222883 08/13/2013 *.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: $195.45
CARMEL IN 46032
«o � CHECK NUMBER: 222883
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 138742 89 . 95 OTHER EXPENSES
1120 4351000 139258 27 . 50 AUTO REPAIR & MAINTEN
1110 4350101 139324 78 . 00 TRASH COLLECTION
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" CCUARM Carmel, IN 46032
4w (317) 844-4839
11KE
rational PEA I)
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 TO: SHIP TO:
CARMEL POLICE DEPT. 6000/01 SANE INVOICED 139324
THREE CIVIC SQUARE
CARNEL IN 46032
CLIST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
{317)571-2580
571-2500 0 N/A 156157 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Opera}dr 1# 8
08/09/2013 139324 NET 10TH 08109/13 09:55:07 8
STOCK NUMBER SIZE, ,- DESCRIPTION -
QUANTITY UNIT T F.E.T. EXTENSION
.... ORDERS SHIPPED PREY.SHIP'
RAP SCRAP TIRE 26 26 3.00 .00 78.00
METHOD OF PAYMENT:
CHARGE: 78.00
CHANGE: .00
z
I
ank you for your business_
PARTS LABOR TAX% TAXABLE TAX F.E.T. misc. INVOICE TOTAL
AMOUNT - AMOUNT
PLEASE PAY THIS AMOUNT
78.00 78.00
"You're Riding On Our Reputation"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 C South Rangeline Road
Carmel, IN 46032
$78.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 139324 43-501.01 $78.00
I hereby certify that the attached invoice(s), or
I I
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, August 09, 2013
1.c
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))
08/09/13 139324 26 scrap tires $78.00
I 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
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" ,ARK Carmel, IN 46032
4X (317) 844-4839
11RE
latronal PEN.NN9.
I.TIIE UNDERSIGNED,HEREBYAGREL UNTIL SUCH TIME AS THIS ACCOUNT TS PAID IN FULL BY AIL•,THE SELLER SHALL RL-'FAR:TLTLF TOTHF GOODS HERLiUY PURCII,SFD AND SL•LLF.R SHALL HAVC
A SECURITY INTEREST IN SAID GOODS TO SEC.'RE THE PAYMENT UNTIL MY ACCOUNT IS I�CLLY PAID.I FURTHEKAGREBT'HAT IV'TITE EVENT OF DEFAULT IN THE PAYb.RNT Of ANY AMOUNT DUE.AND
IF TT IIS ACCOUNT IS PLACED IN THE I(ANDS OF AN AGF_KCY OKATTORNI:Y FOR COLLECTION OR LHGAL ACTION TO PAY AN ADDITIONAL CHARGE L••QUAL TO THE COST OF COLLCCTIU.N INCLUDING
AGENCY AND ATTORNEY FEES AND COURT COSTS INCURREDAND PERM ITTF.D BY LAWS GOVERNING THESE TRAKSA=ONS.
.4 finance chars:of I irs7.Pef z1onA�will be charge)on all AccnunLS;II daye Pnst Uuc.Annual PereenuEC RR�e ix 21".'.(hl6umum 751 RECEIVED BY
SOLO TO: SHIP TO:
CAMEL 141TER DISTRIBUTION 5300/91 SAME INVOICE# 138742
3450 W. 131ST ST. .
CARNET. IN 46074
CUST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SL.M SHIP VIA ORDER# PAGE REMARKS
733-2853
ik5 . 178265 716-3939 0 1 NIA 154978 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
—.._�...—.—_. — -- - Opened by Operator # 7 _
OG/1112013 138742 NET 10TH 06/11/13 14:53:12_ 7
STOCKNUMBER SIZE _ DESCRIPTION QUF H-IPPE O SNIP PuN T F.E.T. EX'ENSION
_ ORCEftS S PPE PR=V �ICE
AL3 EACH LISHT TRUCK ALIC4KNT 1 1 89.95 .00 89.95
METHOD OF PAYMENT:
CHARGE- 89.95
DfANK: .00
Lou anikfILyour business _ __ ._ _ _ ____Mech: BiIII
YAXAA�LE MI�C..-
PARTS LABOR TAX% TAX F.E.T. AMOUNT _INVOICE TOTAL
AMOUNT _ — - -
P ASE PAY THIS AMOUNT
B9.95 —_� 89.95
"You're Riding On Our Reputation" .
VOUCHER # 132348 WARRANT # ALLOWED
60700 IN SUM OF $
CLARK TIRE INC CARMEL
622 C SOUTH RANGELINE RD
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
138742 01-6500-05 $89.95
Voucher Total $89.95
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
60700
CLARK TIRE INC CARMEL Purchase Order No.
622 C SOUTH RANGELINE RD Terms
CARMEL, IN 46032 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 138742 $89.95
I 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
Date Officer
622C S. Rangeline Road
"YOU ARE"RIDING ON OUR REPUTATION" cc R Carmel, IN 46032
4w (317) 844-4839
aticnal 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 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 l3/4%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 Taw INVOICE# 139258
T140 CIVIC SQUARE
CARMEL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE TEL P ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
#4311 28120 571-2609 0 1 N/A 156021 1
INVOICE DATE' INVOICE PREVIOUS SHIPPED TERMS,
NUMBER INVOICE NUMBER
08/02/2013 139258 NET 10TH 08/02/13 09:04:41 7
. SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION
STOCK NUMBER
ORDERS SHIPPED PREV.SHIP, PRICE-
REPAIR LEFT FRONT
REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.50
17 17/18° DISMOUNT & MOUNT PASSENGER 1 1 18.00 .00 18.00
METHOD OF PAYMENT:
CHARGE: 27.50
CHANGE: .00
LQ
:
:
�V
T iank you tar you busin# Win: Hark C
PARTS LABOR TAX% pTA BLE TAX F.E.T. AMOUNT PLE Ply,V' 'E u i JWIP 27.50 001120155-002-0 27.50
"You're Riding On Our Reputation"
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#lrlTLE AMOUNT Board Members
1120 I 139258 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
Fire Chief
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))
139258 VIN 8038 $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
20
Clerk-Treasurer