HomeMy WebLinkAbout204369 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ti ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $612.99
CARMEL, INDIANA 46032 17016 CLOVER ROAD
A off �a NOBLESVILLE IN 46060 CHECK NUMBER: 204369
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 N004XE 612.99 OTHER EXPENSES
T Tire— Noblesville R T Frankfort (765) 654 -5588
R T Lebanon(765)482 -5027
1 w 1.70 Clover Rd R T Sheridan (3 17) 758 -4456
R21 Noblesville, IN 46060 R T Tipton (765) 675 -6775
317- 773 -3130
Since 1965
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 11/15/11 11:06 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060 non -stock itm
Your P/O A/R Acct# Terms Ship via
Inv: N004XE Truck 70 N0 4158 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL WATER DISTRIBUTION (E09
3450 WEST 131ST ST
CARMEL, IN 46074 -8267
Total 0.00
ARC 317- 733 -2855
317 -716 -3909
_'ef
Qty Shp B/0 Item Number Description ,r;� dPh ET Price Amount Init's
2 2 CY139172907 22�5/74R195 G G149 RSA ;T 271.06 542.12 5
dot# MJ9YNRLW3.411, MJ9YNRLW1111
2 2 EPA STATE :TIRE FEE (INDIANA);. 0.25 0.50 5
2 093002000 TIRE
AL,. 3.00 6.00 5,428
i F a 3,'
2 2 040100000 n
Dismouts mount tirest 15.00 30.00 5,428
16 16 OPP equal tine balance per(cuncer 1.85 29.60 5
SHOP�SUPPL TES i 4.77
t�
V /Info..
h
Sub Total.
$612.99
IN GOV'T,0.000
$0.00
Q Total: $612.99
NewPymt: $0.00
7� Total Due: $612.99
Received SP:Chuck Godby
VOUCHER 113082 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto- NOBLESVILLE
17016 Clover Rd.
Noblesville, IN 46060
WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i,Sa a'oS
N004XE 01- 62606 $612.99
Voucher Total $612.99
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
350983
R T Tire Auto NOBLESVILLE Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 11/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/30/201' N004XE $612.99
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
Z 14
Date Officer