219919 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 366044 Page 1 of 1
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC CHECK AMOUNT: $485.00
CARMEL, INDIANA 46032 7285 E 116TH ST
o� FISHERS IL 46038 CHECK NUMBER: 219919
CHECK DATE: 51712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 191457 485 . 00 OTHER EXPENSES
T2RE CE6VTl2AL. F 31SHaa-S :ANC
OWNED AND OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER
7285 EAST 116TH ST > 'r ENTRAL
FISHERS, IN 46038 ''!ii RND SERVICE
(317) 577-0111 COMPLETE 71RE&AUTOMOTIVE SERVICE
JE NV® g C E 03/28/13 04/08/13
11 C9141--35 03 :49 PM 05 :41 PM cc 0 ov'e YEA
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. 03 CHEVROLET
PHONE 2 . . . . . . . VEHICLE MODEL. IMPALA
DATE REQUESTED 03/28/13 VEHICLE COLOR.
TIME REQUESTED LICENSE/STATE.
RETURN PARTS. . NO ODOMETR IN/OUT 105079 / 105079
SALESMAN. . . . . . 013 / 012 VEHICLE INFO. . UNIT#54
PRIOR INVOICE. 191249 P 0 NUMBER. . . . 513545
ACCOUNT # COB TC CUST# TYPE/STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
008 732-354-148-0 R 4 P225/60R16 97V S2 EAG RS-A PLUSVSBRPTL 96.50 .00 386.00
013 120 047-100 R 4 MOUNT AND BALANCE .00 10.00 40.00
013 120 078-157 R 1 ALIGNMENT (REF THRUST ANGLE-NO REAR ADJ) .00 59.00 59.00
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 NOLTE
WE ARE VERY HAPPY TO HAVE SERVED YOU AND WOULD LIKE TO THANK YOU ONCE AGAIN FOR YOUR BUSINESS. ....
0 I. 7500. 0 Z
APR 2 2 2013
BY
PARTS TOTAL.. . . ... . 386.00
LABOR TOTAL.. 99.00
CHARGED AMOUNT 485.00 SUB TOTAL.. . ... . ... 485.00
- - TAXABLE AMOUNT .00 SALES TAX.. . ....... .00
CUSTOMER AUTHORIZATION FOR TOTAL Ir N V® 3[C E T®T A L_ �S 4-cS 5 -
TREAD L/F... . . 11/32 TREAD R/F. . . . . 11/32 TREAD R/R. . . .. 11/32 TREAD L/R. ... . 11/,
BUYING PLAN... A # OF PAYMENTS. 1 PAY START DATE 05/10/13 DISCOUNT.... .. *NET*
SEE 92E®/ERSE S :I ®E F ®@2 3cmP®f2TANT SAFETY
Wekg'21*.9X9r*.IG AN® W q:Z WKRTRyLEM?gNF ®FZMAT31®M
VOUCHER # 135410 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
191457 01-7500-02 $485.00
Voucher Total $485.00
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 4/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2013 191457 $485.00
1 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
51/i3 °
Date Officer