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Home My WebLink About245595 05/20/15 CAA . CITY OF CARMEL, INDIANA VENDOR: 00350983 4; r ® ONE CIVIC SQUARE R & T TIRE & AUTO - NOBLESVILLE CHECK AMOUNT: $"""1,520.28' ?4 CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 245595 NOBLESVILLE IN 46060 CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 32877 N011SO 1,520.28 TIRES Zoo R & T Tire-Noblesville R&T Frankfort(765)654-5588 R&T Lebanon(765)482-5027 d 17016 Clover Rd R&T Sheridan(3 17)758-4456 0o,I e Th wo— Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 Since 1965 Q °� rl rl Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 05/13/15 08 :09 AM 17016 CLOVER RD file id: NOB-48960 Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct Terms Inv: N011SO 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 Qty Shp B/0 Item Number Description S/W FET Price Amount Init's 12 GY732301500 P265/60R17 108V SL EAG RS-A, 126.69 1520.28 5 ,,, .. V/Info: Sub-Total $1520.28 IN GOV'T, 0.000% $0 .00 Total: $1520.28 NewPymt: $0 .00 Total Due: $1520 . 28 Received By: SP:Chuck Godby City ® (�° C �� INDIANA RETAIL TAX EXEMPT PAGE ,J,�r 4 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION SAWO95 R&T giro mnd Auto C@Inial Polico Dopwtmont VENDOR SHIP 3 CIVIC sgum 97MiS CIobor Romd TO Com®I, IN I oblosvIIIG, IN 4M (317)571.2 i CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Account gs UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 62`i7CUN.00 92 Each P265160117 $126.89 $9,520.28 Sub Total: $1,520.28 ° (EP� Send Invoice To: C@mGl Police DopEftGnt Aft. Pd Young C@fmai, IN 2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Cumel Police Dept. �` �`� PAYMENT $1,520'28 i A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRJAR��SUFFI�AY FOR THE ABOVE ORDER. •SHIP REPAID. / •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY // SHIPPING LABELS. hlGP of poIleo •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 G 1dY O� If- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V CLERK-TREASURER DOCUMENT CONTROL NO. 32877 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ �3 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 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)) 05/13/15 N011SO new tires $1,520.28 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. ALLOWED 20 R & T Tire and Auto IN SUM OF $ 17016 Clover Road Noblesville, IN 46060 $1,520.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32877 I N011SO I 42-320.00 I $1,520.28 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 Friday, May 15, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund