237951 10/08/2014 F�q
CITY OF CARMEL, INDIANA VENDOR: 367213
ONE CIVIC SQUARE R &T TIRE-LEBANON CHECK AMOUNT: $*****2,030.24*
r ,?� CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK NUMBER: 237951
°M�:oi-�o• LEBANON IN 46072 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 LOOR2U 2,030.24 AUTO REPAIR & MAINTEN
R & T Tire-Lebanon R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
11 W
IR
-� 3 0 South Street R&T Sheridan(317)758-4456
�/ Lebanon,IN 46052 R&T Tipton(765)675-6775
® 765-482-5027
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - LEB (765) 482-5027 09/05/14 01:05 PM
1310 W. SOUTH STREET file id: LEB-35094 Page 1
LEBANON, IN 46052
Your P/O A/R Acct Terms Ship Via
Inv: LOOR2U L00259 1 ST 10TH
Sold-To: Ship-To: Type - Payment
CARMEL FIRE DEPT $
2 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*'* REP 317-664-0958
317-571-2615
rr
Qty Shp B/O Item Number
Description �r=F
p Ft-� S/W� :FET Price Amount Init's
4 GY138799245 11R225 H G287 MSA' DURASEAf 507.31 2029.24 202
dot# MC3TAX0W5213, MC3TAXOW5213, MC3TAXOW5213, MC3TAXOW5213
4 EPASTATE T.....
0.25 1.00 202
--------------------
a
k
V/Info: ---- (N/A) (BLANK) ¢ w �M
Unt# E42 b i
---------------------------- ___ ---------------------------
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Sub-Total
$2030.24
k d
k
d ## _) IN GOV'T,0.000%
$0.00
'ZZ,.. _.< .a Total: $2030.24
NewPymt: $0. 00
Total Due: $2030 . 24
Received By: SP:Terry Millikan
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & TTire to
L3Zo
S4-17K
5`17Tv`.)�, IN SUM OF$
I�
1-10H.0.91vi"e, IN 4606&-
5i
$2,030.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 LOOR2U 43-510.00 $2,030.24 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
OCT
1
Fire Chief
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))
LOOR2U E42 $2,030.24
I
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