HomeMy WebLinkAbout213411 10/09/2012 a ,\�f 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: $69.00
CARMEL IN 46032 CHECK NUMBER: 213411
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 136237 69 . 00 TRASH COLLECTION
Oct 05 12 10:50a Z 317-844-6561 P.1
11111001%11 Ar 622C S. Rangeline Road
0 is 11111W
"YOUARE RIDING ON OUR REPUTATION" Cannel, IN 46032
w 1111caft NEW (317) 844-4839
nutional PEN1 IL
I.THE UNDERSIGNED,HEREBY AGRE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SMALL RETAIN TITLE TO THI>GOODS HEREBY PURCHASED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURETHE PAYMENT UNTIL MY ACCOUNT IS FILLY PAID.I FURTHER AGREE THAT IN THE F.V I)NT OF DEFAULT IN'I'I IE 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 HIE COST OF COLLECTION INCLCDNG
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOV ERNING THESE TRANSACTIONS.
A finance charge of I V4°;Per Moa9t wiB be charged on all Accounts 30 days Past Due-Annual Paceatage Rate is 2114.(Minimum 75) REC E iVED BY
SOLD TO: SHIP TO:
CARNEL POLICE DEPT. 6000/01 SAME INVOICE# 136237
THREE CIVIC SQUARE
CARTEL IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 0 5 N/A 149669 1
INVOICE DATE INVOICE PREVIOUS TERMS
NUMBER INVOICE NUMBER
Pened bV Uperator 8-
08/2412012 136237 NET 10TH 08/24/12 12:32:27 8
STOCK NUMBER SIZE DESCRIPTION QUANTrfY T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
SCRAP SCRAP TIRE 23 23 3.00 .00 59.00.
METHOD OF PAYMENT:
CHARGE: 69.00
CHANGE: .00
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hank you for your business
PARTS LABOR TAX% AMOUNT TAX F.E.T AMOUNT INVOICE TOTAL
SE F PHYhIS-PM.010T___....�
b9,00 69ti30 '
"You're Riding On Our Reputefion"
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))
08/24/12 136237 23 scrap tires $69.00
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 NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 C South Rangeline Road
Carmel, IN 46032
$69.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 136237 I 43-501.01 I $69.00 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, October 05, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund