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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