225784 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
``e p8p ONE CIVIC SQUARE CLARK TIRE INC
ry CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD CHECK AMOUNT: $50.86
CARMEL IN 46032 CHECK NUMBER: 225784
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 140010 14 . 86 OTHER EXPENSES
1110 4350101 140025 36 . 00 TRASH COLLECTION
622C S. Rangeline Road
"YOUARERIDING ON OUR REPUTATION" LARK Carmel, IN 46032
4w (317) 844-4839
RE
rational PEA 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 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 TOtARMEL POLICE DEPT. 6000/01 SHIP TO' INVOICE# 140025
THREE CIVIC SQUARE
CARMEL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE(317)1Ej_EP ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 0 1 N/A 157661 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
10/23/2013 140025 NET 10TH 10/23/13 11:14:31 7
STOCK NUMBER SIZE DESCRIPTION
QUANTITY UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE _
RAP SCRAP TIRE 12 12 in .00 36.N
ETHOD OF PAYMENT:
,ARSE: 36.00
,HAN6'E:
r
I
Tiank you for your business
PARTS LABOR TAX% ATAXABLE MOUNT TAX F.E.T. Arno NT INV4)ICE OTAL
36,00 36.00
"You're Riding On Our Reputation"
I
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))
10/23/13 140025 scrap tires $36.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Tire
IN SUM OF $
622 C South Rangeline Road
Carmel, IN 46032
$36.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1110 ' 140025 I 43-501.01 I $36.00 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, October 31, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r,
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, IN 46032
_r4a (317) 844-4839
ati®nal Q
PENS IL
1,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIML AST[IIS ACCOUNT IS PAID IN FULL BY MG TI IE SELLER SHALL RETAIN TrrLE TO THE GOODS HEREBY PURCHASED AND SELLER SMALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL NIY 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 13/40,/o Per Montt will be charged on all Accounts 30 days Past Due.Annual Percentage Rate is''-1°6.(Minimum 75) RECEIVED BY
SOLD TO.;,ARMEL UTILITIES 6100/01 SHIP Tq yE INVOICE(# '140010
760 3RD AVE SW
CAR?4EL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
(317)571-2634 0 1 N/A 157627 1
INVOICE DATE, INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER i a
r .
10/21/2013 140010 NET 10TH 10/21/13 16:43:50 8
STOCK NUMBER SIZE DESCRIPTION QUANTITY UNIT T
RE.SHIP F.E.T. EXTENSION
ORDERS SHIPPED P PRICE -
1830 640 9 COOPER TUBE TR-87 STEM I 1 14186 02 .00 14.86
ETFiOD OF PAYMENT:
CHARGE: 14186
CHANGE: .00
OCT 29 2013
ay
®,.
7 5oa. o Z",
7q'ad you For your ties
LABOR TAXABLE— F.E.T. MISC. T -
AMOUNT AMOUNT
14.86 14.86
"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
060700
CLARK TIRE CARMEL Purchase Order No.
622C S. Rangeline Road Terms
Carmel, IN 46032 Due Date 10/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/201: 140010 $14.86
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
VOUCHER # 136702 WARRANT # ALLOWED
060700 IN SUM OF $
CLARK TIRE CARMEL
622C S. Rangeline Road
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
140010 01-7500-02 $14.86
Voucher Total $14.86
Cost distribution ledger classification if
claim paid under vehicle highway fund