HomeMy WebLinkAbout201302 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $94.45
,r LEBANON IN 46052 CHECK NUMBER: 201302
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1120 4351000 L00123 94.45 AUTO REPAIR MAINTEN
Sep 09 11 10.22a 13.1
LEBANON TIRE AUTO SERVICE
131 W. SOUTE STREET
LEBANON, IN 46052
Store Location. Store Phn 17ata Time
T Tira /%.uto LES ii65) 482 -5021 08/1.7/1]. 10:33 AN
RePrint
1310 ^T 7 aTR= page
LEF3.aJVply, IN 46052
'Youz P/0 A/R Acct# Terms ship Via
=nv: LD0123 LOC259 1 ST 7 -OTH
501.. TO: e:1ip- zyvp e Payment
C AR1` EL FIRE DEPT
2 C I%'I C SQUARE
2AF,i!E�, IN 46012
Total o.a)
Luc 31.'7- 65•l -c;ys3
3.175 "11-2515
!P,! C;BCX 2i, 59,f>;
;qty Shp E/O Item Number Description S/W FET Price Amount Zuit.'B
I 046120000 YGATU SERVICE PER +F, £15.00 '-2,
3 3 0462000DO B5= LOGNUTS 3 -15 S.35 12
1. 1 01 7000000 aSFER. NCB r 0C :,,000X7 7 aC .2,7.2
/Info:
894.15
ITS GQV'T,O.00Ot
30,03
Tntal; 94.45
,a- rue; $94.45
Received By: SP:Jim K:' chcl.
�S�Oti Zti0Z16e160
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))
L00123 $94.45
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
VOUCHER N WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$94.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I L00123 I 43- 510.00 I $94.45 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
SEP 12 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund