HomeMy WebLinkAbout214266 11/07/2012 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: $27.50
CARMEL IN 46032 CHECK NUMBER: 214266
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 136854 27 . 50 AUTO REPAIR & MAINTEN
LARK 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 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) RECEIVED BY
SOLD TO.. 1: SHIP TO:,
CARMEL FIRE DEPT. INVOICE# 136854
TWO CIVIC SQUARE
CARMEL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE` REMARKS
#4551 20833 571-2609 0 1 N/A 150914 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened
10/31/2012 136854 NET 10TH 10/31/12 09:08:46 8
QUANTITY_ .,_._._ UNIT '4
STOCK NUMBER SIZE DESCRIPTION -- - T F.E.T. EXTENSION
:ORDERS SHIPPED PREV.SHIP' PRICE : r
REPAIR THE LEFT FRONT
17 17/18° DISMOUNT & MOUNT PASSENGER 1 1 18.00 .00 18.00
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
METHOD OF PAYMENT:
a4ARGE: 27.50
CHANGE: .00
ink you for your business eci-l. uau
PARTS LABOR TAX°/A rf AMOUNT a M AMOUNT I F ` {�
TAX F.E.T. INVOICE TO AL
27.50 00"120155-002-0 27.50 r
"You're Riding On Our Reputation"
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))
136854 C4551 $27.50
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 South Rangeline Road
Carmel, IN 46032
$27.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 136854 I 43-510.00 I $27.50 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
NOV - 5 2012
l V I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund