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216666 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 ONE CIVIC SQUARE CLARK TIRE INC CHECK AMOUNT: $202.50 CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 216666 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4351000 137378 25 . 50 AUTO REPAIR & MAINTEN 1120 4351000 137492 60 . 00 AUTO REPAIR & MAINTEN 1110 4350101 137505 75 . 00 TRASH COLLECTION 1110 4350101 137508 42 . 00 TRASH COLLECTION LARK 622C S. Rangeline R d "YOU ARE RIDING ON OUR REPUTATION" Carmel, 4603 4� (317) 8 IN 44-4839 ' RE - a Bona Pi: li. I,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 I(ANDS 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 BY LAWS GOVERNING THESE TRANSACTIONS. I 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 CLAY PARKS AND REC 5350/01 -- SHIP TOE INVOICE# 137378 1411 E. 116TH STREET CARNEL IN 46032 CUST P.O.# MAKE-MODEL ID# MILEAGE, TELEPHONE ROUTE SLM " SHIP VIA ORDER# PAGE REMARKS TRK#14 #14 43347 {317}571-4144 0 1 N/A 152055 1 IN OIC DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Ooeried by t5 t u 01/0412013 137378 NET 10TH 01/04/13 13:09:46 7 STOCK NUMBER SIZE DESCRIPTION DSIPPE_D PREY.SHIP' UNIT PRICE ORDERS SHHIPPE T F.E.T. EXTENSION . . REAR DRIVER TIRE REPAIR 16 lb° DISMOUNT & MOUNT PASSENGER 1 1 16.00 .00 16.00 REPO EACH IN81DE REPAIR ON VEHICLE 1 1 9.50 .00 9.50 ETHOD OF PAYMENT: 'HARC : 25.50 ,HMGE: .00 Purchase DescriptkM I_ P.O.it— M 000,3, � P F G.L.# 4-/I �13�io0o Line D�escr I; L- �'� 1 i �`� Purchas 1 Approval at 9 JAN 913 _ - -- Ttank you for your business Nech: Nike PARTS LABOR TAX% TAXABLE TAX F.E.T. misc. U INVOICE TOTAL AMOUNT AMOUNT Ll (r Ctr' ,.,. � f .i n," FT 25.50 25.5+ "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# Amount 1/4/13 137378 Tire repair M04 $ 25.50 Total $ 25.50 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$ $ 25.50 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 137378 4351000 $ 25.50 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 24-Jan 2013 A. 4'04'0 /`iv Signature $ 25.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w M (317) 844-4839 ' FE �Jational 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.1 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 BY LAWS GOVERNING THESE TRANSACTIONS. A finance charge of 1314%Per Month will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is 21%.(Minimum 75).RECEIVED BY SOLD TO.-, FIRE DEPT. 5900/01 SHIP TO INVOICES 137492 TWO CIVIC SQUARE CAR'£L IN 460:52 CLIST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS AQ 571-2609 0 1 N/A 152300 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER i1K 7 01116/2013 137492 NET IOTH 01/16/11-5 13:51:27 7 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION . .ORDERS SHIPPED.PREV.SHIP,. . PRICE r SWIRP TIRES FROM 1 TRUCV, TO ANOTHER CH EACH TIRE CHANGE 4 4 15.00 .00 60.00 'METHOD OF PAYMENI: ,HARGE: 60.N r _. I Tiank you for your business Nec Mike PARTS LABOR TAX°/dl 1;f raMOULTt TAX F.E.T. AMOUNT PLEASE ONVOICE TOTAL 60.00 00;120155-002-0 60.00 "You're Riding On Our Reputation" )rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) 137492 A40 $60.00 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. Clark Tire ALLOWED 20 IN SUM OF $ 622 South Rangeline Road Carmel, IN 46032 $60.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 I 137492 I 43-510.00 I $60.00 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 IAN 2 R Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund LARK 6220 S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, M 46032 4w (317) 844-4839 i RE mational PEA 1,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN PULL BY ME,THE SELLER SHALL RETAIN TITLE TO THIj GOODS HEREBY PUR�HASED 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 TH PAYMENTT 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 GE EQUAL TO TH COST 6 COLLECTION 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.!- SHIP T0,Nj: LARMEL POLICE DEPT. �;0Ui01 v IF ICE# 137505 THREE CIVIC SQUARE CARNET. IN 46032 CUST.P.O.# MAKE-MODEL ID# MILEAGE(31 j)TELEPHQNE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS 571—n, 0 0 1 NIA 1 2328 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator 0111812013 137505 NET 10TH 01/18/13 10:07:58 7 STOCK NUMBER SIZE DESCRIPTION QUANTITY, UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE _ SCRAP SCRAP TIRE 25 25 3.00 .00 75.00 ETHOD OF PAYMENT: HARLf: 75.00 E Tim you for your business PARTS LABOR TAX% AM�UfVT TAX F.E.T. MO AMOUNT PLEASE PINVOIGE T{OCTAL 75.QT. 75.00 "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)) 01/18/13 137505 25 scrap tires $75.00 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 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 137505 I 43-501.01 I $75.00 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 Thursday, January 24, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund "YOUARE RIDING ON OUR REPUTAT/ON" 6220 S• Rangeline Road LARK Carmel, IN 46032 RE (317) 844-4839 mational PENS IL I.THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ML',THE SELLER SHALL RETAIN TITLE TO�'HE GOODS HEREBY—P. / A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN THE EV ^ IF THIS ACCOUNT IS PLACED IN THE HANDS OF AN AGENCY OR ATTORNEY FOR COLLECTION OR LEGAL ACTION TO PAY AN ADDITIONAL JUARGE EQUAL 0 TH RC SAS FD COLLECTION SHALL HAVE AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAWS GOVERNING THESE TRANSACTIONS. OF DEFAULT !THM NT OF ANY AMOUNT DUE,AND INCLUDING 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 RE > CEIVED BY _ SOLD TO: 4 ARMEL POLICE DEPT. 600 0i01 SHIP TOLE ' THREE CIVIC 51aUAA-� VOICE# 137509 CARMEEL IN 46032 CUST.P.O.# MAKE-MODEL ID# MILEAGE(317)TELEPHONE ROUTE SLM SHIP VIA ORDER# PACE REMARKS 571-2500 0 5 N/A 152332 1 INVOICE DATE INVOICE PREVIOUS SHIPPED NUMBER INVOICE NUMBER TERMS 01/18/2013 137508 nn n tr NET 10TH 01118.13 11:21:45 8 STOCK NUMBER CRAP DESCRIPTION auAHrlrY uNlr ----- �P}+Y SCRAP TIRE - ORDERS SHIPPED PREY SHIP PRICE T F.E.T. EXTENSION ,�:�:`, •• 14 14 3.00 .00 4c^.00 IIETHOD OF PAYMENT: 'HARGE: 'HtuGE: 42.00 I i I l : I I zhk you tcr- your �uetne5s { PARTS LABOR TAX% TAXABLE AMOUNT TAX F.E.T. misc. 42.00 AMOUNT F -1NV©ICE!TOTAL 42.00 "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)) 01/18/13 137508 14 scrap tires $42.00 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 $42.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 137508 I 43-501.01 I $42.00 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 Frida uary 25, 2013 Chief of Police V Title Cost distribution ledger classification if claim paid motor vehicle highway fund