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