHPIrSE: .00
jSE�' "2009
F]
aS L__�_u J I
PUrcFias®
Description
I P.O. r �I PorF
t
Budget
Line Descr
Purchaser Date
Approval Date j
i
Thank you `or your business Tech: St ven
TAXABLE MISC.
PARTS LABOR TAX AMOUNT T F.E.T. AMOUNT INV,OICE„TOTAL
F >'LC1 Y i t
15.00 15.00
"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
9/16/09 125692 Tire repairs 22585 p 63.45
9/3/09 125576 Tire repairs 22473 F 15.00
Total 78.45
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
78.45
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 125692 4351000 63.45 1 hereby certify that the attached invoice(s), or
1125 125576 4232100 15.00 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 -Oct 2009
Signature
78.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION LARK C annel, IN 46032 r (317)8 1 44-4839
4 ri iFE
4Jational PENS IL
1
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 1314% 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. POLICE DEPT. 6000/01 SAME INVOICE# 12583E
THREE CIVIC SGUARE
CARMEL IN 46032
`CUST. P.O. MAKE -MODEL 1D# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
t3171571-2559
571 -2500 0 1 NIA 126681 1
INVOICE DATE INVOICE 'PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
09/3012009 125836 NET 10TH 09/30/09 09:07:31 8
STOCK NUMBER SIZE DESCRIPTION _QUANTITY-,. UNIT T F EXTENSION
.ORDERS SHIPPED PREV. SHIP.. PRICE
USED" USED TIRE 88 28 3.00 02 .00 84.00
METHOD OF PAYMWT:
CHARGE: 84.00
CHANGE: .00
t
ti
L/ l
Tha nk ygu for yo L C
PARTS LABOR TAX q p BNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT
84.00 84.00
"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
Clark Tire Purchase Order No.
622 C South Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/30/09 125836 payment for used tires 84.00
Total
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
VOgCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF
622 C South Rangeline Road
Carmel, IN 46032
84.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 125836 501 -01 84.00 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
October 6 20 09
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund