225007 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 00353025 Page 1 of 1
ONE CIVIC SQUARE MR.WHEELS OF INDY CHECK AMOUNT: $175.00
o CARMEL, INDIANA 46032 135 E BROADWAY ST
+, o� FORTVILLE IN 46040 CHECK NUMBER: 225007
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 40437 175 . 00 OTHER EXPENSES
Mr Wheels Of Indy
' 135 E Broadway St Invoice
Fortville, IN 46040 Number: 40437
317-485-7046 Date: October 03, 2013
Bill To: wheeIrennirinriv.rom Other Info
Carnel Water Company 733-2855 I
PO dealers Number Ro # and or Tag # Our Reference # Tire & Other Info ConTactPerson
Gregg J
Description Quantity Price Tax Amount
@SeeNote! 1.00 175.00 175.00
I
Removed large bend on face of wheel.
Back Hole style wheel, Steel and paint d
Aq�f!_l.�Cvq
Sub-Total $175.00
State Tax 7.00% on 0.00 { 0.00
Total $175.00
For Dealers that are tax exempt, take note: every wheel has a material cost. This
cost is included in finial price.
1. Recondition wheels are subject to a material cost of: $35.00
2. Wheels that are true only, are subject to a material cost: $12.00
3. Balance of wheels, materials cost. $8.00
VOUCHER # 132980 WARRANT# ALLOWED
00353025 IN SUM OF $
MR WHEELS OF INDY
135 E BROADWAY ST
FORTVILLE, IN 46040
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
40437 01-6500-05 $175.00
Voucher Total $175.00
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
00353025
MR WHEELS OF INDY Purchase Order No.
135 E BROADWAY ST Terms
FORTVILLE, IN 46040 Due Date 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 40437 $175.00
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
Date Officer