HomeMy WebLinkAbout236993 9 /10/2014 CITY OF CARMEL, INDIANA VENDOR: 00360983
ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*****1,790.00*
f +': CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 236993
9M�rON� NOBLESVILLE IN 46060 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 32448 NOOVUD 1,790.00 TIRES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
17016 Clover Rd
�, D 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 08/30/14 07:52 AM
17016 CLOVER RD file id: NOB-41269 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms Ship Via
Inv: NOOVM 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 NETWORK*E* f ARC 317-571-2546 GRAG W
Qty Shp B/O Item Number Description
p � � S/Wt_ FET Price Amount Init's
20 GY732354500 P225/60R16 97V S2 EAGI2S 89.50 1790.00 JPK
------------------- y
V/Info:
J�
--------------------------- ---------------------------
Sub-Total--------------------------Sub-Total
$1790.00
k , IN GOV'T,0.0000
� � �� $0.00
{ y r
t $ 'Total: $1790.00
a NewPymt: $0.00
Total Due:
$1790 . 00
Received By: SP:Jim Kitchel
_
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carm'd CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32449
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
91a
R &T Tire and Auto Carmel Police Department
VENDOR SHIP 3 CIVIC Square
17016 Clover Road TO Carmel, IN 46032
Noblasylilc, IN 46WO (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-320.00
20 Each tires GY732354500 $89.50 $1,790.00
Sub Total: $1,790.00
I Al f _r r N�
a
Y,
Send Invoice To: _ r
Carmel Police De,partmant
Attn: Pat'Young
3 Civic Squares
Carmel, IN 46W-- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �` �� PAYMENT $1,790.00
�
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFF HENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / �—
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �F�le�egg Polio
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 4 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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.
R &T Tire and Auto ALLOWED 20
IN SUM OF$
17016 Clover Road
Noblesville, IN 46060
$1,790.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#rr]TLE AMOUNT Board Members
32448 NOOVUD 42-320.00 $1,790.00 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
Thursday, September 04, 2014
1
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))
09/04/14 NOOVUD' Tires $1,790.00
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