HomeMy WebLinkAbout187464 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 363306 Page 1 of 1
0 ONE CIVIC SQUARE TRIPLE S OF INDY INC CHECK AMOUNT: $592.42
CARMEL, INDIANA 46032 405 S 9TH ST
ELWOOD IN 46036 CHECK NUMBER: 187464
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
2201 4232000 9285 592.42 TIRES TUBES
Printed: 6/28/2010 7:40:55 AM INVOICE Sales Receipt #9285
More. IN
6/23/2010
Cashier: Dean
Page 1
Copy
TRIPLE S TIRE INDIANAPOLIS
405 So. 9th Street
ELWOOD, IN 46036
(765) 552 -5765
FAX: (765) 552 -5761
REMIT PAYMENT ABOVE
Bill To:
Carmel Street Dept,
3400 W 131 ST
Westfield, IN 46074
Description 1 Description 2 Ply Size Qty Price Ext Priceray
SERVICE CALL TRAVEL AND HOURLY FEES 1 $160.00 $160.00
17.5 -25, used tire #10278 17.5 -25 1 $225.00 $225.00 T
Labor retail Mt1DisMt,Repair,OnlOf€,Inspect 1 $75.00 $75.00
SEALER SEALER PER GALLON 2 $29.96 $59.92 T
DISPOSAL FEE JUNK TIRE 1 $72.50 $72.50
Subtotal: $592.42
Exempt 0 Tax: +$0.00
Ship 6/23/2010 514678 Shipping:
RECEIPT TOTAL: $592.42
Account: $592.42
Signature
Previous Account Balance: $0.00
SWO# 514678
EQ# 559807
MAKE. JD 544G
HRS: 5439
REPLACE LF ON LOADER
PLEASE PAY FROM THIS INVOICE SALES RECEIPT, TERMS NET 30
WITH BILLING QUESTIONS CALL 765 552 -5765 THANK YOU
1 111111 IIIII IIIII VIII VIII Ills ill!
9285
VOUCHER NO. WARRANT NO.
ALLOWED 20
Triple S. of Indy, Inc.
IN SUM OF
405 S. 9th Street
Elwood, IN 46036
$592.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 9285 42- 320.00 $592.42 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
r j Thur?d July 01, 2010
Vti Street Commissioner
r
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))
06/23/10 9285 $592.42
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