HomeMy WebLinkAbout210309 07/05/2012 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: $67.00
CARMEL IN 46032
CHECK NUMBER: 210309
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 135631 67.00 AUTO REPAIR MAINTEN
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844 -4839
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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 D FAULT 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 TO PAY AN ADDITIONAL CHA QUAL TO E COS LECTION 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) RECEIVED BY
SOLD TO CARMEL FIRE DEPT. 5900/01 SHIP Tgk INVOICE# 135631
TWO CIVIC SQUARE
CARMEL IN 46032
COST. P.O. MAKE -MODEL ID# MILEAGE 13ayRNE ROUTE SLM SHIP VIA ORDER PAGE REMARKS
1 r
POOL 4 106201 571 -2609 0,' 1' N/A 1 1 j
INVOICE PREVIOUS SHIPPED
INVOICE DATE; TERMS
NUMBER INVOICE NUMBER
pene
y Pera or
06/20/2012 135631 i NET 10TH 06/20/12 12 :08:31 8
STOCK NUMBER SIZE DESCRIPTION 1 aUANTiTV IP UNIT T F.E.T:
OR DERS SHIPPED PREY. SH° 'PRICE 't. EXTENSION
MINT 2 TIRES IN TR1W ON I�
1 REAR
16 16° DISMOW OW PASSENGER 2 16.00 `.00 132.00
NBP EACH WHEEL BALANCE PASSENGER 2 2 �i 12.00 x.00 24.00
STEM EACH VALVE STEM 2 2 X2.50 02 1 .00 1 5.00
SCRAP j 'SCRAP TIRE 2` 2 E 13.00 .00 6.00
METHOD OF PAYMENT:
CHARGE: 67.00
CHANGE: 00
1 i /N v�
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TL
ank you for your business Mech: Bill
PARTS LABOR ;TAX LE TAX F.E.T. nMOUNT V a.
67.00 00 120155 -002 -0 67.00
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF
622 South Rangeline Road
Carmel, IN 46032
$67.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I 135631 I 43- 510.00 I $67.00 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 2 Z012
i
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
135631 Old C4504 Impala $67.00
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
1 20
Clerk- Treasurer