161819 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351221 Page 1 of 1
ONE CIVIC SQUARE FISHERS TIRE SERVICE
CARMEL, INDIANA 46032 7285 E 116TH ST CHECK AMOUNT: $620.00
FISHERS IN 46038 CHECK NUMBER: 161819
CHECK DATE: 7/2312008
DEPARTMENT ACCOUNT P NUMBER IN NUMBER AMOUNT DESCRIPTION
651 5023990 150313 620.00 OTHER EXPENSES
I
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F BSI -iEF2S TARE SVC ANC
7285 EAST 116TH ST
FISHERS, IN 46038�'�
(317) 577 -0111 C.00�%
07/09/08 07/10/08
02:03 PM 12:41 PM u t
TERR 5625
PAGE: 01 COPY: 01 NONSIG: 905625
BILL TO: CARMEL WASTE WATER TREATMENT
JEFF COPPER
760 3RD AVE.S.W
110
CARMEL, IN 46032
PHONE 1....... (317)571 -2634 VEH YEAR /MAKE. 07 CHEVY TRUCK
PHONE 2....... (317)571 -2636 VEHICLE MODEL. EQUINOX
DATE REQUESTED 07/09/08 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 028936 28936
SALESMAN...... 050 091 PRIOR INVOICE. 122324
P 0 NUMBER.... 7165882
ACCOUNT COB TC CUST# TYPE /STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
050 269 032 -214 -0 R 4 235/60R17 102T FORTERA TRIPLETRED VSBTL 143.00 .00 572.00
050 077 047 -100 R 4 INSTALL TIRES AND BALANCE .00 12.00 48.00
VISIT OUR WEB SITE: WWW. GOODYEARDEALERS .COM /FISHERSTIRE/ COMPLETE WITH COUPONS FOR TIRES SERVICE
PARTS TOTAL........ 572.00
LABOR TOTAL........ 48.00
CHARGED AMOUNT 620.00 SUB TOTAL.......... 620.00
x TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL X N V® X C E T® T A L !S46 Z®_
TREAD L /F..... 9/32 TREAD R /F..... 9/32 TREAD R /R..... 9/32 TREAD L /R..... 9132
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 08/10/08 DISCOUNT...... *NET*
SEE FZEVERSE S 31 P SAF ETIr
in6 A R N= N G A N D Pleas a r s a ag lu yo opi on as mu s FF 4D F- N
business. Should you need additional assistance. call our
CUSTOMER ASSISTANCE LINE 1- 800 321 -2136
VOUCHER 085900 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
150313 01- 7502 -06 $620.00
i ll
i, Voucher Total $620.00
n'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 7/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2008 150313 $620.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer