242099 02/10/15 CITY OF CARMEL, INDIANA VENDOR: 366044
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC CHECK AMOUNT: $'""'""354.39'
CARMEL, INDIANA 46032 7285 E 116TH ST CHECK NUMBER: 242099
FISHERS IN 46038 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 502251 354.39 OTHER EXPENSES
TitRE= ENTRAL
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�'V. AND SERVICE Tire Central and service
�' 7285 E. 116th Street PAGE 1
COMPLETE TIRE &AUTOMOTIVE SERVICE FISHERS,IN 46038
GOOD YEAR (317)577-0111
Create Date: 09/24/13 07:35:10
Customer ID: 5625002567 Year: Date/Time: 09/24/13 11:11:08
Name: CARMEL WASTE WATER TREATMENT Make: Workorder#: 504264
Address: 760 THIRD AVE SW Model: Invoice#: 502251
Address 2: SUITE 110 Lic No:
City,State,Zip Code: CARMEL,IN,46032 VIN: Email Address:
Home Phone: (317)571-2634 Color: PO Number: P.O.#S13725
Work Phone: (317)571-2636 Engine: FleettWholesale: Y
Other Phone: Q- Mileage In: 0
Tax Exempt* Mileage Out: 0
Salesperson:A.NOLTE
Service comments:
RO.#S13725 PER JEFF COOPER - -
TIRE PRESSURE:LF RF LR RR SPARE
TREAD DEPTH:LF /32 RF /32 LR /32 RR /32 SPARE /32
Qty. Part# RFR Loc Description Parts Labor Total
OTHER TIRES-MISC ALL
4 OP/*5111011 20/10.00X8 2PLY CARL TURFSAVER 63.61 0.00 254.44
MOUNT ON LOOSE RIMS
P.O.JEFF COOPER
TOTAL OTHER TIRES-MISC ALL: 254.44
BATTERIES
1 65PS A/C DELCO BATTERY 65RPS 99.95 0.00 99.95
BATTERY WAS CARRY OUT
TOTAL BATTERIES: 99.95
***Customer Wishes To Discard Old Parts ***
REQUIREMENTS
P.O.NUMBER RO.#S13725 GS/AN#1 G0002623
Remit To:Tire Central and Service
7285 E.116th Street
Fishers,IN 46038
Invoice Comments: - -- - - -
Customer is over credit limit,but within allowable percentage.
Thanks for coming in. PAY AMOUNT PARTS TOTAL 354.39
Check us out on the web @ HOUSE 354.39 SALES TAX 0.00
TireCentralAndService.com LABOR TOTAL 0.00
TECH: GRAND TOTAL 354.39
Customer Signature:
X
THIS IS A HISTORY REPRINT (Reprinted:02/05/15 09:18:23)
VOUCHER # 146651 WARRANT # ALLOWED
366044 IN SUM OF $
TIRE CENTRAL AND SERVICE
7285 E.116TH STREET
FISHERS, IN 46038
;l
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
502251 01-7502-06 $354.39
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Voucher Total $354.39
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
366044
TIRE CENTRAL AND SERVICE Purchase Order No.
7285 E.116TH STREET Terms
FISHERS, IN 46038 Due Date 2/4/2015
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Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
2/4/2015 502251 I $354.39
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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
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Date Officer