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209517 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $19.00 =a CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 209517 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 135384 19.00 AUTO REPAIR MAINTEN LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION Carmel, IN 46032 ri (317) 844 -4839 RE Jational p l� 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 DI -ILT BJ 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 E l7AL TO E C -OF` CTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. A finance charge of IY4% Per Month will be charged on all Accounts 30 days Past Due. Annual Percentage Rate is 21%. (Minimum 75) RI CEIVED BY T SOLD TO- SHIP TO 'CARMEL FIRE DEPT, 5900/01 W. E INVOICE# 135384 TWO CIVIC SQUARE CAR IN 45032 CUST P.O. MAKE -MODEL ID# MILEAGE T.ELEP ONE ROUT sLM SHIP VIA ORDER PACE R EMARKS 4541 571 -2609 0. 5 N/ A1 147873 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER 00 ned b uy Operator <f 05/291 139,384 NET 10TH 65/29/12 15:02:15 7 STOCK NUMBER SIZE DESCRIPTION QUANTgv UNIT ,ORDERS SHIPPED PREV. SHIP PRICE T FE.T EXTENSION REPAIR TIRE RIGHT REAR_ 17 17/18 IIISNOUNT MOUNT PASSENGER 1 1 9.00 .00 9.00 CH EACH TIRE CHANGE 1 1 i0,00 00 10.00 METHOD O PAYWENT: CHARGE: 19.00 CHANGE: .09 I i U 1 J j i ank you for your business Mech: Doug PARTS LABOR TAX y pM ©UNT TAX F.E.T. AMOUNT INVOICE TOTAL 19.00 00,120155 -002 19.00 "You're Riding On Our Reputation" VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF 622 South Rangeline Road Carmel, IN 46032 $19.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 135384 I 43- 510.00 I $19.00 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 JUN 4 2012 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund rescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by vhom, 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)) 135384 C4541 $19.00 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