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Home My WebLink About206187 02/14/2012 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: $108.50 CARMEL IN 46032 CHECK NUMBER: 206187 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350101 134333 81.00 TRASH COLLECTION 1120 4351000 134417 27.50 AUTO REPAIR MAINTEN LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w IRE (317) 844 -4839 �Jational PENN 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 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 BY SOLD TO: CARMEL POLICE DEPT. 5000101 SHIP TO: SANE INVOICE# 134333 THREE CIVIC SQUARE CARKEL IN 4E V2 CUST. P.O. MAKE -MODEL ID# MILEAGE (3TDLE PHONE ROUTE SLM SHIP VIA ORDER PAGE REMARKS 571 -2500 0 1 N/A 145778 X1 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Op ened by Op erator 7 01/302012 1343.3 NET 10TH 01/30/12 10:31 :41 7 QUANTITY PR EV. SH IPt PRICE UNIT STOCK NUMBER SIZE DESCRIPTION ;ORDERS SHIPPED T F EXTENSION SCRAP SCRAP TIRE 27 0 1. METHOD OF PAYMENT: CHARGE: 81.N CHANGE: 100 1HCnK you fui your usitivnr. PARTS LABOR TAX% AMOUNT TAX F.E.T. A PLEASINUOICEZTOliA� 81.0i'� 81.00 "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 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/30/12 134333 scrap tires $81.00 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 Clark Tire IN SUM OF 622 C South Rangeline Road Carmel, IN 46032 $81.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 134333 43- 501.01 $81.00 I hereby certify that the attached invoice(s), or I 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 Friday, February 10, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 44 (317) 844 -4839 1 RIE tJational PENS IL I, THE UNDERSIGNED. HEREBY AGREE UNTIL SUCII 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 IIANDS 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: CARMEL FIRE BEAT. 59W/01 SHIP TO: SAME INVOICE.# 134417 11401 LIVIC SOUPRE CARMEL IN 46032 CUST. P.O. MAKE -MODEL ID# MILEAGE TELEFHO,NE ROUTE SLM SHIP VIA ORDER PAGE REMARKS #4507 #4507 32517 571 -2609 0 1 N/A 145965 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER O by Operator 7 02/10/2012 134417 NET 10TH W110112 11:10:05 8 QUANTITY UNIT T F.E.T. EXTENSION STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREV. SHIP PRICE REPAIR LEFT FRONT TIRE :7 17/18" DISMOUNT I MOUNT PASSENGER 1 1 16. x] .00 18.00 REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50 METHOD OF PAYMENT: CHARGE: 27.59 CHflNGE: .40 i G� ,hank you for your business mec BIKE PARTS LABOR TAX lc t T AXA B LE O NTO p rti TAX -F.E.T. AMOUNT p(¢ INVOICE TOTAL I 27.59 403120155 -002- 27.50 "You're Riding On Our Reputation" Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 134417 4507 $27.50 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 Clark Tire IN SUM OF 622 South Rangeline Road Carmel, IN 46032 $27.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 134417 I 43- 510.00 I $27.50 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 FEB 1 3 N 1 14- /.n e;�, i Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund