174795 07/22/2009 *f 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: $509.30
CARMEL IN 46032
CHECK NUMBER: 174795
CHECK DATE: 7122/2009
DEPARTMENT ACCOUNT PO NUM INV OICE NUMBER AMOUNT DESCRIPTION
1110 4350101 124369 55.00 TRASH COLLECTION
651 5023990 124837 23.50 OTHER EXPENSES
601 5023990 124899 358.80 OTHER EXPENSES
1110 4350101 124909 72.00 TRASH COLLECTION
°o
C 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4e) IRE (317) 844 -4839
t 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. 1 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: SHIP TO:
CARMEL POLICE DEPT. 6000101 SAME INVOICE# 124909
THREE CIVIC SQUARE
CARMEL IN 46032
CLIST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
(317)571- 2559
571 -2500 0 1 N/A 124687 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 7
009 1.
07/10/22'4909 NET 10TH @7/10/09 11:48:57 7
STOCK NUMB ORDERS SHIPPED SIZE DESCRIPTION QUANTITY, PREY SHIP, UNIT .PRICE T F.E.T. _:EXTENSION
SCRAP SCRAP TIRE 24 24 3.00 .00 72.00
METHOD OF PAYMENT:
CHARGE: 72.00
CPANGE: .00
t
Thank you for your business
PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS WO(I{dT
72.00 72.00
"You're Riding On Our Reputation"
Jul 06 09 09:09a Ron Booth 317 844 -6561 P.1
LA 622C S. Rangeline Road i xv 0 eE RIDING ON OUR REPUTATION Carmel, IN 46[)32
(317) 844 -4839
ationai PEA IL
I, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAI
A SECURITY lh'CERE$T IN SAID GOODS TO SECURETHE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID. I FURTHER ArUE TIIAF IN THL
If
E !NT O DF.F, \CI; LBT PLI�,Ay\,ISGD .UFD NYLMIOUNT DUE, AND
4
IF T7:I5 ACCOUNT IS PLACED IN iHr HANDS OF AN gCENCl" OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY gA• ADDITIONAL `RABID
Ei I O'f S'i' 0 COL ANI IN T DUE, A
AGENCY AND.4TTilRNE1' FEES AND COURT COSTS MCGRREDAND PERMITTED BY LAWS GOVERNING THESE TRANSACTION'S.
A Gnuncc cbargc of 13. Per _Month will hcchagcd on all Accounts .3C• days Past DIM. Annual Pcrccntage Rate is 2I (Minimum 75) RECEIVED B
SOLD TO: SHIP TO:
C US7. PO MAKE MODEL ID# MILEAGE TELEPHONE ROUTE Sint SH VIA O RDER PAS
�E R
INVOICE DATE INVOICE PREVIOUS SHIPPED
NUMBER n INVOICE KUMaER TERMS
STOCK NUNTBER SIZE DESCRIPTION 01JAN11TY ifi
ORDER$ SIUPPED PREY. $Hlp_ PRICE T F.E.T. EXTENSION
PARTS LABOR TAX °6 A our TAX F.E.T. MI
INV
An ouNT .OICE_TOT
0D
'You're Riding On Our Reputation"
Prescribes 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 S. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/10/09 124909 payment for scrap tires 72.00
5/29/09 124369 payment for scrap tires 55.00
Total 127.00
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.
ALLOWED 20
C lark Tire
IN SUM OF
622C S. Rangeline Road
Carmel, IN 46032
127.00
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 L24909 501 -01 72.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 124369 501 -01 55.00 which charge is made were ordered and
received except
July 15 2009
Signature It
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CCARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w 317) 844 -4839
RE
ational 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 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: SHIP TO:
CARMEL WASTEWATER 6100/01 5A)ME- INVOICE# 124837
%09 HAZELDELL PKW.
INDIANAPOLIS IN 46280
CUST. P.O. ODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE' REMARKS
TRUCK 1121 1121 41671 571 -2634 0 1 N/A 12-4520 1
INVOICE DAT INVO PREVIOUS SHIPPED TERMS
MBER INVOICE NUMBER
Opened by Operator 7
07/06/2069 124837 NET 10TH 07/06/09 08:57:22 8
QUANTITY UNIT
STOCKNUMBER SIZE DESCRIPTION T F.E.T. EXTENSION
ORDERS SHIPPED PREY SHIP PRICE
REPAIR THE LEFT FRONT
LT16 16r LIGGHT TRUCK DISMOUNT /MOUVir 1 1 15.00 .001 15.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 8.50 :00 8.50
METHOD OF PAYMENT:
CHARGE: 23.50
CHfLNGE: .00
RE
„II
4
Thank you for your business Mech: Steven
PARTS LABOR TAX AMOUNT T AX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT
^3.50 23. Sib
man=1 MINIM
"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 7/13/2009 �f
Invoice_ Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 124837 $23.50
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
Date Officer
V ,QUCHER 096010 WARRANT ALLOWED
J
060700 IN SUM OF
CLARK TIRE CARMEL
622C S. Rangeline Road
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I 7
Board members
PO INV ACCT AMOUNT Audit Trail Code
124837 01- 7502 -06 $23.50
Voucher Total $23.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
41 IRE (317) 844 -4839
rational PENS I�
1, THE UNDERSIGNED, HEREBY AGREE UNTIL SUCI I 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: SHIP TO:
CARVIEL. WASTEWATER 6100 /0i SAME c� g INVOICE# 124899
9609 HAZELDELL PKW. U
INDIANAPOLIS IN 46280
CLIST P.O. .MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
TRUCK #38 48776 571 -22634 0 5 N/A 124625 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator 8
07/10/22009 124899 NET 10TH 07/10/09 08:08:15 7
STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREY. SHIP UNIT PRICE T F.E.T. EXTENSION
QUANTITY
REPLACE TIRES
WBP EACH WHEEL BALANCE PASSENGER 4 4 12.00 .00 48.00
STEM EArH VALVE STEM 4 4 2.50 02 .00 10.00
SCRAP SCRAP TIRE 4 4 3.00 .00 12.09
IF INDIANA TIRE FEE 4 4 .25 .00 1.00
OUTSIDE 262575 22517OR15 DELTA MAJESTIC 4 4 71.95 02 .00 287.80
METHOD OF PAYMENT:
CHARGE: X358.80
CHANGE: .00
}1 l
Thank you for your business Mech: Bill
PARTS LABOR TAX AMOUNT TAX F.E.T. AMOUNT INVOICE TOTAL
PLEASE PAY THIS AMOUNT
3358.80 358.80
"You're Riding On Our Reputation"
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
;r
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
60700
CLARK TIRE INC CARMEL Purchase Order No.
622 C SOUTH RANGELINE RD Terms
CARMEL, IN 46032 Due Date 7/13/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 124899 $358.80
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- 1 10 -1.6
Date Officer
VOUCHER 092373 WARRANT ALLOWED
6'3700 IN SUM OF
GLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032
I. Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
124899 01- 6500 -07 $358.80
o�
P
Voucher Total $358.80
Cost distribution ledger classification if
claim paid under vehicle highway fund