168921 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
O 622 C SOUTH RANGELINE RD CHECK AMOUNT: $525.92
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 168921
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AM OUNT DESCRIP
1110 4232000 123128 440.00 TIRES TUBES
651 5023990 123143 32.80 OTHER EXPENSES
1125 4350000 123199 10.00 EQUIPMENT REPAIRS M
1125 4350000 123206 43'.12 EQUIPMENT REPAIRS M
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622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
IRE
mational PENS IL
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 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 CLAY PARKS AND REC 6350/01 SHIP TO: SAME INVOICED 123306
1411 E. 116TH STREET
CARMEL IN 46032
CUST. P.O. MAKE. =MODEL ID# MILEAGE T E ROUTE sLM SHIP VIA ORDER PACE, REMARKS
(317)571 -4136 0 5 N/A 121023 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
02106/2N9 123206 NET 10TH 02/05/09 14:03:16 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION'
.ORDERS SHIPPED PREV SHIP PRICE
TIRE REPAIR
TWO L &G
CH 'EACH TIRE CHANGE 2 2 15.00 .00 30.00
1942 13/'500X5 COOPER TUBE 1 1 8.12 02 .00 8.12
REPT EACH TUBE REPAIR 1 1 5.00 .00 5.00
METHOD OF PAYMENT:
CHARGE: 43.12
CHANGE: .00 C.F.TV,
FEB 1 1 2009
BY:
Description 1 i E��...
P.O.# P orF
G.L
Line Desa Ui4•1"Gl l r
-r --o
Purchaser Date
Approval J— Date 2 0 q
Th ank you for your bu5iness Fleeh: hm Blood
PARTS LABOR TAX TAXABLE TAX F.E.T. MISC. I AMOUNT AMOUNT
43,12
"You're Riding On Our Reputation"
LARK 622C S. Rangeline Road
"YOU ARE RIDING.ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844 -4839
I RE
J ational pEN� 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 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) RECE IVED BY
SOLD TO: CARMEL CLAY PARKS AND REC 6350/01 SHIP TO: SAME INVOICE# 1223199
1411 E. 116TH STREET
CARMEL IN 46032
CUST P.O. MAKE -MODEL ID# MILEAGE 131 €Lr F!? E ROUTE SLM SHIP VIA ORDER PAGE REMARKS
1317 ?571 -4136 0 1 N /A 121012 1
INVOICE DATE INVOICE PREVIOUS SNIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator 4 7
02/9612009 123199 NET 10114 02/06/09 08:34:51 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T
ORDERS SHIPPED PREY. SHIP PRICE EXTENSION
REPAIR GATOR TIRE
PLUG EACH PLUG REPAIR 1 1 10.00 .00 10.00
METHOD OF PAYMENT: FBY: .TVFD CHA RGE: 10.00 CHANGE: 1 2009
f
P.O. Par
G.L 0 8 OOO
Un
Purchaser 1 6 ct
Apace
Thank you for your business
PARTS LABOR TAX TAXABLE Misc.
AMOUNT TAX F.E.T. AMOUNT PLEASL.NVOICE11offlA'LINT
10.00 10.00
"You're Riding On Our Reputation"
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice ofbill 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)) Amount
43.12
2/6/09 123206 Tire repairs to Bat -wing 10.00
2/6/09 123199 Repair to flat tire on Bator
Total 53.12
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
060700 Clark Tire Allowed 20
622 S Rangeline Rd
Carmel, IN 46032
In Sum of
53.12
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 123206 4350000 43.121 1 hereby certify that the attached invoice(s), or
1125 123199 4350000 10.00 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
13 -Feb 2009
Signature
53.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
t t Jati ®nal PENS I�
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 EVENTgF DEFAULT IN THE PAY Ei`IT 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 CHAR E EQUAL TO THE C ST 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) RE CEIVED BY
1
SOLD TO: CARMEL POLICE DEPT. 6000/01 SHIP TO: SAME INVOICE# 123128
THREE CIVIC SQUARE
CARNEL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE t3,ELEPH4QNE RouTE s�M SHIP VIA ORDER PAGE REMARKS
571 -2`,M 0 5 N/A lWa9 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER i +a# Q
01/30/2009 123128 NET 10TH 01/30/09 14:50:42 8
STOCK NUMBER SIZE DESCRIPTION ER QUANTITY UNIT T F.E.T. EXTENSION
ORDS SHIPPED PREY SHIP PRICE
OUTSIDE 252742 P23517@R16 NEP1 EX 4 4 110.00 02 .00 440.00
METHOD OF PAYMENT:
CHARGE: 440.00
CHANGE: .00
is
i
^hank you for your business
PARTS LABOR TAX AMO BNT TAX F.E.T. AM NT t f tNVOIC-E TOITAL+ 7
440.00 440.00
-y
"You're Riding On Our Reputation"
Prescribe* by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
622 C Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/30/09 123128 payment for tires for car 115 Howard 440.00
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
Crlark Tire IN SUM OF
622 C South Rangeline Road
Carmel, IN 46032
440.00
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 123128 320 440.00 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
February 11 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844 -4839
RE
tJational PENS It
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 I IANDS 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
d
SOLD TO. CAP6IEL WASTEWATER 6100!01 SHIP TO: SAME INVOICE# 123143
9605 HAZELDELL PKW.
INDIANAPOLIS IN 46280
COST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PACE REMARKS
571 -2634 0 1 N/A 120891 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER by Oper
02102/2009 123143 NET 10TH 02/02/09 09 :55:50 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT
,ORD E RS SHIPPED PREV. PRICE T FE.T. EXTENSION
SHIP .3
REPAIR FORK LIFT TIRE
CH EACH TIRE CHANGE 1 1 20.00 .00 20.00
1854 700 -12 COOPER TUBE TR440 STEM 1 1 12.80 02 .00 12.80
,ETHOD OF PAYMENT:
CHARGE. 32.80
CHANGE: .00
,r d6
i
RECD F B ®2 2009
�2,
Th an you for your business ec M KE
PARTS LABOR TAX AMO TAX F.E.T. AMOUNT 01 FARO
NVQIC-E TOTAL Rff
32.80 32.80
"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 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
Carmel, IN 46032 Due Date 2/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2009 123143 $32.80
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
Date Officer
VOUCHER 095001 WARRANT ALLOWED
060700 IN SUM OF
CLARK TIRE CARMEL
622C S. Rangeline Road
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
123143 01- 7502 -06 $32.80
.r
Voucher Total $32.80
Cost distribution ledger classification if
claim paid under vehicle highway fund