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HomeMy WebLinkAbout193959 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 363306 Page 1 of 1 ONE CIVIC SQUARE TRIPLE S OF INDY INC CHECK AMOUNT: $331.72 s` CARMEL, INDIANA 46032 405 S 9TH ST ELWOOD IN 46036 CHECK NUMBER: 193959 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 50016 331.72 TIRES TUBES Triple S Tire Co., Inc. Invoice 405 SOUTH 9TH STREET Elwood, IN 46036 Date Invoice 765 -552 -5765 PHONE 1/5/2011 50016 765- 552 -5761 FAX Due Date 2/4/2011 Carmel Street Dept 3400 W 131 ST Westfield, IN 46074 P.O. Number Terms Sales Rep Work Done Equipment WO# /Tech Net 30 HOUSE 1/5/2011 JD 624J 516591 WC Item Code Description Qty/Hrs Price Per Tag# S/N Amount SERVICE... TRAVEL AND HOURLY FEES 1 125.00 125.00 LABOR R... MT /DISMT, ON /OFF, INSPECT 1 85.00 85.00 CONDITI... Conditioner 3 31.54 94.62T 25" O -RI... 25" O -RING 1 27.10 27.10T REPAIR LR ON NEW LOADER Sales Tax 7.00% 8.52 FOR ALL BILLING QUESTIONS CONTACT THE ACCOUNTING OFFICE AT 765 552 -5765 THANK YOU, DAR Total $340.24 IT IS THE CUSTOMERS RESPONSIBILTY TO CHECK THE TIGHTNESS OF WHEELS PRIOR TO USE, AFTER SERVICE. VOUCHER NO. WARRANT NO. ALLOWED 20 Triple S. of Indy, Inc. IN SUM OF 405 S. 9th Street Elwood, IN 46036 $331.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 50016 42- 320.00 $331.72 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 J,f Thursday! January 13, 2011 r Stree Commissioner Sueot 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 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)) 01105/11 50016 $331.72 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 1 20 Clerk- Treasurer