161044 06/25/2008 a CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
F ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $513.00
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 161044
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 089335 513.00 AUTO REPAIR MAINTEN
s�A
F2 Sa T TYF2E AUTO IVOB�ESi/YLLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060 j EA Q
(317)773 -3130 C.0
FEDERAL TAX ID# 351145753
,k
YID VO Y C E 06/03/08 06/03/08
N 0a933S 02:31 PM 02:31 PM
7617 013967- 089335 TERR: 7617
PAGE: 01 COPY: Ol NONSIG: 197505
BILL TO: CARMEL FIRE DEPARTMENT
BOB VAN VOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)664 -0958 VEH YEAR /MAKE.
PHONE 2....... VEHICLE MODEL.
DATE REQUESTED 06/02/08 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 005 005 PRIOR INVOICE. 086858
P O NUMBER.... BOB
ACCOUNT COB TC CUST# TYPE /STATE
761701614 4 Ol 01614 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 732- 354 -500 -0 G 9 P225/60R16 97V S2 EAG RS -A VSBRPTL 56.75 .00 510.75
GS NUMBER. G0730929 QTY. 9 NO. MKXOBEER4507
THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY
*SHOP SUPPLY FEES COVER MISC MA'T'ERIALS USED IN SERVICING YOUR VEHICLE
PARTS TOTAL........ 510.75
CHARGED AMOUNT 513.00 LABOR TOTAL........ .00
STATE TIRE FEE 2.25 SUB TOTAL.......... 510.75
X--------------------------- TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL Y M V O Y C E T® TA L !S!5 7 3— C)
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 07/10/08 DISCOUNT...... *NET*
HAVE A QUESTION OR PROBLEM?
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 -800- 321 -2136
VOUCHER NO, WARRANT NO.
ALLOWED 20
R T Tire Auto
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$513.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 089335 43- 510.00 $513.00 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
d
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))
06/03/08 089335 Tires 0795, 9184, Stock $513.00
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 5- 11- 10 -1.6
20
Clerk- Treasurer