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Home My WebLink About229640 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 0 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $2,705.52 NOBLESVILLE IN 46060 CHECK NUMBER: 229640 CHECK DATE: 2/25/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 31510 NOOROF 2 , 685 . 00 TIRES 2200 4232000 NOOR67 20 . 52 TIRES & TUBES R & T Tire—Noblesville R&T Frankfort(765)654-5588 R&T Lebanon(765)482-5027 17016 Clover Rd R&T Sheridan(3 17)758-4456 Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 02/13/14 05:03 PM 17016 CLOVER RD file id: NOB-35007 Page 1 NOBLESVILLE, IN 46060 Your P/0 # A/R Acct# Terms Ship Via Inv: NOOROF N05743 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL POLICE DEPARTMENT $ 3 CIVIC SQUARE $ CARMEL, IN 46032 Total $ 0 .00 **MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** ARC 317-571-2546 GRAG W Qty Shp B/O Item Number Description S/W FET Price Amount Init's 30 GY732354500 P225/60RIG 97V S2 EAG�RS-A....,... 89.50 2685.00 18 -------------------- V/Info: Sub-Total $2685. 00 IN GOV'T, 0.000% 't ( $0.00 Total: $2685. 00 NewPymt: $0. 00 Total Due: $2685 . 00 Received By: SP:Pete Thomas I INDIANA RETAIL TAX EXEMPT PAGE City Carme®f � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 1� FEDERAL EXCISE TAX EXEMPT �95�0 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED a REQUISITION NO. VENDOR NO. DESCRIPTION A 4 71ro @nd Auto C2aol Police Dopallfflont VENDOR SHIP 3 Civic Squm TO 97095 Clow Rdmd CmrmoI, IN Noblesville, IN 46 0 (317)5792574 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 30 Each tires $89.50 $2,885.00 Sub`dotal: $2,085.00 eq r z= dy '5 gel .•tom�4 { c Send Invoice To: � _' 1 i Carmel Police Dep�flma t Attn: Rat Young 3 Civic Square Cafmial, IN MM- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $2,685•00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE�ISOAN UNOBLIGATED BALANCE IN THIS APPROPRIATION UFFICIE T SHIP REPAID. TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C d Polies AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 15 10 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO—__'__WARRANT ND____ ALLOWED 20____ |NTHE SUM UF$ ` [}NACCOUNT OFAPPROPRIATION FOR ' ' .'� Board Members .PO#or INVOICE NO, ACCT#MTLE AMOUNT DEPT# | hereby certify that the attached invoioe(o), or bill(s) is (aro) hue and co/reotand that the materials nrservices itemized thereon for which charge iamade were ordered and receivednxoo[�_____ � ' ` _-___- ` - ...-............. .... .................-_-_-_'�-..... -�_____'__-_-_-__ Signature . ' Title � ' . Cost uixmumwn ledger classification if claim paid mnmrvehicle 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/24/14 NOOROF tires $2,685.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 R & T Tire and Auto IN SUM OF $ 17016 Clover Road Noblesville, IN 46060 $2,685.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31510 NOOROF 42-320.00 $2,685.00 I hereby certify that the attached invoice(s), or I I I 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 MondayJFebruary 24, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 5 r Ae Flt-- R & T Tire-Noblesville R&T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 R&T Sheridan(3 17)758-4456 =�+ O 05 Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 02/21/14 08 :58 AM 17016 CLOVER RD file id: NOB-35215 Page 1 NOBLESVILLE, IN 46060 Your P/O # A/R Acct# Terms Ship Via Inv: NOOR67 N02655 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL ENGINEERING DEPT. (E $ ` 1 CIVIC SQUARE $ I $ CARMEL, IN 46032 ---_---__ -- Total $ 0.00 **MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*'* ARC 317-571-2441 Qty Shp B/O Item Number Description :f,.- :.°,;;; ^ ' S/W FET Price Amount IntIS 1 040128000 RADIAL FLAT REPAIR ON=rght f•rd : 19. 00 19. 00 477,466 4 040100000 check/adjust tire pressures,,, 0. 00 0 .00 477,466 SHOP'-,SUPPLIES 1.52 -------------------- V/Info: 2006 FORD ESCAPE WHITE'VIN:;IFMCU96H76KA26090< „s Lic# 27780 IN Unt# E5 Mil. 7-8,789` ". 3�s`: _ - '. —-—-—------------- ------------q; -ti ---- r—..b... ----- - ----—-—-------------—-----—-— Sub-Total i $20.52 IN GOV'T, 0.0005k g. # $0. 00 Total: $20.52 - _ = NewPymt: $0.00 Total Due: $20 . 52 Received By: SP:LAURA ROYEM 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee R&T Tire-Noblesville Purchase Order No. 17016 Clover Rd. Terms Noblesville, IN 46060 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 2/21/2014 NOOR67 E5 Tire Repair $ 20.52 Total $ 20.52 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. 20 Clerk-Treasurer VOUCHER NC WARRANT NO. R&T Tire-Noblesville ALLOWED 20 17016 Clover Rd. IN SUM OF $ Noblesville, IN 46060 $ 20.52 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 NOOR67 2200-4232000 $ 20.52 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 2/24/2014 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund