169395 03/04/2009 „M CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $105.70
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 169395
CHECK DATE: 3/4/2009
D EPARTMEN- ACCO PO NUMB INVOICE NUM AMOUNT DESCRIPTION
1125 4350000 123319 105.70 EQUIPMENT REPAIRS M
622C S. Rangeline Road
"YOU ARE RIC3NG ON OUR REPUTATION LARK Carmel, IN 46032
4w (317) 844 -4839
iFE
IL
National PEA
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 1314% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21 (Minimum 75) RECEIVED BY
SOLD TO: CARMEL CLAY PARKS AND REC 6354+/81 SHIP TO: SAME INVOICE# 123319
1411 E. 116TH STREET
CARMEL IN 46832
CUST P.O. MAKE -MODEL ID# MILEAGE (31TLEFH ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)571 -4136 0 5 N/A 121252 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Open t Opera
82/18/2809 123319 NET 18TH 02118/09 12:59:84 8
STOCK NUMBER SIZE DESCRIPTION Q UANTITY UNIT T F.E.T. EXTENSION
ORDERS .SHIPPED PREV. SHIP PRICE
30828 225/75815 SUPERSTONE TRAILER RAD. 8 PLY 1 1 99.95 82 .00 99.95
TF INDIANA TIRE FEE 1 1 .25 .00 .25
STEM EACH VALVE STEM 1 1 2.58 82 .00 d.50
SCRAP SCRAP TIRE 1 1 3.08 .00 3.80
METHOD OF PAYMENT: RECF.UVFD
CHARGE: 105.70
CHANCE: .00 FEB 1 9 2009
BY:
�•r..r_ PAL P
rurchaser DateL QL
Pte.
1 a► off a
ank you for your WSMSS Mee n: 7 11
PARTS LABOR TAX AMOUNr TAX F.E.T. An WVOICEITOITAL
105.70 105.70
"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.
Terms
060700 Clark Tire
622 S Rangeline Rd
Carmel, IN 46032
Invoice 105.70 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2118/09 123319 Equipment tire repair
Total 105.70
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.
0607/00 Clark Tire Allowed 20
622 S Rangeline Rd
Carmel, IN 46032
In Sum of
105.70
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 123319 4350000 105.70 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
26 -Feb 2009
Signature
105.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund