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Home My WebLink About167949 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 1 ONE CIVIC SQUARE CLARK TIRE INC CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $511.78 CARMEL IN 46032 CHECK NUMBER: 167949 CHECK DATE: 1/2112009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350000 121969 469.03 EQUIPMENT REPAIRS M 1110 4350101 122727 42.75 TRASH COLLECTION Dec 12 08 07:01 a Ron Booth 317- 844 -6561 P.1 13 V s 622 S. Rangeline Road /OUARE RIDING ON OUR REPUTATION Cari11 IN 46032 4a (31.7) 844 -4839 ational PENS IL THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY -ME, THE SELLER SHALL RETAIN TITLE TOTHE GOODS HERL•'RY PURCIIASED ANC SELLER SHALL HAVE SECURITY INTEREST IN SAID GOODS TO SECURE THE PA YMENTUKTIL MY ACCOUNT IS FULLY PAID. I FURTHER AGREE THAT IK THE F.VE]T UP OF ?AGLT IN 'rHE PAYMENT OF ANY .AIIOLNT DUE, AND P. THISACCOlT1T]SPLACEDINTIIEHANDS OF ANAOENCYORATTOR�IEYFORCOLLL• CTIONORLEGALAC' T10NTOPAYANADDITION .ALCHARGF.EQUAL roniECUSI'OFCOLLL'CFION INCLUDING WENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BYLAWS GOVERNING THESE TRANSACTIONS. 9nancc charge of 1314 Per Monlh will 'x charged on ill Accounts 30 days Past Due, Annual Pa¢cnwgc Ralc is 21 ;)linim m 75) Imo' CEI VED BY SOLD TO: CARREL CLAY pWS AND REC 6358/81 SHIP TO: sAPE INVOICEI 121%9 1411 E. 116TH STREET own IN 46832 CUST P.O MAKE -MODEL ID# MILEAGE r 21Tft� ROUTE SLM S HIP VIA ORDER PAGE RE All AB! 71264 (317)571 1 1 NIA !1848! 1 INVOICE PREVIOUS SHIPPED TERMS INVOICE DATE NUMBER INVOI NUMBER r>____ 10/1712MB 121969 NET 11TH 11117/88 12:57:37 8 STOCKNUMBER SIZE DESCRIPTION ORDERS HPPEDPREY.aF PRICE T F.E.T. EXTEKSION OEM THE RIGHT FRONT TIRE 8356! 25/71816 COOPER DISCOVER ATR OIL 2 2 171.79 B2 .11 343.58 WBP EACH !REEL BALANCE PASSENGER 2 2 12.80 .88 24.11 STEM EACH VALYE STEM 2 2 2.58 Be .88 5.88 SAP SCRAP TIRE 2 2 3.N N 6." TF INDIM TIRE FEE 2 2 .25 .11 .58 OR EACH DECK ALIGNM 1 1 89.95 .@B 89.95 1EM OF PAYOLA 469.13 DEC ?008 Purctme BY: I Desalptim L P.O. ®p F a.L. Budget line Descr Purchaser Date- Approval Thank you for your busing s Mach: Bill TAX F.E.T PARTS LABOR TAX A OUN7 AMOUN T P l�y�rrT T 469.83 469. i 83 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. 19642 F 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 10/17/08 121969 New tires for expedition 469.03 Total 469.03 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 469.03 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 121969 4350000 469.03 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 12 -Jan 2009 Signature 469.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund LARK CARMEL All Claims and Returns MUST Be Accompanied By THIS INVOICE 622 C. South Rangeline Road TERMS: NET 10TH FOLLOWING DATE OF PURCHASE. A SERVICE CHARGE Carmel, IN 46032 OF 13/4% PER MONTH WILL BE ADDED TO PAST DUE BALANCE (MINIMUM (317) 844 4839 CHARGE .75). THE ANNUAL PERCENTAGE RATE IS 21 LJJ FAX (317) 844 6561 AGRICULTURAL EXEMPTION CERTIFICATE I v STATE DEPARTMENT OF REVENUE —SALES TAX DIVISION I HEREBY CERTIFY UNDER THE PENALTIES OF PERJURY THAT THE PERSONAL PROPERTY PURCHASED BY THE USE OF THIS EXEMPTION CERTIFICATE WILL BE DIRECT Y USED IN THE D REGT PRODUCTION OF AGRICULTURAL PRODUCTS FOR TWO RESALEI CUSTOMER'S SIGNATURE UNIROYAL \j CARMEL POLICE DEPT. 6000/01 SAME INVOICE# 122727 SOLD TO: THREE CIVIC SQUARE SHIP TO: CARMEL IN 46032 OUST P O MAKE MODEL ID MILEAGE f ROUTE SLM SHIP VIA ORDER PAGE REMARKS 11v Vj INVOICE DATE NUM ER P INVOI ESNUMBEaD TERMS r. 4. i f?3f�` 'I 12'2727 :E NET WITH 4 c VI 0•51fu .7 „OUANTITY„....;N UNIT STOCK NUMBER SIZE. D,ESCRIPT ON e oaoeAS'^ °ewaeeo°' aaev.eme� PRICE.. EXTENSION a e METHOD OF PRY 1T CHARGE: 4c 75 R� a t z h e s CHANGE: .00 a q 1 f3 E r e i F r s I t a m 'V, t v t r�+ a va 1 s g ga Mx t s� s PARTS LABOR TAX nMOUrJr TAX F E T Mlsc PLEASE INVOICESTOTALNT AMOUNT,—, lik 42.75 42.75 "Ours is A Reputation You Can Ride On" CUSTOMER COPY 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 Clark Tire Purchase Order No. 622 C South Rangeline Road Terms Carmel, In 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/23/08 122727 payment for scrap tires 42.75 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 Clark Tiro IN SUM OF 622 C South Rangeline Road Carmel,,IN 46032 42 75 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 122727 501 -01 42.75 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 January 15 20 Og 1. Signature CHief of P01ice Cost distribution ledger classification if Title claim paid motor vehicle highway fund