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243564 03/24/15 �..a�q,, CITY OF CARMEL, INDIANA VENDOR: 00350983 5 ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: S"""`3,928.40` +q; CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 243564 M��iui+'w°' NOBLESVILLE IN 46060 CHECK DATE: 03/24/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 32795 N01068 1,790.00 TIRES 1110 4232000 32816 N010FC 2,138.40 TIRES R & T Tire-Noblesville R&T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 0 � 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 03/18/15 08:17 AM 17016 CLOVER RD file id: NOB-47208 Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct Terms Inv: N010FC JASON N05743 1 ST 10TH Sold-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 3. S Qty Shp B/O Item Number Description -S/W. FET Price Amount Init's 20 GY732002500 P235/55R17 98W S2 EAG R5 X', ' 106.92 2138.40 5 -------------------- V/Info: � --------------------------- -, - - - -- -------------------------- ' t Sub-Total z z � $2138.40 x i IN GOV'T, 0.00Wk 4 � t i $0.00 Total: $2138.40 NewPymt: $0.00 Total Due; $2138 .40 Received By: SP:Chuck Godby R & T Tire-Noblesville R&T Frankfort(765)654-5588 R&T Lebanon(765)482_5027 17016 Clover Rd R&T Sheridan(317)758 4456 iRfl 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 03/04/15 02:38 PM 17016 CLOVER RD file id: NOB-46880 Page 1 NOBLESVILLE, IN 46060 Your P/0 A/R Acct Terms Inv: N01068 JASON N05743 1 ST 10TH Sold-To: Type - Payment CARMEL POLICE DEPARTMENT $ 3 CIVIC SQUARE $ CARMEL, IN 46032 _____________ Total $ 0.00 *MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK**, 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 EA'G?RS 89.50 1790.00 416 -------------------- /Info: r ? FY ------- ------------------------ - ; - -J ---------------------------------------------- t 3 ¢f Sub-Total $1790.00 4 _z3. IN GOV'T,0.000 0 $0.00 ifi: .Total: $1790.00 NewPymt: $0.00 Total Due: $1790 . 00 Received By: SP:TODD S FLANERY 0 INDIANA RETAIL TAX EXEMPT PAGE U}� ®f Carmel CERTIFICATE NO.003120155 002 0\\��////Ji 15.� �i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT M6 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/162015 R &T Tirt and,luta •Carm@1 Police DepwInwnt VENDOR SHIP 3 CIVIC: SgUaft-5 17016 Clow Road TO Camel, IN 40032 Noll@ovillt, IN 4M (317)571 M9 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .00 20 Each Tires P235-55 R17 $110.02 $2,200.40 Sub Total: $2,200.40 e .t 4 v./f 1 I (I • � �t t � ��. Send Invoice To: r Camiel Police Depaitrnent Attn: Pat Young 3 Civic Square Can-nal, IN 40032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Cannel Police Dept. `t�v` PAYMENT $2,2M•40 j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONSI HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICE T TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL / ��/�� ✓ SHIPPING LABELS. l' of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f v AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO- 32816 A.P•V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. I ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. A CT#rrITLE AMOUNT# 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 _ i 20 Signature — —_ ----- _ Title _. Cost distribution ledger classification if claim,paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE uit ®f C a rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3270 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 3/412015 R&T`I"It@ and Auto Canvol Police Deparfmonrt VENDOR SHIP 9 CIVIC square 17010 ClowbF Road TO Cali wl, IN 4GM2 Nobl€sylllo, IN 46080 (W)57`142-51159 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-3M-00 20 Each Tires P225-00 R16 $89.50 $1,790.00 Sub Total: $1,790.00 j r a `�� fi��ji �� "�'t✓ �`�l V "b•' 'E, ` °Y i� 1 ..�' '' y •� 1 ell\\�}y� r '3 :Y f Send Invoice To: Carmel Police Department Attn: Pat Young 3 CIVIC SgUarb Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. �y�� `' PAYMENT $1,790.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / " •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 1�1 �II C tgll •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 3�� CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 1N THE SUM OF$ 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. 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 32795 N01068 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 32816 N01 OFC 1 42-320.00 1 $2,138.40 materials or services itemized thereon for which charge is made were ordered and received except Friday, March 20, 2015 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)) 03/04/15 N01068 Tires $1,790.00 03/18/15 N010FC tires $2,138.40 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