HomeMy WebLinkAbout186485 06/09/2010 a CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $600.04
NOBLESVILLE IN 46060
CHECK NUMBER: 186485
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09251 107007 600.04 TIRES
R 8'a T TYRE a AL,.1T0 NOBL_ESVIL_L_F-
1701 6 CLOVER ROAD
NOBLESVILLE, IN 46060
(3 17) 773 3130 F �6o
FEDERAL TAX I 351145753
Y1ili/?YCI� 05/19/10 05/19/10
N TC]OT 01:31 PM 01:31 PM
TERR: 7617
PAGE: 01 NONSIG: 197505
BILL TO: CARMEL WATER DISTRIBUTION (E09)
3450 WEST 131ST ST
WESTFIELD, IN 46074 -6267 �y
PHONE 1........ (317)716 -3939 EXT. VEH YEATZ /MAKE.
PRONE 2....... VEHICLE MODEL.
DATE REQUESTED 05/19/10 VEHICLE COLOR. V\J
TIME REQUESTED LICENSE/STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 005 005 PRIOR INVOICE. 107006
P O NUMBER.... TRUCK #27
ACCOUNT 0 COB TC CUSTO TYPE /STATE
/61104158 4 01 04158 3 IN
SI�SM TECH PRODUCT COOE BC OTY DESCRIPTION PARTS BR /EXCISE LINE TOTAL
005 179- 696.217.0 R 4 LT265/70R11 12111185 E WRL SR -A BSLTL 149.76 .00 599.Oo
OTY, a NO. MKAHHSDViO10
THANK YOU FOR CHOOSING R&T TIRE 6 AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUGH FRIOAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY
**SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE
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PARTS TOTAL........ 599.04
CHARGED AMOUNT 600.04 LABOR TOTAL........ .00
STATE TIRE FEE 1.00 SUB TOTAL.......... 599.04
X---- TAXABLE AMOUNT 00 SALES TAX.......... .00
CUSTOMER AUTHORIZA71ON FOR TOTAL a N V O Y C E TO TA L =45 04
BUYING PLAN... A OF PAYMENT$. I PAY START DATE 06/10/10 DISCOUNT...... *NET*
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CUSTOMER ASSISTANCE LINE 1.800.321 2136
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VOUCHER 101760 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto- NOBLESVILLE
17016 Clover Rd.
Noblesville, IN 46060
.4
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
'S` 107007 01- 6500 -04 $600.04
Voucher Total $600.04
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350983
R T Tire Auto- NOBLESVILLE Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 611!2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 107007 $600.04
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