227515 12/17/2013 eF CITY OF CARMEL, INDIANA VENDOR: 366044 Page 1 of 1
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC CHECK AMOUNT: $79.00
CARMEL, INDIANA 46032 7285 E 116TH ST
v ^'+° FISHERS IN 46038 CHECK NUMBER: 227515
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CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 503985 79 . 00 OTHER EXPENSES
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ND SERVICE Tire Central and Service
7285 E. 116th Street PAGE 1
COMPLETE TIRE 8 AUTOMOTIVE SERVICE FISHERS,IRI 46038
GOOD YEAR
(317)577-0111
Create Date: 12/02/13 14:10:11
Customer ID: 9998000048 Year: 03 Date/Time: 12/03/13 17:12:55
Ilame: CARMEL WASTE WATER TREATMENT Make: FORD TRUCK Workorder#: 507720
Address: 9609 HAZEL DELL PARKWAY ; Model: F350 SUPER DUTY Invoice#: 503985
Address 2: Lic No: 64530
City,State,Zip Code: INDIANAPOLIS, IN,46280 VIN: 1FTSW31P43EC28241 Email Address: none
Home Phone: (317)571-2634 Color: WHITE PO Number:
Work Phone: (317)716-3937 Engine: V8-363 6.01-Ds Fleet/Wholesale: Y
Other Phone: Q• Mileage In: 83522 Unit#: UNIT#116
lax Exempt#: Mileage Out: 83522
Salesperson: E.BURGESS
Service comments:
CALL WHEN DONE JEFF COOPER 716-5882
TIRE PRESSURE: LF_RF_LR_RR_SPARE
TREAD DEPTH:LF 12/32 RF 12/32 LR 12/32 RR 12/32 SPARE 10/32
Qty. Part# RFR Loc Description Parts Labor Total
ALIGNMENTS
1 078162000 COMPUTERIZED 4 WHLALIGN(INCL 0.00 79.00 79.00
SEE IF WE CAN STRAIGHTEN STEERING WHEEL
KEYS IN VEHICLE
TOTAL ALIGNMENTS: 79.00
**' Customer Wishes To Discard Old Parts ***
AR TERMS: Net 10th () LT
Remit To: Tire Central and Service DEC 13 2013
7285 E. 116th Street
Fishers,IN 46038
Invoice Comments:
Customer is over credit limit,'but within allowable percentage.
'7
010 •
Thanks for coming in. PAY AMOUNT PARTS TOTAL 0.00
Check us out on the web @ HOUSE 79.00 SALES TAX 0.00
TireCentralAndService.com LABOR TOTAL 79.00
TECH:000113-0.00 KEVIN GRAND TOTAL 79.00
Customer Signature:
X
Thanks for your business.
INVOICE INVOICE Tire Central and Service INVOICE INVOICE
VOUCHER # 137035 WARRANT # ALLOWED
366044 IN SUM OF $
TIRE CENTRAL AND SERVICE
7285 E.116TH STREET
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
503985 01-7502-06 $79.00
i
Voucher Total $79.00
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 AND SERVICE Purchase Order No.
7285 E.116TH STREET Terms
FISHERS, IN 46038 Due Date 12/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/11/201, 503985 $79.00
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
iz13//3 fl
Date Officer