HomeMy WebLinkAbout175650 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $41.43
s' �•�c 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 175650
CHECK DATE: 8/6/2009
DEP ARTMENT ACCOUNT PO N INVOICE NUM AMOUNT D ESCRIPT ION
1125 4232100 124895 41.43 GARAGE MOTOR SUPPIE
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Cannel, M 46032
4 (317) 844 -4839
t t J ational PEN�:01L
I, 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:
CARIfiPL. CLAY PARKS AND REC 6350/01 SAME INVOICE# 124895
1411 E. 116TH STREET
CARMEL IN 46032
CUST. P.O. MAKE- MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)571 -2695
(317)571-4136 .0 5 N/A 124596 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opeaed by Operator 7
07/09122009 124895 NET 10TH `07/09/09 14:07 :07 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY__ QUANTITY,_ UNIT T F.E.T. EXTENSION
SHIPPED PREV. SHIP PRICE a.
REPAIR F
1949 15/600X6 COOPER TUBE 1 7.93 02 .00 7,93
CH EACH TIRE CHANGE 1 1 15.00 .00 15.00
13 13115 DISMOUNT MOUNT PASSENGER I 1 12,00 .00 12.tfi
REP EACH INSIDE TIRE REPAIR 1 1 6.50 .00 6.50
METHOD OF PAYMENT:
CHARGE: 41.43
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CHANGE: .00 JUL 1 4 7009
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PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT "a
41.43 41.43
"You're Riding On Our Reputation"
i.
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
7/9/09 124895 Tire repair 22180 F 41.43
Total 41.43
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
41.43
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 124895 4232100 41.43 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
30 -Jul 2009
Signature
41.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund