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Home My WebLink About223433 08/27/2013 ±,f CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1 0 ONE CIVIC SQUARE CLARK TIRE INC ?' CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $427.60 CARMEL IN 46032 CHECK NUMBER: 223433 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 139295 310 . 15 AUTO REPAIR & MAINTEN 601 5023990 139378 89 . 95 OTHER EXPENSES 1120 4351000 139440 27 . 50 AUTO REPAIR & MAINTEN LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w (317) 844-4839 i RE rational PEA I� 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 LA%VS 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 B V SOLD TO:CARKEL WATER DISTRIBUTION 6.300/01 SHIP TOSAME INVOICE# 139378 3450 W. 1331ST ST. (^ CARMEL IN 46074 '' J CUST.P.O.# MAKE-MOD U,#72 MILEAGE TEbE hJ NE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS TRK #72 34218 716-3939 0 1 N/A 156256 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator # 7 @.8/14/2013 139378 NET 10TH 08/14/13 15:37:43 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE AL5 EACH LARGE TRUCK ALIGNMENT 1 1 89.95 .00 89.95 METHOD OF PAYMENT: CHARGE: 89.95 CHANGE: .00 I 7� ank you for your business Mech: Doug PARTS LABOR TAX% TAXABLE TAX F.E.T. gmisc. VOICE T L- 89.95 89.95 "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 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 8/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/19/2013 139378 $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 /L'3/3 Date Officer I VOUCHER # 132458 WARRANT # I ALLOWED 60700 i IN SUM OF $ CLARK TIRE INC CARMEL 622 C SOUTH RANGELINE RD CARMEL, IN 46032 i Carmel Water Utility ' ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 139378 01-6500-05 $89.95 Voucher Total $89.95 Cost distribution ledger classification if claim paid under vehicle highway fund LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 (317) 844-4839 4w ri RE t atio 1a0 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 EV�OF AULT I THE P AYMENT OF NY 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 UAL T THE COSTDF LECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PEP N41TTED 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) Imo'CEI VE D B f SOLD TO: SHIP TO: CARMEL FIRE DEPT. 5900/01 SANE INVOICE# 139295 TWO CIVIC SQUARE CARMEL IN 46032 COST.P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SUM SHIP VIA ORDER# PAGE REMARKS 571-2600 I #4312 #4312 34411 571-2609 0 5 N/A 156091 1 INVOICE DATE INVOICE P US SHIPPED TERMS NUMBER INVOICE NUMBER Opened by Operator # 8 08/061201.1 139 NET 1M @A/0603 e07.201 STOCK NUMBER SIZE DESCRIPTION QUANTITY- T F.E.T. EXTENSION ORDERS SHIPPED PREV SHIP PRICE CHANGE OUT TIRE AL2 EACH PASSENGER 4 WHEEL ALIGNMENT 1 1 89.95 .00 89.95 16 16° DISMOUNT & MOUNT PASSENGER 8 8 16.00 .00 128.00 WBP EACH WHEEL BALANCE PASSENGER 4 4 12.00 .00 48.00 PACKAGE: 5W20 LUKE OIL FILTER 44.20 IL6 QUART PENNZOIL 5W20 7 7 FIL EACH OIL FILTER 1 1 SRI TUBE TUBE GREASE 1 1 CKAF CHECK,ALL FLUID LEVELS 1 1 IS DISPOSAL.'FEE' 1 1 THOD OF PAYMENT: E 310.15 CF GE: BoUg T t PAR A R' TAX% TAXABLE TAX F.E.T. misc. INVOICE TOTAL AMOUNT AMOUNT Cu toner Resale N). EASE PAY THIS AMOUNT 310.15 0 '120155-002-0 310.15. "You're Riding On Our Reputation" LARK 622C S. Rangeline Road "YOU ARE RIDING ON OUR REPUTATION" Carmel, IN 46032 4w (317) 844-4839 ri RE ationai PE,NZ " 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 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:A� FIRE DEPT. 5900/01 SHIP T5ANE INVOICE# 139448 TWO CIVIC SQUARE CARMlEL IN 46832 CUST.P.O.# MAKE-MODEL ID# MILEAGE E _ FI NE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS TRK#4507. #4587 44324 571-2689 8 5 N/A 156389 1 INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS NUMBER INVOICE NUMBER i �y UP01ru Uy U131:1 CL R 88/28/2813 139448 NET 18TH 88/28/13 14:56:22 8 STOCK NUMBER SIZE DESCRIPTION QUANTITY" UNIT T F.E.T. EXTENSION ORDERS SHIPPED PREV.SHIP PRICE LEFT REAR TIRE REPAIR REPO EACH INSIDE REPAIR ON VEHICLE 1 1 9.50 .00 9.58 17 17118" DISMOUNT & NOUNT PASSENGER 1 1 18.80 .00 18,00 METHOD OF PAYMENT: CHARGE: 27,50 CHANGE. .00 I � 3 Z C an• you for your business Mech, 0oug PARTS LABOR TAX°a ATAXABLE s TAX F.E.T. AMOUNT Il ,E ,IT�A 27.50 003120155—M-0 27.50 "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)) 139295 8037 $310.15 139440 6240 $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 VOUCHER NO. WARRANT NO. ALLOWED 20 Clark Tire IN SUM OF $ 622 South Rangeline Road Carmel, IN 46032 $337.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 139295 43-510.00 $310.15 1 hereby certify that the attached invoice(s), or 1120 139440 43-510.00 $27.50 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 AUG 262013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund