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Home My WebLink About208247 04/25/2012 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: $163.45 CARMEL IN 46032 CHECK NUMBER: 208247 t. CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 134904 89.95 OTHER EXPENSES 1125 4351000 134931 22.50 AUTO REPAIR MAINTEN 1120 4351000 135000 51.00 AUTO REPAIR MAINTEN 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. 060700 Clark Tire Terms 622C S Rangeline Rd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/9/12 134931 Flt tire repair P07 22.50 Total 22.50 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. 060700 Clark Tire Allowed 20 622C S Rangeline Rd Carmel, IN 46032 In Sum of 22.50 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 134931 4351000 22.50 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 19 -Apr 2012 Q �Ldf M!' ly, Signature 22.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund LARK 622C S. Ran line Road "YOU ARE RIDING ON OUR REPUTATION" Carmel IN 46032 (317 844 -4839 IRE al O PENNl 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 CLAY PARKS AND REC 63501 SAME INVOICE# 134931 1411 E. 116TH STREET CARREL IN 46032 CUST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE' SLM SHIP'VIA ORDER PAGE' REMARKS (317)571 -4144 0 1 N/A 146953 1 INV DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Op 04109/2612 134931 NET 16TH 04/09/12 13:15:50 B STOCK NU ER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREY. SHIP' PRICE i' t. REPAIR TIRE LOOSE 13 13/15" DISMOUNT MOUNT PASSENGER I 1 15.00 .00 15. N REP EACH, INSIDE TIRE REPAIR 1 1 7.50 ,00 7.50 'ETHOD OF PAYMENT- 'HARGEF 22.50 CHANGE: 00 Purchase R -T 11 "Pf Description P.O. i�. c '7 P or F GL# 111 y3 Budget Q s Line Descr c Purchaser Date L_J I Date y 1 rov ]R ECEIVE APR 112012 BY liank you for y business Nedra Hill TAXABLE PARTS LABOR TAX AMOUNT TAX F.E.T. AnMOUNT IC AL ac FHt I a HPI I 1 22.50 22.50 "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 motional PENS IL L 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 C LLECTION 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 VED'BY 'r7 r 7 V SOLD TO: SHIP TO: CARVEL WATER DISTRIBUTION 5300/01 SAKE INVOICE# 134904 3450 N. 131ST ST. CARMEL IN 46074 !J7 CLIST. P.O. MAKE -MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER PACE REMARKS 733 #33 83819 715 ,39 0 1 N/A 145865 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by O perator 04/05/2312 134904 NET 10TH 04/05/12 09;42:13 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY I UNIT T F.E.T. EXTENSION .ORDERS SHIPPED PREY SHIP! PRICE 1 3 EACH LIGHT TRUCK ALIGNMENT 1 1 89.95 .00 89.95 RANGER IETHOD OF PAYMENT: 'HARGE: 89.95 ,HANGE: .00 F T ank you for your business Nech: Bill PARTS LABOR TAX TAXABLE TAX F.E.T. misc. AMOUNT AMOUNT INVOICE TOTAL N. PAY 1 'IU N 69.95 89.95 "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 60700 CLARK TIRE INC CARMEL Purchase Order No. 622 C SOUTH RANGELINE RD Terms CARMEL, IN 46032 Due Date 4/17/2012 Invoice Invoice Description Date Number (or note attached irivoice(s) or bill(s)) Amount 4/17/2012 134904 $89.95 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 Date Wer VOUCHER 114325 WARRANT ALLOWED 60700 IN SUM OF CLARK TIRE INC CARMEL 622 C SOUTH RANGELINE RD CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 134904 01- 6500 -04 $89.95 Voucher Total $89.95 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 1 1RE (317) 844 -4839 �Jational PEw l� L 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 HE PAYMENT OF ANY AMOUNT DUE, AND IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION'I'O PAY AN ADDITIONAL CH ARCjE'EtQUAL TO 1E COST OE LLECTION 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 2l (Minimum 75) RECEIVED BY t SHIP TO SOLD TO CAW,EL FIRE DEPT. 5900/01 -SAME INVOICE# 135M TWO CI "IC SWARE CARMEL IN 46032 CUST. P.O. MAKE MODEL ID# MILEAGE TELEP ROUTE SLM SHIP VIA ORDER PACE REMARKS I LOOSE E9O4283 571 -2609 0 5 N/A 147061 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER J -A 4 ut y ci uvt w 04/16/2012 135000 NET 10TH 04/16/12 12:26:36 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV. SHIP, PRICE TIRE REPAIR 15 16" DISMOLWT MOUNT PASSENGER 2 2 12.00 .00 24.00 WBP EACH (DEL BALAt;CE PASSENGER 2 2 12.00 .00 24.00 SCRAP, SCRAP TIRE 1 1 3.00 .00 3. @3 METHOD OF PAYMENT: CHARGE: 51.N CHANGE: .00 hark you for your business Mech: Dou PARTS LABOR TAX y TAXA B LT AMOUNT C T tN. a. TAX F.E.T. INVOICE TOTAL 51.00 00. i120155-0Ft2 -0 51.00 "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)) 135000 C4552 $51.00 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 N ALLOWED 20 Clark Tire IN SUM OF 622 South Rangeline Road Carmel, IN 46032 $51.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 135000 I 43- 510.00 I $51.00 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 APR -2 3 7-6- 12- rt Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund