226267 11/19/2013 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: $365.20
CARMEL IN 46032 CHECK NUMBER: 226267
<TON O
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 140052 15 . 00 AUTO REPAIR & MAINTEN
601 5023990 140111 296 .20 OTHER EXPENSES
1110 4350101 140242 54 . 00 TRASH COLLECTION
LARK 622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" Carmel,IN 46032
4w = (317) 844-4839
r, RE
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 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 TOtARMEL POLICE DEPT. (,,000101 SHIP TOti \ INVOICE# 140242
THREE CIVIC SWARE
CARMEL IN 46032
CUST P.O.# MAKE-MODEL ID# MILEAGE �TELEP ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
571-2500 0 1 NIA 158125 1
I
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER Opened by Operator # 7
11/15/2013 140'242 NET 10TH 11/15/13 08045:20 7
STOCK NUMBER SIZE DESCRIPTION - -°UANTITY - UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREV.SHIP PRICE
LRAP SCRAP TIRE 18 18 3.00 .00 54.W
R OF PAYMENT:
GE: 54.00
SE: .00
it
ank you for your business
TAXABLE misc.LABOR TAX% TAX F.E.T. AO T V M E OT -
54.00 54.00
"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))
11/15/13 140242 18 scrap tires $54.00
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
$54.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1110 140242 43-501.01 $54.00
I hereby certify that the attached invoice(s), or
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, November 15, 2013
X�
Chief of Police
\ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Rangeline Read
622C 5 e1,IN 4603
AR�K � Cann(;li) 844-4839
622C S. Rangellne Road
RIDING ON OUR REPUTATION" Carmel, IN 46032
(317) 844-4$39
a�/®IIW/ PENS IL
I.THE L�ZDERSIONED,HEREBY AGREE UNTIL SL('I I'I'(M1tE AS PHIS ACCOUNT IS PAID IN FELL BY ME,TI IE SELU It SHALL RE FA IN TITLE TO THE GOODS III;REB\"PURC-HASHU ieNU SELLER SHALL HAVE
A SECC RTP,-INThTVPST IN SAID GOODC TO SEC LRE THE PAYMEN"I'UNTIL My ACCOUNT IS FULLY PAID.I FURTHER AGREE THAT IN TILE E`.'LNT GF DCFAL IT IN 1I1 t PAYNI ENT OF ANl AMOUNT DUE,AND
IF THIS_'CCOI:\T IS PLACED IN TILE LANDS OFANAUENCY OR A I-TORNE}FOR COLLECT ION OR__CG A I,ACTION 1'0 MYANADDITIONALCIL ARGE EQUAL TO TI I E COST OT COLLECTION TNCLUDTNG
AGE\C1'.\NDAI'I'OItN=Y FEES AND COURT COSTS INCURRLDAND PERMITTED 3}LAWS GOVERNING THESE IRAVSACTIONS
A fi...,charge of I3'4"o P°,M°nch xiil days P.I,I r—Annual PeRO _g R;,3155.IM1lin.mum iS. RECEIVED BY
SOLD TOCARMEL FIRE DEPT. 5300101 SHIP T%E INVOICE# 140052
TWO CIVIC SQUARE
CARMEL IN 46032
CAST.P.O.# MAKE-MODEL ID# MILEAGE E ROUTE SLM SHIP VIA CRDER# PAGE REMARKS
571-2609 0 1 N/A 157709 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
10/25/2013 140052 NET LOTH 10/25/13 08:40:43 7
STOCK NUMBER SIZE DESCRIPTION "aunivrirY"'-�— umT T F.E.T. EXTENSION
,RDER_S SHIPPED-3=V SHIP PRICE
SCRAP SCRAP TIRE 5 5 3.4'0 .00 15.x0
METHOD OF PAYMENT:
CHARGE: 15.00
CHANGE: .00
I
i
n
,1 I
I a�j
------- — r —--
Tank Y ou far your business ''U'! V �� I
TAXABLEu—
PARTS LABOR AX TAX oae�l le N , TAX_ EE.T. AMOUNT n�Tn V�
i
i5:@0 003120155-002-0 15.00
1 I
"You're Riding On Cur Reputation"
L'd L999bb8L L£ aa!1�Jejo
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))
140052 $15.00
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 South Rangeline Road
Carmel, IN 46032
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 140052 I 43-510.00 I $15.00 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
NOV 19
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
622C S. Rangelme Road
"YOU ARE RIDING ON OUR REPUTATION" CCIAARK Carmel IN 46032
4w (317) 844-4839
iFE
1 atio al 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 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 TOCARMEL WATER.DISTRIBUTION 6300/01 SHIP T91� INUt1IC't# 146111
3450 W. 131ST ST,
CARMEL IN 46074
I.
CUST. P.O.# MAKE-MODEL ID# MILEAGE fi ONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS
#70 34314 716-3939 0 1 N/A 157835 1
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Operator # 7
10/31/2013 140111 NET 10TH, 10/31/13 18:59:48 8
STOCK NUMBER SIZE, DESCRIPTION QUANTITY - UNIT T F.E.T. EXTENSION
ORDERS SHIPPED PREY.SHIP PRICE a
INSTALL TIE ROD ENDS & ALIGN
LABOR HOUR SHOP LABOR 1.70 1.70 87.50 . .00 148.75
LS EACH LARGE TRUCK ALIGNMENT 1 1 125.95 .00 125.95
SHOP SUPPLIES _ 1 1 6.50 .00 6.50
6R1 TUBE TUBE GREASE 1 1 15.0A" 02 .00 15.00
AETHOD OF PAYMENT:
RGE: 296.20
'T�ank yQU or your bueines Mech: Mark C
l TAXABLE TAX F.E.T. Misc. I V ICE TA
PARTS LABOR TAX% AMOUNT .+ - AMOUNT
147.45 148.75 296.20
"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 11/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/9/2013 140111 $296.20
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
Date Officer
VOUCHER # 133304 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
140111 01-6500-05 $296.20
Voucher Total $296.20
Cost distribution ledger classification if
claim paid under vehicle highway fund