192930 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00353006 Page 1 of 1
10� ONE CIVIC SQUARE TIRES PLUS CHECK AMOUNT: $484.88
CARMEL, INDIANA 46032 PO BOX 403726
ATLANTA GA 30384 -3726 CHECK NUMBER: 192930
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 61664 484.88 TIRES TUBES
877- 545 -1282 12/9/2010 3:08:21 PM PAGE 3/003 Fax Server
TIRES PLUS TOTAL CAR CARE
Customer Invoice CARMEL Service Adviser:
61664 531 S RANGE LINE ROAD Michael Snow
11/19/2010 CARMEL, IN 46032 (317)846 -8203
Duplicate Invoice
2007 Dodge Pickup R1500
Carmel Police Dept, Ed City Garage
3 Civic Square Lich: 11780 IN VIn#:
Over 100.00 Need Po In: 11/1 91201 0 10:10:00 AM Mileage: 108978
Carmel, In 46032 Out: 11/19/2010 2:00.13 PM
(317)716 -6597
Store# 260112 COMMERCIAL Reg#
Article Unit Extended Job TF Description Number Q T Y Price Price Total
COURTESY CHECK 0.00
COURTESY CHECK 7046930 1 0.00 0.00
FIRESTONE TIRES WITH UNI -T, PACKAGE 484.88
026784 DESTINATION A/T OWL P26517OR17 113S 26784 4 137.99 551.96
INDIANA TIRE FEE 7095834 4 0.25 1.00
NEW TIRE WHEEL BALANCE PARTS 7018708 4 3.99 15.96
NEW TIRE WHEEL BALANCE LABOR 7018716 4 8.00 32.00
RUBBER VALVE STEM 7015040 4 2.50 10.00
TIRE DISPOSAL FEE (1) 7075078 4 2.99 11.96
TIRE INSTALLATION 7015016 4 0.00 0.00
DISCOUNT DESTINATION A/T OWL P265170R17 113S 7014010 -4 34.50 138.00
Technician(s):
STEVEN KRIEGER
Payment History:
Charge Tendered 484.88
Summary:
Remit to: Tires Plus, P.O. Box 403726, Atlanta, GA 30384 -3726 Paris 439.92
Labor 44.96
THANK YOU Shop Supp. 0.00
Sub -Total 484.88
Visit us a1 Http:11www.tlrssplus.com Tax (7.00 0.00
Total 484.88
VOUCHER NO. WARRANT NO.
Tires Plus ALLOWED 20
IN SUM OF
531 South Rangeline Road
Carmel, IN 46032
$484.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE N0. ACCT /TITLE AMOUNT Board Members
1110 61664 42- 320.00 $484.88 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, December 10, 2010
&"a b 4ud.
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 ,.ervice, 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))
11/19/10 61664 payment for tires for car 127 1 Frost $484.88
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
20
Clerk- Treasurer