HomeMy WebLinkAbout195485 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365120 Page 1 of 1
ONE CIVIC SQUARE INDIANA INDUSTRIAL TIRE
CARMEL, INDIANA 46032 125148 REYNOLDS DRIVE CHECK AMOUNT: $461.98
FISHERS IN 46038
CHECK NUMBER: 195485
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1133 461.98 TRANSPORTATION EXPENS
INDIANA INDUSTRIAL TIRE LLC Inv
12514B REYNOLDS DRIVE
j Date Invoice
FISHERS IN 46038
317- 841 -1972 2/24/2011 1133
Bill To Ship To
City of Carmel Waste Water Utilities Carmel W.W. "I'.P.
760 Third Ave SW, Suite 1 10 9609 Hazel Dell ParkNvay
Carmel, IN 46032 Indianapolis, Indiana 46280
317 -571 -2634
P.O. Number Terms Rep Ship Via F.O.B. Project
S12404 Net 30 2/24/2011
Quantity Item Code Description Price Each Amount
1 SDI OX111591 14x17.5 Solideal XtraWall 12ply 354.73 354.73T
1 Mtg Mounting 15.00 15.00
1 R/R Remove /Replace -Wheel Pull 10.00 10.00
1 TD Tire Disposal 7.00 7.00
1 TDT Indiana Tire Disposal Tax T.D.T. 0.25 0.25T
1 SC On -Site Service 75.00 75.00
JC13 Backhoe Service on 2-8-11
Jeff Cooper 716 -5882
Thank -You
Total $461.98
VOUCHER 107288 WARRANT ALLOWED
365120 IN SUM OF
INDIANA INDUSTRIAL TIRE LLC
12514E Reynolds Drive
Fishers, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1133 01- 7502 -06 $461.98
Voucher Total $461.98
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
365120
INDIANA INDUSTRIAL TIRE LLC Purchase Order No.
125148 Reynolds Drive Terms
Fishers, IN 46038 Due Date 3/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2011 1133 $461.98
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