192809 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00351221 Page 1 of 1
ONE CIVIC SQUARE FISHERS TIRE SERVICE
r 0 CHECK AMOUNT: $176.06
CARMEL, INDIANA 46032 7285E 116TH ST
oN `o FISHERS IN 46038 CHECK NUMBER: 192809
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 172231 26.06 TRANSPORTATION EXPENS
651 5023990 172248 150.00 TRANSPORTATION EXPENS
T=F2E CENTRAL FaSHERS =NC
7285 EAST 116TH ST
FISHERS, IN 46038 tt' /1•
(317)577 -0111
z N vo c E 12/03/10 12/03/10 �ts�rlu�c
09:31 AM 10:21: AM
TERR: 5625
PAGE: 01 COPY: 01 NONSIG: 905625'
SILL TO: CARMEL WASTE WATER TREATMENT
760 THIRD AVE SW
SUITE 110
CARMEL, IN 46032
;PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE.
..PHONE 2....... VEHICLE MODEL.
:DATE REQUESTED 12/03/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 110,425 110425
.:SALESMAN...... 012 012 PRIOR INVOICE. 171191;
ACCOUNT COS TC CUST# TYPE /STATE
562502567 1. 01 02567 1 IN
SLSM TECH PRODUCTtCODE BCL�; QTY. DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
012 OS5 093 -265 R 1, LOOSE REPAIR 2.00 23.00 25.00
DISMOUNT TIRE.INSPECT.REPAIR WITH;APPROVED PLUG -PATCH SYSTEM REMOUNT
x 055 047 -100R 1 TIRE CAME OFF OF UNIT #65 00 .00 00
012. 012'. t 093 -502 R 1 HAZARDOUS WASTE DISPOSAL a .06 .00 .06
a VISIT.OUR WEB.SITE: WWW'.TIRECENTRALANDSERVICE.COM/ MANAGER:;H£NRt7ILF0RD jASSISTANT MANAGER: TONY NOLTE
COME IN AND MEET YOUR NEW MANAGEMENT TEAM HENRY AND TONY WE ARE +VERY HA'PP�TO SERVE YOU. HAVE A GOOD DAY.
COME IN AND MEET YOUR NEW MANAGEMENT TEAM AND TONY WE`ARE�HAPPY TO',' "SERVE YOU, HAVE A GOOD DAY.
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t i�, r PARTS TOTAL........ 2.06
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iW z yy t �tkNu t r LABOR TOTAL........ 23.00
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MISC SHOP SUPPLIES. 1.00
CHAf�GED AMOUNTI ,l (26.06 SUB TOTAL 26.06
-T :i �'s: ti TAXABLEaAMOUNTi ...00 SALES TAX.......... .00
n y CUSTOMER Rl1THORIZATION FOR•TOTAL E I, I N\/O „IC T,OTAL,„ :SO 06
+1,TREAD L/E st ;8/32 TREAD ,R/F x ,,8132 TREAD ,R /R r i:8/32 TREAD L /R..... 8/32
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BUYING PLAN A #'OF PAYMENTS.;! 11PIN J PAY START DA E,Ol /r10' /11 DISCOUNT...... *NET*
�ay +i Sett °E HAVE A QUESTION OR PROBLEM!!
EE REVERS S s o ph o A F2TANT" SAFETY
R;eSfn��s- Sfiould ou n aEO@enal assi�erkE m ou
CUSTOMER ASSISTANCE.LINE 1 800- 327 -2136
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HAVE A QUESTION OR PROBLEM?
'r 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- 800321.2135
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VOUCHER 106682 WARRANT ALLOWED
351221 r 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
Y
172231 01- 7502 -06 $26.06
s
Voucher Total $26.06
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 12/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7/2010 172231 $26.06
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
TARE CENTRAL F aSHERS aNC
7285 EAST 116TH ST
FISHERS, IN 46038
(317) 577 -0111
a Nv ®a c E:
12/03/10 12/03/10 ar��a�,�•����rr,�,�
�172Z4�3
02:44 PM 02:44 PM
TERR: 5625
PAGE: 01 COPY: 01 NONSIG: 905625
BILL TO: CARMEL WASTE WATER TREATMENT
760 THIRD AVE SW
SUITE 110
CARMEL, IN 46032
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE.
PHONE 2....... VEHICLE MODEL.
DATE REQUESTED 12/03/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 120310 120310
SALESMAN...... 012 012 PRIOR INVOICE. 172231
ACCOUNT COB TC CUST# TYPE /STATE
562502567 1 01 02567 1 IN i sCc s
SLSM TECH PRODUETICODE 'Be-.; QTY DESCRIPTION F �:��i I PARTS LBR /EXCISE LINE TOTAL
012 347- 000 -060 =0 I 2 ST205/75R15 6PLY CARLISLE RADIAL TRAIL•' 75.00 .00 150.00
347 005 -600 -0
i,.i.
012 012: 047 -100 R 1 P.O. #JEFF COOPER 716 5882'.; .00 .00 .00
L,
012 i 4 046 -223 R 1 MISCELLANEOUS SHOP SU.PPLIE5k 3 I ,Iy; OD 00 .00
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VISIT OUR WEB SITE: WWW:TIRECENTRALANDSERVICE.COM/ MANAGER:HENRY TILFORN ;,�A SISTANT MANAGER: TONY NOLTE
COME`IN AND MEET YOUR NEWMANAGEMENT TEAM, :.HENRY AND TONY WE AREVERY HAPPYTO SERVE YOU. HAVE A GOOD DAY.
COME IN AND MEET YOUR NEW MANAGEMENT TEAM HENRY AND TONY WE ARE HAPPY TOj,j SERVE YOU, HAVE A GOOD DAY.
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j l ,I PARTS TOTAL 150.00
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'i srr `Fl ls` CHARGED MOUNT f l� LABOR TOTAL........ .00
150.00 SUB TOTAL.......... 150.00
TAXABLE %MOUNT �f ,,;.00 SALES TAX.......... 00
rI CUSTOMER, AUTHORIZATION FOR, 4 a NV� I C E TOt t 7 50 Oa
a
8 /32READ:R /F 8/.32 TREAD =R /R 1I l (81'32 TREAD VR..... 8/32
BUYING PLAN A PAYMENTS.' 1 PAYaSTART DATE 01/,10/11 DISCOUNT...... *NET*
SEE 1 EVERSE i S11 FOR Y MPaF2TANT SAFETY
r WARN. NG iA'N
L Iii 1� e QP RaI�-EM7 N F 0FZMAT a ON
4 Pleasete, ours ramanager. aueyouropJnon asyog i. EL
I hushes§ Shquld you need a nimal 'assistance Icall ourf4 q, �F I I
CUSTOMERASSISTA
ICE LINE 1 .600-321
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VOUCHER 106742 WARRANT ALLOWED
351221 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
i
172248 01- 7502 -06 $150.00
Voucher Total $150.00
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 12110/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/101201( 172248 $150.00
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 Q 5- 11- 10 -1.6
Date Officer