HomeMy WebLinkAbout235480 07/30/14 CITY OF CARMEL, INDIANA VENDOR: 00350983
l ONE CIVIC SQUARE . R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*****3,928.40*
s � CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 235480
v Fur NOBLESVILLE IN 46060 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 32096 NOOUTL 3,928.40 TIRES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
l"M17016 Clover Rd R&T Lebanon(765)482.5027
D R&T Sheridan(317)758-4456
,qsTLPINoblesville,M 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 07/18/14 11:00 AM RePrint
17016 CLOVER RD file id: NOB-39945 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms Ship Via
Inv: NOOUTL JASON N05743
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
Qty Shp B/O Item Number Descriptionw,E= S/W, FET Price Amount Init's
20 GY732354500 P225/60R16 97V S2 EAGRS A ' ° ,'d 89.50 1790.00 JPK
dot# DAXOBEER4213, �DAXOBEER4213, DAXOBE'ER423,3-r DAXOBEER4213
DAXOBEER4213, bAXO„BEER4213, DAXOBEER 2 3
20 GY732002500 P235/55R17 98WS2 EAG RS Ai ' 106.92 2138.40 JPK
doth Mu73LNER2 " , In��B.�>+TxD2?; a, N1578TNBR27�a#, M67.;SLNER2714
M678LNER2714, M678LNER2714; M678LNER2'I7141,i
-------------------- d
V/Info: g
---------------------------— -- "'� _:e� _ < ---- — -----------------------------
Sub-Total
$3928 .40
IN GOV'T, 0.000
p 0
' $0.00
Total: $3928.40
NewPymt: $0.00
Total Due: $3928 .40
Received By: SP:Jim Kitchel
® (�° /�(lam/�� � INDIANA RETAIL TAX EXEMPT PAGE
J11rCERTIFICATE NO.003120155 002 0City
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32196
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 REQUISITION NO. VENDOR NO. DESCRIPTION
7 J2t94
R&T Tire and Auto Camel Police DenaFtli'ent
VENDOR
SHIP 3 Civic Squab
17016 Clover Road TO Cann@l, IN 46032
Noblesville, IN 46 (31 r)571®2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-a2O.00
20 Each Tires P225-60 R16 $89.50 $1,790.00
20 Each Tires P235-55 R17 $106.82 $2,138.40
Sub Total: $3,028.40
A@1 = _
s
4
YV
Send Invoice To: i r ' r, )V-'
Camel Pollee Dapadryient
Attn: Pat Young
3 Civic Squame,
Carmel, IN 46M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $3,928.40
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T�AT'TAERE IS AN UNOBLIGATED BALANCE IN
THISAPPROPRI TI� SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ((S
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �� �^
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. sls�Of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 3 2 0 9 6 CLERK-TREASURER
,4.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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.
ALLOWED 20
R & T Tire and Auto
IN SUM OF$
17016 Clover Road
Noblesville, IN 46060
$3,928.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
F—_12096 NOOUTL 42-320.00 $3,928.40 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
Friday, J ly 25, 2014
I
(Zo"'
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
07/25/14 NOOUTL tires $3,928.40
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