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174276 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $21.50 CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 174276 CHECK DATE: 7/8/2009 DE=PARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4232000 124573 21.50 TIRES TUBES 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" C LARK Carmel, IN 46032 4w w T (317)84474839 RE t t m ati®nal PENCIL 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. 1 FURTHER AGREE THAT IN THE EVENT4 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 ((ff 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) III' CI' IVE BY zo 7 SOLD TO: CARN SHIP T EL MAYOR'S OFFICE 5980f01 SAME INVOICE# 1245.3 ONE CIVIC SCJARE CARMEL IN 46032 CUST P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM' SHIP VIA ORDER 'PAGE REMARKS 571 -2400 0 5 N/A 123935 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER e O p er ator 06/16/2009 124573 NET 10TH 06/16109 08:20:16 8 QUANTITY_ UNIT STOCK NUMBER SIZE DESCRIPTION T F.E.T. EXTENSION ORDERS SHIPPED PREV. SHIP .PRICE REPAIR TIRE CH EACH TIRE CHANGE 1 1 15.00 .00 15.08 REP EACH INSIDE TIRE REPAIR 1 1 6.50 .00 6.50 METHOD OF PAYMENT: CHARGE: 21.50 CHANGE: .00 av E 1hank you tar your bnfihess Men s t?ven PARTS LABOR TAX TAXABLE TAX F.E.T. MISC. AMOUNT AMOUNT !PLEASE T©IT 12 21.51 21.50 "You're Riding On Our Reputation" Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/1 Bing 194573— Repa T Change $21.50 Total 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. i ALLOWED 20 Clark Tire IN SUM OF 62�C S. Rangeline Road Gaffnel, 1N 46032 $21.5 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 Administration Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 124573 320 Ci materials or services itemized thereon for which charge is made were ordered and received except 20 Sign re Title Cost distribution ledger classification if claim paid motor vehicle highway fund