HomeMy WebLinkAbout203598 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
F R; ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 CHECK AMOUNT: $615.99
y ,,2 o 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 203598
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N004JT 615.99 AUTO REPAIR MAINTEN
�1�°�- Noblesvffle R& T Frankfort (765) 654 -5588
17016 Clover Rd R T Lebanon (765) 482 -5027
R T Sheridtin (3 17) 758 -4456
Nobles J11e, IN 46060 R T Tipton (765) 675 -6775
317- 773 -3130
Since l9GS j
Store Location Store Phn Date Time
R T Tire /Auto NOS (317) 773 -3130 11/02/11 05:11 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct# Terms Ship Via
Inv: N004JT 4541 -2234 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
Qty Shp B/0 Item Number Description s 'S /W,, FET Price Amount Init's
4 4 GY755582383 265/60818 1105 SL ASSUR,CS FUEMr 132.76 531.04 18
dot# PJ80'JC- 1RO811, PJ80JClRG811,; PJ80JC1R0711, €PJ80JC1R0711
4 4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00 18
4 4 044263000 WHEEL',BAL'ANCE °COMPUTER; SPIN =�8 8.00 32.00 18,34
4 4 093002000 TIRE DISPO�T�L t 3.00 12.00 18,34
1 1 078157000 ,-AL I GNMENt RE F THRUST ANGLE -NO 39.95 39.95 18,34
3
V/Info: 2008 DODGE DURANGO
Lic# 74956 IN Unt# 4541 -2234 Mil 5'0924 Trq': 135 'f t#
7
Sub -Total
$615.99
IN GOV'T,0.000a
$0.00
Total: $615.99
NewPymt: $0.00
Total Due: $615.99
Received Bv: SP:Pete Thomas
5
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Tire Auto
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$615.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I N004JT I 43- 510.00 $615.99 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
NOV
l
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))
N004JT C4541 $615.99
1 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