HomeMy WebLinkAbout240791 01/07/15 +u,C,AM
CITY OF CARMEL, INDIANA VENDOR: 00350983
® ''r: ONE CIVIC SQUARE R &T TIRE & AUTO - NOBLESVILLE CHECK AMOUNT: $*******766.80*
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 240791
�4j.oN�o.? NOBLESVILLE IN 46060 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4232000 32256 NOOYKJ 766.80 TIRES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
Efwl
rpv
17016 Clover Rd 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 12/15/14 01:40 PM
17016 CLOVER RD file id: NOB-44803 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms Ship Via
Inv: NOOYKJ 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*.* "" ARC 317-571-2546 GRAG W
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
6 GY732026500 245/55R18 103V GY EAGLERS-A . `"' 127 .80 766.80 416
V/Info:
----------------- --------------------3. --------------------------------------------------------
1 .. Sub-Total
$766.80
" _ IN GOV'T, 0.000%
€ x $0.00
,
.. 3
Total: $766.80
NewPymt: $0.00
Total Due: $766 . 80
Received By: SP:TODD S FLANERY
INDIANA RETAIL TAX EXEMPT PAGE
City ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3
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
9 '994
R&T 71ro and Auto C&tei Police Depadmont
VENDOR SHIP 3 Civic Sguaro
TO
17016 Clovor Rood Carooi, IN 4M
Noblosviilo, IN 4M (317)679=2M
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
Account
I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-32 l.00
136.57 Each Tires P235-55 R17 $6.00 $637.42
Sub Tat2i: $037 2
Y;
'
4/1
ko
Send Invoice To:
Carmel Police Depadmert
Abet: Pat Young
3 Civic squ@m
C2emol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT X7.42
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TH E IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION FfENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,.
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lit ®I pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 5 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.___.__
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
POS'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
1
VOUCHER NO. WARRANT NO.
�
R & T Tire and Auto ALLOWED 20
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$766.80
r
ON ACCOUNT OF APPROPRIATION FOR --
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32256 NOOYKJ 42-320.00 $766.80
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, pecember 31, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
01/02/15 NOOYKJ tires $766.80
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