HomeMy WebLinkAbout180294 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360940 Page 1 of 1
ONE CIVIC SQUARE TRIPLE S TIRE CO INC
1 CARMEL, INDIANA 46032 405 S 9TH Sr CHECK AMOUNT: $154.00
d ELWOOD IN 46036 CHECK NUMBER: 180294
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTIO
2201 4232000 7708 36.00 TIRES TUBES
2201 4232000 7739 118.00 TIRES TUBES
Printed: 11 /23/2009 10:07:03 AM INVOICE Sales Receipt #7708
Stare: IN
11/19/2009
Cashier. Chris
Page i
Copy
TRIPLE S TIRE INDIANAPOLIS
405 So. 9th Street
ELWOOD, IN 46036
(765)_552- 5.7.65.
FAX: (765) 552- 5761
j REMIT PAYMENT ABOVE
Bill To: CITY OF CARMEL
CITY OF CARMEL,
3400 WEST 131 ST
WEST FIELD, IN 46074
Description 1 Description 2 Ply Size Qty Price Ext Pricera)
ROTATEIBALANCE 2 $18.00 $36.00
Subtotal: $36.00
Exempt 0 Tax: +$0.00
Ship 11/6/2009 512740 Shipping:
RECEIPT TOTAL: $36.00
Account. $36.00
Signature
Previous Account Balance: $0.00
SWO #512740
LOOSE
SPIN BALANCE TWO (2) 315R22.5
PLEASE PAY FROM THIS INVOICE SALES RECEIPT. TERMS NET 30
WITH BILLING QUESTIONS CALL 765- 552 -5765 THANK YOU
IIIIIIIIIIIIVIIIVIIIVIII 1111111
7708
Printed: 111301200910.35:56AM INVOICE Sales Receipt #7739
Store w
11/24/2009
Cashier: Dean
Page 1
Copy
TRIPLE S TIRE INDIANAPOLIS
405 So. 9th Street
ELWOOD, IN 46036
(7 55 2 -5765
FAX`" 765F652-576_1
REMIT PAYMENT ABOVE
Bill To: Carmel Street Street Dept,_
Carmel, IN 46032
Description 1 Description 2 Ply Size Qty Price Ext Pricera)
SERVICE CALL TRAVEL AND HOURLY FEES 1 $70.00 $70.00
tabor retail Mt1DisMt,Repair,0n /0ff,lnspect 1 $20.50 $20.50
24" O -RING 1 $27.50 $27.50 T
Subtotal: $118.00
Exempt 0 Tax: +$0.00
Ship 11/18/2009 512767 Shipping:
RECEIPT TOTAL: $118.00
Account: $118.00
Signature
Previous Account Balance: $0.00
SWO# 512767
PLEASE PAY FROM THIS INVOICE SALES RECEIPT. TERMS NET 30
WITH BILLING QUESTIONS CALL 765- 552 -5765 THANK YOU
1111! 1 111111111 I
7739
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))
11/19/09 7708 $36.00
11/24/09 7739 $118.00
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 NO. WARRANT NO
Triple S. of Indy, Inc. ALLOWED 20
IN SUM OF
405 S. 9th Street
Elwood; IN 46036
$154.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# l Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member
2201 7708 42- 320.00 $36.00 1 hereby certify that the attached invoice(s), or
2201 7739 42 320.00 $118.00 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
Fr d y,r mber 04, 200
U/�/
Street Commissi6ner
tfee1 �9r1�K lf o�'nrn. r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund