246504 06/17/15 �CAgy
��` �1". CITY OF CARMEL, INDIANA VENDOR: 00350983
® ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*******517.80*
f. ,=a CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 246504
,,�, NOBLESVILLE IN 46060 CHECK DATE: 06/17/15
F ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4232000 N0124K 517.80 TIRES & TUBES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
l� , 17016 Clover Rd R&T Lebanon(765)482-5027
p � R&T Sheridan(317)758-4456
Noblesville,IN 46060 R&T Tipton(765)675-6775
317-773-3130
sinc@isss
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 05/29/15 08:57 AM
17016 CLOVER RD file id: NOB-49412 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N0124K N02655 1 ST 10TH
Sold-To: Type - Payment
CARMEL ENGINEERING DEPT. (E $
1 CIVIC SQUARE $
CARMEL, IN 46032 -------------
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** REP 317-571-2441
Qty Shp B/O Item Number Description `y `S/W,, FET Price Amount Init's
4 GY402027477 P235/70R16 104S S2 1ITYr ' 98.99 395.96 422,462,42
dot# M708B3HR4514, M708B3HR4514i, M708,$3HR4514, M708B3HR4514
4 EPA STATE •T:IRE FEE (INDIANA) 0.25 1.00 422,462,42
4 INSTALL MOUNT COMPUTER.BALANCE STEM 21.95 87.80 422,462,42
4 093002000 TIRE DISPOSAL ; i 3.00 12.00 422,462,42
4 TPS20008 TPMS SERVICE PACK ) ,'; 5.26 21.04 422,462,42
-------------------- M k $)
V/Info: 2010 FORD ESCAPE WHITE
Lic# 67113 IN Mil: 52131 Trq 10`0 ft#`" x
------------------------------
9--
----------------------------
Sub-Total
$517.80
IN GOV'T, 0.000%
$0.00
Total: $517 .80
NewPymt: $0.00
Total Due: $517 . 80
Received By: SP:JEFF HOGG
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
5/31/2015 N0124K Tires for E2 $ 61.48
5/31/2015 N0124K Tires for E2 $ 456.32
Total $ 517.80
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
VOUCHER NO WARRANT NO.
R&T Tire- Noblesville ALLOWED 20
17016 Clover Rd. IN SUM OF $
Noblesville, IN 46060
I
$ 517.80 '
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
0 N0124K 2200-4232000 $ 61.48 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 N0124K 2200-4232000 $ 456.32 which charge is made were ordered and
received except
l
'r
6/15/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund