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Home My WebLink About234386 07/01/14 %'��p'\'f� CITY OF CARMEL, INDIANA VENDOR: 00350983 i1 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*******596.28* ,_� CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 234386 Mi�oN�. NOBLESVILLE IN 46060 CHECK DATE: 07/01/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 32058 NOOTVQ 596.28 TIRES R & T Tire-Noblesville R&T Frankfort(765)654-5588 ,` 5)482-5027 17016 Clover Rd R&T Sheridan(317)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 06/12/14 09:31 AM 17016 CLOVER RD file id: NOB-38726 Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct Terms Ship Via Inv: NOOTVQ JASON 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 NETWQRK*.* ARC 317-571-2546 GRAG W Qty Shp B/O Item Number Description ` $/W,, FET Price Amount Init's 4 GY410422177 P265/70R17 113S S2 WRY, A '/SsB 149.07 596.28 5 -------------------- V/Info• ---------------------------- Ji, __________________________ _________________ p qq Sub-Total • P €, ` $596.28 y Pt IN GOV'T, 0.000 0 � $0.00 r § & "Total: $596.28 NewPymt: $0.00 Total Due: $596 . 28 Received By: SP:Chuck Godby r INDIANA RETAIL TAX EXEMPT PAGE Chit ®f ¢'Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 321IM8 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 DATEL DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5!39M2 14 R&T Tire and Auto Carmel Police Department VENDOR SHIP 3 Civic Square 17016 Clover Road TO Carmel, IN 46032 I*1oblesYlllo, IN 46060 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4240.0.00 t Each tires $596.28 $596.28 Sub Total: $596.28 21 ;I ,��`/ 'vs• ��((��4.�t�i ';,r' "' "--tea a \(. Pin f f.• 4dp `{ � � t � t�� J , INJ Send Invoice To: Carmel Police Department = Attar: Fat Young 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. PAYMENT $596.28 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. 1 • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED:BY \k •PURCHASE ORDER NUMBER MUST APPEAR ON ALL \ - SHIPPING LABELS. \ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE CI11� O�Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i DOCUMENT CONTROL NO. 3 2 0 5 8 CLERK—TREASURER A.P.V. COPY-SIGN AND RETURN TO CLERK'S O4=N9CE q VOUCHER NO. WARRANT NO. + ALLOWED 20 j IN THE SUM OF$ r , I ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. R &T Tire and Auto ALLOWED 20 i IN SUM OF$ 17016 Clover Road Noblesville, IN 46060 j $596.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32058 I N00TVQ I 42-320.00 I $596.28 1 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 Friday, June 27, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee i Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 06/12/14 NOOTVQ tires $596.28 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