219064 04/09/2013 *F CITY OF CARMEL, INDIANA VENDOR: 366044 Page 1 of 1
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC
CARMEL, INDIANA 46032 7285 E 116TH ST CHECK AMOUNT: $69.00
FISHERS IL 46038
CHECK NUMBER: 219064
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 191249 69 . 00 OTHER EXPENSES
V TARE CE�TF2A� � �SHEE9aS ,�GVC _
OWNED AND OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER
7285 EAST 116TH ST Ton;I 604!-t E N T RA L
FISHERS, IN 46038 '°'_i AND SERVICE
(317) 577-0111 '00 TETE kyw`&At14'OMOTIVE;SERVICE
03/18/13 03/18/13
Ara.9 12 :38 PM 12 :38 PM 'A;IrE
TERR: 5625
PAGE: 01 NONSIG: 905625
BILL TO: CARMEL WASTE WATER TREATMENT
760 THIRD AVE SW
SUITE 110
CARMEL, IN 46032
PHONE 1. . . . . . . (317) 716-3905 EXT. VEH YEAR/MAKE. 07 FORD TRUCK
PHONE 2 . . . . . . . VEHICLE MODEL. F250 3/4 TON SUPER D
DATE REQUESTED 03/18/13 VEHICLE COLOR.
TIME REQUESTED LICENSE/STATE.
RETURN PARTS. . NO ODOMETR IN/OUT 052688 / 52688
SALESMAN. . . . . . 012 / 012 PRIOR INVOICE. 191200
P 0 NUMBER. . . . JEFF COOPER
ACCOUNT # COB TC CUST# TYPE/STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
012 120 078-162 R 1 COMPUTERIZED 4 WHL ALIGN (INCL REAR ADJ) .00 79.00 79.00
012 120 047-100 R 1- 10.00 OFF FLEET DISCOUNT .00 10.00 10.00-
VISIT OUR WEB SITE: WWW.TIRECENTRALANDSERVICE.COM FOR GREAT DEALS & COUPONS AND/OR ADD US ON FACEBOOK
COME IN AND MEET YOUR NEW MANAGEMENT TEAM, ERIK BURGESS AND TONY NOLT,E
WE ARE VERY HAPPY TO HAVE SERVED YOU AND WOULD LIKE TO THANK YOU ONCE AGAIN FOR YOUR BUSINESS. . . . .
E 08TOTL
MAR 2 6 2013
By
01. '750Z. 06
PARTS TOTAL.. .. .... .00
LABOR TOTAL...... .. 69.00
CHARGED AMOUNT 69.00 SUB TOTAL. . .... .. .. 69.00
--------------------------------- TAXABLE AMOUNT .00 SALES TAX. . .. . . .. .. .00
CUSTOMER AUTHORIZATION FOR TOTAL JE N V® 31 C E T®T'A L X 6 9 _
TREAD L/F.. . .-. 16/32 TREAD R/F. . . . . 16/32 TREAD R/R. . . .. 16/32 TREAD L/R.... . 16132
BUYING PLAN... A # OF PAYMENTS. 1 PAY START DATE 04/10/13 DISCOUNT.. .... *NET*
S E
WARM tF2 E OO E R S E S g®E f��ryF�C 3 FF2yR-��a��X�M FD C3 Fz-r^ ���I-r ^F a-r)r
w A R o ®tl tl ®Please a ours ore. `man�ag�er�We�vaPlue your opinion asnmu s your
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business.Should you need additional assistance,Call our
CUSTOMER ASSISTANCE LINE 1-800-321-2136
VOUCHER # 135217 WARRANT # ALLOWED
366044 IN SUM OF $
TIRE CENTRAL FISHERS INC
7285 EAST 116TH ST
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
191249 01-7502-06 $69.00
Voucher Total $69.00
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
366044
TIRE CENTRAL FISHERS INC Purchase Order No.
7285 EAST 116TH ST Terms
FISHERS, IN 46038 Due Date 4/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2013 191249 $69.00
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
Date Officer