HomeMy WebLinkAbout212963 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
0 ` ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $23.50
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 212963
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 136404 23 . 50 EQUIPMENT REPAIRS & M
622C S. Rangeline R d
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, N 4603
4r, 11R (317) 844-4839
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PENS IL
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 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) RECEIVE D BY
SOLD TO: SHIP TO:
CARPEL CLAY PARES AND REC /01 SAME INVOICE# 136404
1411 E. 116TH STREET
CARMEL IN 46@32
CLIST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
(,341 7)573
MC08351 (317)571-4144 0 5 N/A 149994 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Upened by Uperasor
09/11/2 @i2 136404 NET 10TH 09/11/12 15:43:16 7
MBER E DESCRIPTION R S
QUANTITY uNlr T " F.E.T. EXTENSION
ORDES SHIPPED PREY.SHIP PRICE
TIRE REPAIR
16 16" DISMOUNT t MOIiNT PASSENGER 1 1 16.00 .00 16.0@
REP EACH IP46IDE TIRE REPAIR 1 1 7.50 .00 7.50
METHOD OF PAYMENT:
CHARGE: 23.50
CHANGE: .00
_.
FSEP 12 2012
Purchase V
Description
t'(�C002;35_L_` l
P.O.# � Po'(� �
G.L.# (093 43500,00` _
Budget
Line Descr
Purchaser Date"- - L
Approval Date _
U 1
I
thank you for your business Mech: Bill TAXABLE PARTS LABOR TAX% AMOUNT TAX F.E.T. AMOUNT E TOTAL
r ii ie ti .
23.50 23.50
"You're Riding On Our Reputation" '
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 4 Amount
9/11/12 136404 Tire repair MCC van $ 23.50
Total $ 23.50
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 No.
060700 Clark Tire Allowed 20
622C S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 23.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 136404 4350000 $ 23.50 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
20-Sep 2012
Signature
$ 23.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund