HomeMy WebLinkAbout170345 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
0 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $43.50
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
r CARMEL IN 46032 CHECK NUMBER: 170345
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
651 5023990 123582 43.50 OTHER EXPENSES
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622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" C RK Carmel', IN 46032
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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 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 WASTEWATER 5100/01 SHIP TO: SAME INVOICE# 123582
9509 HAZELDELL PKW.
INDIANAPOLIS IN 45280
CUST P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SAM SHIP VIA ORDER PAGE REMARKS
#116 53800 571 -2634 0 1 N/A 121824 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER O pene d b O pera t or 8
03/16/2009 123582 NET 10TH 03/16/09 07 :54:49 8
QUANTITY UNIT
ORDERS
STOCK NUMBER SIZE DESCRIPTION SHIPPED PREV. SHIP PRICE T F.E.T. EXTENSION
FRONT PASS REPAIR TIRE
ROTATE EACH TIRE ROTATION 4 4 5.00 .00 20.06
LT16 16° LIGHT TRUCK DISMOUNT /MOUNT 1 1 15.00 .00 15.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 ,00 8.50
METHOD OF PAYMENT:
CHARGE: 43.50
CHANGE: .00
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do you or your usine s 11teven
PARTS LABOR TAX TAXABLE TAX F.E.T. MISC. INV t IG T' TA R
AMOUNT AMOUNT PLEAS_ AIPI _i;9NT
+3.50 43.50
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
A
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
060700
CLARK TIRE CARMEL Purchase Order No.
622C S. Rangeline Road Terms \C
Carmel, IN 46032 Due Date 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 123582 $43.50
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
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Date Officer
VOUCHER 095295 WARRANT ALLOWED
060700 IN SUM OF
CLARK TIRE CARMEL
622C S. Rangeline Road
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO INV ACCT AMOUNT Audit Trail Code
123582 01- 7502 -06 $43.50
Voucher Total $43.50
Cost'distribution ledger classification if
claim paid under vehicle highway fund