HomeMy WebLinkAbout220561 06/04/2013 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: $31.00
CARMEL IN 46032 CHECK NUMBER: 220561
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 138548 31 . 00 AUTO REPAIR & MAINTEN
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032
4" (317) 844-4839
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AN ational PENS IL
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 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 TOtA ENGINEERING DEPT. 5850/01 SHIP TO INVOICE# 138548
ONE CIVIC SQUARE
CARMEL IN 46032
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
El 571-2441 0 1 N/A 154588 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER 7
05/22/2013 138548 NET 10TH 05/22/13 11:29:37 8
STOCK NUMBER SIZE DESCRIPTION ORDERS SHIPPED PREY.SHIP PRICE T F.E.T. EXTENSION
REPAIR THE LEFT FRONT
REP EACH INSIDE TIRE REPAIR 2 2 7.50 .00 15.00
16 16" DISMOUNT MOUNT PASSENGER 1 1 16.00 .00 16,00
THOD OF PAYMENT:
RGE: 31.00
GE: .00 .
Ink you for your business ec : Bill
PARTS LABOR TAX% AMOUNT TAX F.E.T. AMO NT PLEASE P. VP11:94 ITT4
31.00 31.00
"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
Clark Tire Purchase Order No.
622C S. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
5/22/2013 138548 tire repair E1 $ 31.00
Total $ 31.00
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
II
VOUCHER NC WARRANT NO.
Clark Tire ALLOWED 20
622C S. Rangeline Road IN SUM OF $
Carmel, IN 46032
$ 31.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 138548 2200-4351000 $ 31.00 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
a2,q'—/ 6/3/201
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund