HomeMy WebLinkAbout228722 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 366044 Page 1 of 1
ONE CIVIC SQUARE TIRE CENTRAL FISHERS INC CHECK AMOUNT: $210.59
CARMEL, INDIANA 46032 7285 E 116TH ST
L ,oN io FISHERS IN 46038 CHECK NUMBER: 228722
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 505080 210 . 59 OTHER EXPENSES
Te ENTRAL
AND SERVICE Tire Central and Service
7285 E. 116th Street PAGE 1
COMPLETE TIRE & AUTOMOTIVE SERVICE 7285E E.
116S,IN 46038
tree
(317)577-0111
CROOD YEAR
Create Date: 01/17/14 08:29:04
Customer ID: 9998000048 Year: Date/Time: 01/20/14 16:48:58
Name: CARMEL WASTE WATER TREATMENT Make: Workorder#: 509843
Address: 9609 HAZEL DELL PARKWAY Model: Invoice#: 505080
Address 2: Lic No:
City,State,Zip Code: INDIANAPOLIS, IN,46280 VIN: Email Address: none
Home Phone: (317)571-2634 Color: PO Number: JEFF COOPER
Work Phone: . (3 17)716-3937 Engine: Fleet/Wholesale: Y
Other Phone: 0- Mileage In: 0
Tax Exempt#: Mileage Out: 0
Salesperson:5.WHOLESALE
Service comments:
ORDERED BY BLAINE 317-650-4127
UNIT#24 LOOSE RIM
TIRE PRESSURE: LF RF LR RR SPARE
TREAD DEPTH: LF_/32 RF_/32 LR_/32 RR_/32 SPARE_/32
Qty. Part# RFR Loc Description Parts Labor Total
WRANGLER SILENT ARMOR
1 OP/748535189 Wrangler Silent Armor 200.59 0.00 200.59
GDYR LT265/70R17/E E121R E OWL
STATE OF INDIANA PO#G00002624
. DOT Numbers: PJAH35HV4813
1 NTINSTALL 1.00 9.00 10.00 .
Includes Mounting, Balancing,Valve
or TPMS Rest and Disposal
1 TTp�(' Tire Tax 0.00 0.00 . 0.00
TOTAL WRANGLER SILENT ARMOR: 210.59
***Customer Wishes To Discard Old Parts ***
AR TERMS: Net 10th
Remit To: Tire Central and Service
7285 E. 116th Street ®��o JAN 2 2 2014
Fishers, IN 46038 01.
Invoice Comments: By
Customer is over credit limit, but within allowable percentage.
Thanks for coming in. PAY AMOUNT PARTS TOTAL 201.59
Check us out on the web @ HOUSE 210.59 SALES TAX 0.00
TireCentralAndService.com LABOR TOTAL 9.00
TECH:000008-0.00 bRENT GRAND TOTAL 210.59
000113-0.00 KEVIN
000012-0.00 :ANTHONY
Customer Signature:
X
Thanks for your business.
INVOICE INVOICE Tire Central and Service INVOICE INVOICE
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 1/22/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/2014 505080 $210.59
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
v
Date Officer
VOUCHER # 137268 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
505080 01-7500-02 $210.59
Voucher Total $210.59
Cost distribution ledger classification if
claim paid under vehicle highway fund