HomeMy WebLinkAbout227687 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 060700 Page 1 of 1
ONE CIVIC SQUARE CLARK TIRE INC
0 CHECK AMOUNT: $51.00
CARMEL, INDIANA 46032 622 C SOUTH RANGELINE RD
y,oN�oCARMEL IN 46032 CHECK NUMBER: 227687
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 140558 51 . 00 TRASH COLLECTION
622C S. Rangeline Road
"YOU ARE RIDING ON OUR REPUTATION" LARK Carmel, M 46032
4w FIFE (317) 844-4839
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I,THE UNDERSIGNED,HEREBY AGREE UNTIL SUCH TIME AS THIS ACCOUNT IS PAID IN FULL BY ME,THE SELLER SHALL RETAIN TITLE TOHE GOODS HEREBY PURCII ED AND SELLER SHALL HAVE
A SECURITY INTEREST IN SAID GOODS TO SECURE THE PAYMENT UNTIL MY ACCOUNT IS FULLY PAID.1 FURTHER AGREE THAT IN THE EV.�yi`T OF DEFAU H AY(H)NT 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 HARGE EQ L TO T T F 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 BV
1 /
SOLD TOtiARMEL POLICE DEPT. 6000/01 SHIP TO U INVOICE# 140558
THREE CIVIC ARE
CARMEL IN 46032
:
OUST. P.O.# MAKE-MODEL 1D# MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# EMARKS
571-2500 0 5 N/A 158764 1I
INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS
NUMBER INVOICE NUMBER
Opened by Ope
12/19/2013 140558 NET 10TH 12/19/13 11:24:32 8
STOCK NUMBER SIZE DESCRIPTION O_.. QUANTITY_ UNIT " T F.E.T. EXTENSION
RDERS SHIPPED PREV.SHIP PRICE _:
RAP SCRAP TIRE 17 17 3.00 .00 51.00
4ETHOD OF PAYMENT:
RGE: 51.00
ANGE: .00
i
It
Bank you for your business I t
PARTS LABOR TAX% - AMounLir TAX . F:E.T. AMOUNT D D
',,V%I OTAL•
5f.00 51.00
1
"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
$51.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I 140558 I 43-501.01 $51.00
I 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
Friday, January 03, 2014
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))
140558 scrap tires $51.00
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