HomeMy WebLinkAbout209963 06/20/2012 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: $72.00
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CARMEL IN 46032 CHECK NUMBER: 209963
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 135428 72.00 TRASH COLLECTION
LARK 6222 S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
W (317) 844 -4839
RE
Jationai PEA 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 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 VED BY
SOLD
POLICE DEPT. X000/ 01 SHIP TO ME INVOICE# 135425
THREE CIVIC SQUARE
CARMEL IN 46632
COST. P.O. MAKE -MODEL ID# MILEAGE 7 TELEPM ROUTE sLM SHIP VIA ORDER PAGE REMARKS
571 -2566 6 1 N/A 147946 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
F6/61/2612 135426 NET 16TH 66/61/12 i6:61:42 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
-ORDERS SHIPPED PREY. SHIP, PRICE
SCRAP SCRAP TIRE 24 24 3.66 .66 72.66
METHOD OF PAYMENT:
CHARGE: '2.66
CHANCE: .00
I Y r
shank you for your businesi:
PARTS LABOR TAX TAXABLE O TAX FF "E.T• AMoUTT t INV E nTAL-
72.66 72.66
"You're Riding On Our Reputation"
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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))
06/01/12 135428 24 scrap tires $72.00
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 C South Rangeline Road
Carmel, IN 46032
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 135428 I 43- 501.01 I $72.00 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
Friday, June 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund