189780 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351221 Page 1 of 1
ONE CIVIC SQUARE FISHERS TIRE SERVICE
CARMEL, INDIANA 46032 7285 E 116TH ST CHECK AMOUNT: $409.64
FISHERS IN 46038 CHECK NUMBER: 189780
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 169834 337.88 OTHER EXPENSES
651 5023990 169866 71.76 TRANSPORTATION EXPENS
F ISHERS TIRE E� SVC =MC
7285 EAST 116TH ST
FISHERS, IN 46038
(317)577 -0111 C.00p%
11 MVO I C FE 08/30/10 08/31/10 ,mr l►
169834 03:27 PM 04:58 PM
5625- 026236- 169834 TERR: 5625
PAGE: 01 COPY: 01 NONSIG: 905625
BILL TO: CARMEL WASTE WATER TREATMENT
JEFF COOPER
760 3RD AVE.S.W
110
CARMEL, IN 46032
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE. 01 CHEVROLET
PHONE 2....... VEHICLE MODEL. IMPALA
DATE REQUESTED 08/30/10 VEHICLE COLOR. TAN
TIME REQUESTED LICENSE /STATE. 74799 IN
RETURN PARTS.. NO ODOMETR IN /OUT 098385 98385
SALESMAN...... 025 025 VEHICLE ID 2G1WF52KXY9299205
PRIOR INVOICE. 150313 P 0 NUMBER.... JOE FAUCETT
ACCOUNT COB TC CUST# TYPE /STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
006 402 -314 -073 -0 G 4 P225/66R16 97S S1 INTEGRITY B03RPTL 71.47 .00 285.88
GS NUMBER, G1030929
025 055 047 -100 R 4 MOUNT AND BALANCE TIRES .00 12.50 50.00
025 025 093 -502 R 1 HAZARDOUS WASTE DISPOSAL 00 .00 .00
VISIT OUR WEB SITE: WWW.TIRECENTRALANDSERVICE.COM/ MANAGER:HENRY TILFCRD ASSISTANT MANAGER: TONY NOLTE
COME IN AND MEET YOUR NEW MANAGEMENT TEAM, HENRY AND TONY WE ARE VERY HAPPYTO SERVE YOU. HAVE A GOOD DAY.
COME IN AND MEET YOUR NEW MANAGEMENT TEAM.HENRY AND TONY WE ARE HAPPY TO SERVE YOU. HAVE A GOOD DAY.
ok -ujl
PARTS TOTAL........ 285.88
LABOR TOTAL....... 50.00
MISC SHOP SUPPLIES. 2.00
CHARGED AMOUNT 337.88 SUB TOTAL...... 337.88
x- TAXABLE AMOUNT .00 SALES TAX.......... .00
T ER AU ORIZATION FOR TOTAL I N VO I C E T O T^ L. 3 3 7 8$
T AD /F..... 7/32 TREAD R /F..... 7132 TREAD R /R..... 7/32 TREAD L /R..... 7132
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 10/10/10 DISCOUNT...... *NET*
SEE REVERSE S I D IP O SAF ETY
W A R N I N G AND Pleas lu yo opi on es u�IS'2syoll F O R Y� Y r1 T 1 O N
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE 1-800 -321 -2136
A
FISHERS TIRE S\/C INC
7285 EAST 116TH ST
FISHERS, IN 46038 E
�j0��%
(317) 577 -0111
I N\/O I C E 09/01/10 09/01/10
7 69$66 07:25 AM 07:25 AM
TERR: 5625
PAGE: 01 COPY: 01 NONSIG: 905625
BILL TO: CARMEL WASTE WATER TREATMENT
JEFF COOPER
760 3RD AVE.S.W
110
CARMEL, IN 46032
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE. 01 CHEVROLET
PHONE 2....... VEHICLE MODEL. IMPALA
DATE REQUESTED 09/01/10 VEHICLE COLOR. TAN
TIME REQUESTED LICENSE /STATE. 74799 IN
RETURN PARTS.. NO ODOMETR IN /OUT 98385 98385
SALESMAN...... 025 025 VEHICLE ID 2G1WF52KXY9299205
PRIOR INVOICE. 169834
ACCOUNT COB TC CUST# TYPE /STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
025 055 078 -162 R 1 COMPUTERIZED 4 WHL ALIGN (INCL REAR ADJ) .00 79.00 79.00
025 055 047 -100 R 1- TOC DISCOUNT .00 10.00 10.00-
025 055 093 -502 R 1 HAZARDOUS WASTE DISPOSAL .00 .00 .00
VISIT OUR WEB SITE: WWW.TIRECENTRALANDSERVICE.COM/ MANAGER:HENRY TILFORD ASSISTANT MANAGER: TONY NOLTE
COME IN AND MEET YOUR NEW MANAGEMENT TEAM, HENRY AND TONY WE ARE VERY HAPPYTO SERVE YOU. HAVE A GOOD DAY.
COME IN AND MEET YOUR NEW MANAGEMENT TEAM.HENRY AND TONY WE ARE HAPPY TO SERVE YOU. HAVE A GOOD DAY.
SEP 01 2010
BY
PARTS TOTAL........ .00
LABOR TOTAL........ 69.00
MISC SHOP SUPPLIES. 2.76
CHARGED AMOUNT 71.76 SUB TOTAL.......... 71.76
X /PLAN TAXABLE AMOUNT .00 SALES TAX.......... .00
RI ION FOR TOTAL N V O I C E I O T A L �7 1_ 7 6
BU OF PAYMENTS. 1 PAY START DATE 10 /10 /10 DISCOUNT...... *NET*
SEE REVERSE SIDE FOR IMPOF2TANT SAFETY
WARN I P4 C' AND WA�2RAN�1 I N F OF2MAT ON
A A U TI R R LEM9
Please tell our store manager. We value your opinion as much as your
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE 1- 800 321 -2136
VOUCHER 106142 WARRANT ALLOWED
3;;1221 IN SUM OF
FISHERS TIRE SERVICE
7285 E. 116th Street
Fishers, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
169834 01- 7502 -06 8337.88
I bq��b 0 71.76
Voucher Total
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
351221
FISHERS TIRE SERVICE Purchase Order No.
7285 E. 116th Street Terms
Fishers, IN 46038 Due Date 9/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/2010 169834 $337.88
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 #er