HomeMy WebLinkAbout201385 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
d ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $690.56
NOBLESVILLE IN 46060 CHECK NUMBER: 201385
CHECK DATE: 911312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N002QR 690.56 AUTO REPAIR MAINTEN
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Store Location Store Phn Date Time
R T Tire /Auto NOE (317) 773 -3130 09/06/11 12:45 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N002QR N01614 1St 10th
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPARTMENT (EO
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 317 --664 -0958
Qt Shp S 0 Item Number
Description
Qty p p /W ,FET Price Amount- 1nit s
1 1 077200000 OIxL -AND FILTER -ARTS 3 13.95 13.95 16
1 1 077100000 OII CHANGE LABOR 8.00 8.00 18,34
1 1 077165000 CHECK AND TOP OFF FLUID BEVELS
0.00 0.00 18
1 1 046160000 14 POINT[7EHICLE�hNSPECTION� 0.00 0.00 18,34
1 1 046105000 RECYCLABTE FLUIDS DISPOSALFEE 1.00 1.00 18,34
i s�
1 1 046223000 MISC,ELLPNEOUSSHOF,SUPPLTESif x� 2.13 2.13 18,34
1 1 052100000 b�akesystem'insper -Ion ax 0.00 0.00 18,34
4 4 GY748746189LT265/75R16a WRi, SLTARMR PROGRD� 150.87 603.48 18
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dot# MDW835JVTKB0, MDW835JV�9J1, °MDW835�V3110 I�IDW835J
,ors r
4 4 EPA STATE TIRE FEE (I�NDIANA)dg': 0.25 1.00 18
4 a r R E
044263000 WHEEL $AI'ANCEb= COMPUTER;SPIN 8.00 32.00 18,34
4 4 041263000 NEW VALUE p" p 2.25 9.00 18
4 4 093002000 TIRE DISPOSAL 3.00 12.00 18,35
1 1 078161000 v�urrr.a nr Trnrn�FnTmx�u,
0.00 0.00 18,34
2 2 047200000 5w20 engine oil per quart 4.00 8.00 18
V /Info: 2005 FORD EXCURSION WHITE
Lic# 68251 IN Unt# B4 Mil: 83465 Trq: 165 ft#
Sub -Total
$690.56
IN GOV'T,0.000%
$0.00
Total: $690.56
NewPymt: $0.00
Total Due: 690.56
Received By: SP:Pete Thomas
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Tire Auto
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$690.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1120 I N002QR j 43 510.00 I $690.56 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
2
a
Fire Chief
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))
N002QR BC $690.56
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