221737 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 366044 Page 1 of 1
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC CHECK AMOUNT: $124.70
CARMEL, INDIANA 46032 7285 E 116TH ST
FISHERS IL 46038 CHECK NUMBER: 221737
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 192913 17 . 00 OTHER EXPENSES
651 5023990 193259 107 . 70 OTHER EXPENSES
TIRE CEM-rR_A1_ F ZSHERS XMIC
OWNED AND OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER �-
7285 EAST 116TH ST ENTRAL
FISHERS, IN 46038 >°s�� AND SERVICE
(317) 577-0111 COMPLETE TI4-_iAUT0M0TlVE±5ERV1d'
3:NVOaCE 06/04/13 06/04/13
1929113 11:23 AM 02 : 14 PM ® �EAAW
TERR: 5625
PAGE: 01 COPY: 01 NONSIG: 905625 LS t17' U �J LS
BILL TO: CARMEL WASTE WATER TREATMENT JUN 2.5 2013
760, THIRD AVE SW
SUITE 110
CARMEL, IN 46032 By
PHONE 1. . . . . . . (317) 716-3905 EXT. VEH YEAR/MAKE. 04 CHEVY TRUCK ® 7
PHONE 2 . . . . . . . VEHICLE MODEL. SILVERADO 2500 3/4 T
DATE REQUESTED 06/04/13 VEHICLE COLOR.
TIME REQUESTED LICENSE/STATE.
RETURN PARTS. . NO ODOMETR IN/OUT 060413 / 060413
SALESMAN. . . . . . 012 / 012 VEHICLE INFO. . #121
PRIOR INVOICE. 192612 P O NUMBER. . . . BLAINE
ACCOUNT # COB TC CUST# TYPE/STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
012 010 093-265 R 1 LOOSE REPAIR 2.00 15.00 17.00
DISMOUNT TIRE.INSPECT,REPAIR WITH APPROVED PLUG-PATCH SYSTEM & REMOUNT TIRE.
012 010 047-100 R 1 CELL 317-509-3653 .00 .00 .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. . . . .
PARTS TOTAL. . .. . . .. 2.00
LABOR TOTAL. . .. . . . . 15.00
CHARGED AMOUNT 17.00 SUB TOTAL... .... . .. 17.00
X--------------------------------- TAXABLE AMOUNT .00 SALES TAX.. . . . . . . .. .00
CUSTOMER AUTHORIZATION FOR TOTAL I N V O I C E T O T A L -95;1 7 _ O
BUYING PLAN. . . A # OF PAYMENTS. 1 PAY START DATE 07/10/13 DISCOUNT...... *NET*
SEE FZEX/ER2Sa S =®E F QFZ XMPOi2_r^M_r SAFETY
WAF2N =I�IG A1�1® WARF?-^"TY XMPC)1:2M^_rXC3M
HAVE A QUESTION OR PROBLEM?
Please tell our store manager.We value your opinion as much as your
business.Should you need additional assistance,call our
CUSTOMER ASSISTA SCE LINE 1-800-321-2136
TARE CENTRAL. F =SHERS aNC _
OWNED AND OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER ENTRAL
7285 EAST 116TH ST > rI
FISHERS, IN 46038 '�sii AND SERVICE
(317) 577-0111 Cbmt4 n TIRE A=Ai1TOMOXIVE SERVICE
-T MVO 3:C E 06/19/13 06/19/13 •�—'
01 : 09 PM 01 : 09 PM
TERR: 5625 D
PAGE: 01 NONSIG: 905625
BILL TO:; CARMEL WASTE WATER TREATMENT JU�,
760 THIRD AVE SW
SUITE 110
.CARMEL, IN 46032 By
PHONE 1 . . . . . . . (317) 716-3905 EXT. VEH YEAR/MAKE.
PHONE 2 : . . . . . . VEHICLE MODEL.
DATE REQUESTED 06/19/13 VEHICLE COLOR.
TIME REQUESTED LICENSE/STATE. JUN 2:5 M3
RETURN PARTS. . NO ODOMETR IN/OUT 061913 / 0 13
SALESMAN. . . . . . 012 / 012 PRIOR INVOICE. 192913
P 0 NUMBER. . . . JEFFCOOPER By
ACCOUNT # COB TC 02567 TYPE/STATE ^ .® s u�
562502567 1 01 02567 1 IN (�/0 /j
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
012 347-000-040-0 R 2 18X8.50X8 4PLY CARLISLE TURF SAVER TBLS 53.85 .00 107.7(
347-001-400-0
012 012 047-100 R 1 P.O. JEFF COOPER 716-5882 .00 .00 .0(
012 046-223 R 1 MISCELLANEOUS SHOP SUPPLIES 00 .00 .0(
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.. . . .
I
I
PARTS TOTAL.. . . . .. . 107.70
LABOR TOTAL... . .. . . .00
CHARGED AMOUNT 107.70 SUB TOTAL. . ... . .. . . 107.70
--------------------------------- TAXABLE AMOUNT .00 SALES TAX. . . . . . . . . . .00
CUSTOMER AUTHORIZATION FOR TOTAL 31 N V O Z C E T®TA S 10-7 - 7
BUYING PLAN.. . A # OF PAYMENTS, 1 PAY START DATE 07110113 DISCOUNT. .... . *NET*
SEE REVERSE S2E3E FOR aMPORTANT SAFETY
W^R,'MXNC INF ®RM^T3[ON
HAVE A QUESTION OR PROBLEM?
Please tell our store manager.We value your opinion as much as your
business.Should you need additional assistance,call our
CUSTOMER ASSISTANCE LINE 1-800-321-2136
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or 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
Mo. Day Yr. Signature Title
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. 114//
Mo. ,Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ANOO.
CARMEL, INDIANA
C' F vor
Of
it l;e F._
pass 2C. 1I(6t� 54.
Total Amount of Voucher $
Deductions
�qa5+3
01-1509-06 I'7 od
Ma54
oi--75D�-oc� 10-7 .-70
Amount of Warrant $ ol L4 70
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382.8702 325