HomeMy WebLinkAbout209316 05/22/2012 VENDOR: 00350983 Pa e 1 of 1
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $435.25
CARMEL, INDIANA 46032 17016 CLOVER ROAD
v o NOBLESVILLE IN 46060 CHECK NUMBER: 209316
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 N009JZ 435.25 TRANSPORTATION EXPENS
R T Tire Noblesville R T Frankfort (765) 654 -5588
17016 Clover Rd R T Lebanon (765) 482 -5027
R T Sheridan (317) 758 -4456
S�n_ Noblesville, IN 46060 R T Tipton (765) 675 -6775
R T LF 5
317 773 -3130
Since 1965
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 05/02/12 11:10 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N009JZ N04158 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
Qty Shp B/O Item Number Description 5/W FET Price Amount Init's
1 1 CR510024 15 =19.5 TRAC CHIEF SKIDS L�RF' 389.85 389.85 5
1 1 040100000 New`.tire install labor 30.00 30.00 5,428
1 1 041263000 NEW'VALVE STEM 3.00 3.00 5
1 1 093002000 TI-R E DItSVbS'AL�� 10.00 10.00 5,428
.SHOP SUPPLIES p 2.40
V /Info:
Sub -Total
$435.25
Sales Tax
$0.00
V Total: $435.25
NewPymt: $0.00
Total Due: $435.25
Received By: a v o 37v q SP:Chuck Godby
VOUCHER 114568 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto- NOBLESVILLE
17016 Clover Rd.
Noblesville, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
N009JZ 01- 6500 -05 $435.25
1
I
Voucher Total $435.25
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 5/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2012 N009JZ $435.25
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
Date Officer