171791 04/29/2009 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: $370.85
CARMEL IN 46032 CHECK NUMBER: 171791
CHECK DATE: 4/29/2009
D EPARTMENT AC COUNT PO NUMBER INVOI NU MBER AMOUNT DESCRIPT
1125 4351000 123854 315.85 AUTO REPAIR MAINTEN
1110 4350101 123944 55.00 TRASH COLLECTION
�t
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w m (317) 844 -4839
ri RE
J ational PEidlew
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
AGF 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) RE CEIVED BY
SOLD TO: CARMEL CLAY PARKS AND REC 6350101 SHIP TO: SAME INVOICE## 123954
1411 E. 116TH STREET
CARMEL IN 46032
COST P.O. MAKE -MODEL ID# MILEAGE (TELEPHq,f ROUTE SLM SHIP VIA ORDER PAGE REMARKS
20428 F -150 F -150 64576 (317)571 -4136 I N/A 122341 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER en b y O v e —for
04/1 0/2009 123854 NET 10TH 04/10/09 12:25:06 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
.ORDERS SHIPPED PREV. SHIP PRICE
BRKPDS EACH BRAKE PADS 1 1 79.95 02 .00 79.95
OUTSIDE 32482@ FRONT BRAKE ROTORS 2 2 77.95 02 .00 155.90
LABOR HOUR SHOP LABOR 1 1 75.00 ,00 75.00
S SHOP SUPPLIES 1 1 5.00 .00 5.00
METHOD OF PAYMENT: PuMhm 000
CHARGE: '315.85 Oesatffl �l
CHANGE: P.O.# P
G.L
Bud et
g
Line Descr
Purchaser Daft
Approv Datey
7 3 '7;
6
APR 16 2009
BY:..
hank you tor your business a is Eill
PARTS LABOR ;TAX AMOUNT TAX F.E.T. AMOUNT PLEASUI NYA,ICEjjIOTAINT
240.85 75.00 315.85
"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
622 S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/10/09 123854 Auto repairs maintenance 20428 315.85
Total 315.85
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
(o��C 422 S Rangeline Rd
Carmel, IN 46032
In Sum of
315.85
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 123854 4351000 315.85 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
22 -Apr 2009
Signature
315.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
622C S. Rangeline Road
"YOUARE RIDING ON OUR REPUTATION" rciA riRE
RK C annel, IN 46032
4w (317) 844 -4839
L���Oltal PENS IL
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 SF URITY 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 Ti S 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: CARMEL POLICE DEPT. 6609101 SHIP TO: SAME INVOICE# 123944
THREE CIVIC SQifIaRE
CARMEL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE (3TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE R EMARKS
571 -2500 0 5 N/A 122587 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
04l2012m 123944 NET 18TH 04/220/09 15 :28:18 8
STOCK NUMBER SIZE DESCRIPTION ,_QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV. SHIP PRICE
SCRAP SCRAP TIRE 22 22 2.58 .00 55.88
VE•MOD OF PAYMENT-
CHARGE: 55.88
CHANGE: .00
k t
�vou or your usiness
e LABOR TAX AMOUNT TAX F.E.T. AMOUNT ,r1NUOICEIT;OTAL
_T 55.00 WT
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
r ACCOUNTS PAYABLE VOUCHER
rp 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
dark Tire Purchase Order No.
X22 C South Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/20/09 123944 p ayment for scrap tires 55.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
C fark Tire IN SUM OF
622 C South Rangeline road
Carmel, IN 46032
55.00
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 123944 501 -01 55.00 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
April 23 20 09
Signature
Chjef �f Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund