HomeMy WebLinkAbout240095 12/09/2014 ��� *• CITY OF CARMEL, INDIANA VENDOR: 00350983
�' ® ONE CIVIC SQUARE R &T TIRE&AUTO -NOBLESVILLE CHECK AMOUNT: $*****3,928.40*
f. ,_�; CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 240095
�4j��?o:;�°' NOBLESVILLE IN 46060 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 32211 N0075F 3,928.40 TIRES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
17016 Clover Rd R&T Lebanon(765)482-5027
R&T Sheridan(317)758-4456
��—� � Noblesville,IN 46060 R&T Tipton(765)675-6775
317-773-3130
sfnce 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 11/26/14 10:43 AM
17016 CLOVER RD file id: NOB-44259 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms Ship Via
Inv: NOOY5F 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 NETWORxt- ARC 317-571-2546 GRAG W
Qty Shp B/0 Item Number Description S/W FET Price Amount Init's
20 GY732354500 P225/60R16 97V S2 E G 25 A" f 89.50 1790.00 416
20 GY732002500 -`P235-/55R17 98W S2 EP,G�O A 106.92 2138.40 416
-------------------- w
V/Info:
a
---------------------------- a - ----------------------------
' Sub-Total
.r.
� $3928.40
IN GOV'T, 0.000
r,.
E # $0.00
_. �,.,.... L � r> Total: $3928.40
NewPymt: $0.00
Total Due: $3928 . 40
Received By: SP:TODD S FLANERY
City
®,Jir/�° C����� INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 3221 1
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
M
R &T 71ro and Auto Carmel Polices Department
VENDOR SHIP 3 CIVIC squarb
17016 Clover Road TO Carmal, IN 48032
Noblesville, IN 4MO (317)571.-569
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.320.00
2 c0>Each tires GY133106418 ! �0 $3,028.40
SubTotal: $3,928.40
Send Invoice To: 11
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46432- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. � .1S PAYMENT $3,928.40
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
\.ter NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TH4ERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRI .IOM FFICIENT TO PAY FO -Tf:E ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f/
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 191@f of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32211 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
POJ#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 V
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
32211 NOOY5F 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
Wednesday, ecember 03, 2014
I
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))
12/02/14 NOOYSF 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