HomeMy WebLinkAbout207784 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $69.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 207784
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 134807 69.00 TRASH COLLECTION
622C S. Rangeline Road
A
"YOUARE RIDING ON OUR REPUTATION" L R K Carmel, IN 46032
4w r (317) 844 -4839
Jational pE 0 1L
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) RECEI BY
SOLD TO: CARMEL POLICE DEPT. 5400/01 SHIP TO: SANE INVOICE# 134807
THREE CIVIC SO>I.gRE
CARVEL IN 46032
CUST. P.O. MAKE -MODEL ID# MILEAGE t TELEPHONE ROUTE sLM SHIP VIA ORDER PAGE REMARKS
571 -2500 0 1 N/A 146725 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
7
03/28/2012 134807 NET 10TH 0;/28/12 11:06:24 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT
ORDERS F.E.T EXTENSION
ORDERS .SHIPPED PREY SHIP+ PRICE
SCRAP SCRAP TIRE 23 23 3.00 .00 69.@0
METHOD OF PAYMENT:
CHARGE: 69.00
C�HgNGE: .00
nank you sor your usnese
PARTS LABOR TAX TAXABLE ONT TAX F.E.T. AMOUNT PLEAqLNYPIC9ji2 TALOp((
69,010 69.00
"You're Riding On Our Reputation"
Prescribed 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.
622C S Rangeline Rd
Carmel, i.N 46032 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/28/12 134807 23 scap tires 69.00
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
Clark Tire
IN SUM OF
622C S. Rangeline Rd
Carmel, IN 46032
69.00
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 134807 501.01 69.00 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
April 4, 2012
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund