HomeMy WebLinkAbout215461 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
h t ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $84.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 215461
CHECK DATE: 12/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 137104 84 . 00 TRASH COLLECTION
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4w (317) 844-4839
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ational 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-CITE,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 EQUALITO HELOST 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 TOMWEL POLICE DEPT, MOM SHIP TQME "VOICE# 1371 @4
THREE CIVIL' SQUARE
CARMEL IN 46032
COST. P.O.# MAKE-MODEL ID# MILEAGE MM)EL•EPH;ONE ROUTE sLM SHIP VIA ORDER# PAGE REMARKS
571-25k
'�0 0 1 N/A 151496 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER ® Tied by Ooaratrr # 7
1113k3/20i2 137104 NET 10TH 11130112 14:36:05 7
STOCK NUMBER SIZE DESCRIPTION QUANTITY__ UNIT T F.E.T. EXTENSION
•ORDERS SHIPPED PREV.SHIP' PRICE
CRAP BMW TIRE 28 28 3100 .00 84.00
7
I
ETHOD OF PAYMENT:
.AARGE: 94.00
:HRNGE: .�9
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PARTS LABOR TAX% AMOUNT TAX F.E.T. AMOUNT NT Pi EASE PMVOICETOTAL
84.8D 84,00
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
Clark Tire ALLOWED 20
IN SUM OF $
622 C South Rangeline Road
Carmel, IN 46032
$84.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I 137104 I 43-501.01 I $84.00 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, December 07, 2012
Chief of Police
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))
11/30/12 137104 28 scrap tires $84.00
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