239606 11/25/14 `% c�p'''� CITY OF CARMEL, INDIANA VENDOR: 00350983
•
ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: S"'`"`573.90'
9` =q:
CARMEL, INDIANA 46032 N BLE CLOVER
ENROAD
CHECK NUMBER: 239606
,ro CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4232000 379.48 TIRES & TUBES
2200 4237000 194.42 REPAIR PARTS
�I
R & T Tire-Noblesville R&T Frankfort(765)654-5588
on" 17016 Clover Rd R&T Lebanon(765)482-5027
DR&T Sheridan(3]7)75874456
TZ 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 11/17/14 03:51 PM
17016 CLOVER RD file id: NOB-43954 Page .1
NOBLESVILLE, IN 46060 non-stock itm
Your P/O A/R Acct Terms Ship Via
Inv: NOOXWY DAN GRESKAMP N02655 1 ST 10TH
Sold-To: Ship-To: Type - Payment
CARMEL ENGINEERING DEPT. (E $
1 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK' �,.. 317-571-2441
Qty Shp B/O Item Number Description /W,." FET Price Amount Init's
4 GY183407418 P235/70R16 104S S2 WRL'- AfOW 119.44 477.76 5
Y
dot# 4B08DY1R3514, 4B08DY1R3514z�r4B08DY1R35,14, 4B08DY1R1514
4 EPA '. STATE TIRE FEE (INDIANA) 0.25 1.00 5
4 BALANCE COMPUTERIZED ;GIHEL BALANCE g 8.00 32.0,0 5,428
4 041263000 NEW'-VALUESTEM �: 2.25 9.00 5
4 093002000IRE DISPOSAL 3.00 12.00 5,428
1 040100000 right rear lug stud 1a orat '. tet 4 35.00 35.00 5,428
1 OPP ltg4 to napʁ ,4,259 2.93 2.93 5
r» r ; •'. a
1 OPP lug nutapa#64172E 4.21 4.21 5
--------------------
� S
V/Info: 2006 FORD ESCAPE WHITE VIN 1FMC1796T�76KA26690
Lic# 27780 IN Unt# E5 Mil: 90099 2,113
____ si E" -----------------------------------
-------------------------------
Sub-Total
.�C $573.90
22oo - 4'L320o o IN GOW T, 0.000%s
I q4-gZ 1200 — 423000 $0.00
Total: $573 .90
NewPymt: $0.00
Total Due: $573 . 90
Received By: SP:Chuck Godby
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
11/14/2014 0 Tires for E-5 $ 379.48
11/14/2014 0 Tires for E-5 $ 194.42
Total $ 573.90
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 NO WARRANT NO.
R&T Tire-Noblesville ALLOWED 20
17016 Clover Rd. IN SUM OF$
Noblesville, IN 46060
$ 573.90
ON ACCOUNT OF APPROPRIATION FOR
I
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4232000 s 379.48 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 0 2200-a23�000 $ ,s4.4z Which charge is made were ordered and
received except
f
11/24/2014
Signature
I
City Engineer
li li
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund