HomeMy WebLinkAbout172268 05/13/2009 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: $46.50
CARMEL IN 46032
a CHECK NUMBER: 172268
CHECK DATE: 5/13/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOU DES CRIPTION
1120 4351000 124074 46.50 AUTO REPAIR MAINTEN
w.
W
t Dy
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4W
(317) 844 -4839
ri iFE
tJational PENS IL
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCK 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: CARMEL FIRE DEPT. 5900/01 SHIP TO: SAME INVOICE# 124074
TWO CIVIC SQUARE
CARMEL IN 46032
CUST P.O. MAKE -MODEL ID# MILEAGE TELEPkL@ ROUTE SLM SHIP VIA ORDER PAGE REMARKS
TRUCK #45 #45 571 -2609 0 5 N/A 122884 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
05/0212009 124074 NET 10TH 05/02/09 11:17:47 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY. SHIP r.. PRICE
REPAIR LEFT REAR INSIDE TIRE
19.5 19.5" TRUCK DISMOUNT /MOUNT 1 1 30.00 .00 30.06
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 .00 8.50
CS EACH CLEAN RESEAL TIRE BEADS I 1 8.00 .60 8.00
METHOD OF PAYMENT:
CHARGE: 46.50
CHANGE: Be
i I
Thank you or your usiness ec Hill
PARTS LABOR TAX
TAXABLE Mr a TAX F.E.T. AMOUNT t S> 1
!NVO.IC TLOTAL
46.50 46.50
"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))
124074 Repair Tire 45 $46.50
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
$46.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 124074 43- 510.00 $46.50 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
r MAY 11 2009
i
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund