HomeMy WebLinkAbout248496 08/12/15 �.�."p"F CITY OF CARMEL, INDIANA VENDOR: 00350983
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® ONE CIVIC SQUARE R &T TIRE &AUTO - NOBLESVILLE CHECK AMOUNT: $*****1,876.83*
} r° CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 248496
,.,,TON. , NOBLESVILLE IN 46060 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N0139H 802.83 AUTO REPAIR & MAINTEN
1110 4232000 33005 N013CP 1,074.00 TIRES
..r.�1� R & T Tire-Noblesville R&T Frankfort (765)654-5588
R&T Lebanon(765)482-5027
R
17016 Clover Rd R&T Sheridan(317)758-4456
,TplNoblesville,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 08/04/15 11: 18 AM CR/APP: 12
17016 CLOVER RD file id: NOB-50885 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms
Inv: N013 9H BOB N01614 1st 10th
Sold-To: Type - Payment
CARMEL FIRE DEPARTMENT (EO $
2 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0 .00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*.*.:':. ARC 317-664-0958
317-690-4283 Jason C
Qty Shp B/O Item Number Description " S/W '`FET Price Amount Init s
4 EPA STATE TIRE FEE (INDIANA) ° .: N' 0 .25 1.00 5, ---
4 INSTALL ''MOUNT-COMPUTER BALANCE-STEM 8.00 32 .00 5,462
4 093002000 °TIREs-DISPOSAL 3 . 00 12 .00 5,462
4 BALANCE COMPUTERIZED,.:WHEEL, BALANCE;:;:,. 8.00 32 .00 5,462
1 078157000 ALIGNMENT (REF 'THRUST ANGLE-NO' . _ 49. 95 49. 95 5,462
4 GY179696217 LT265./70R17 121/118S E•:WRL' SR- 166 .69 666 .76 5,462
SHOP''-SUPPLIES ........ ,
9.12
--------------------
V/Info:
___________________V/Info: 2013 FORD F-150 WHITE `J. VINi1FTFW1ET6DFC36415,
Lic# 18437 IN Unt# DFC36415 Mil 29789
Last:
--------------------------------------------------------------------------------------------------
Sub-Total
_. . :. - . . $802.83
IN GOV'T, 0.000%
$0 .00
Total: $802 .83
NewPymt: $0. 00
Total Due: $802 . 83
Received By: SP:Chuck Godby
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))
N0139H VIN 6415 $802.83
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 & Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$802.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 N0139H 43-510.00 $802.83 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
AUG 10 2095
lair A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
17016 Clover Rd R&T Sheridan(3 17)758-4456
Ow 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 07/22/15 08:06 AM
17016 CLOVER RD file id: NOB-51001 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N013CP 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** REP 317-571-2546 GRAG W
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
12 GY732354500 P225/60R16 97V S2 EAG RS-A -BWL 89.50 1074 . 00 422
--------------------
V/Info:
-------------------------------------,-.------�---- -------t-------------
Q ---- Sub-Total
$1074 .00
IN GOV'T, 0 . 000°s
$0 .00
Total: $1074 . 00
NewPymt: $0. 00
Total Due: $1074 . 00
Received By: SP:JEFF HOGG
0 INDIANA RETAIL TAX EXEMPT PAGE
ci-Ey ®f Carmel
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,
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
7I iS
R a T Tlm and Auto C.umol Pallco Dap2Amont
SHIP 3 CIVIC aqumm
VENDOR Clovor Road TO Camol, IN
Noblosyliio, IN 44= (317)671-250
n
BLANKET CONTRACT PAYMENTTERMS FREIGHT
6
QUANTITY
trg I UNIT
gOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
end count gL9�dN.00
12 Each tiros $80.50 $1,074.00
Sub Total: $1,074.00
,,1�1�° . '•.fit w ,.a Q��ri- �.
'e w: .
Send Invoice To:
Alan: Pat Young
3 CIT squm
C�Inol' Irl 42� PLEASE INVOICE IN DUPLICATE
VE,TRTfAENj ACCOUNT PROJECT PROJECT ACCOUNT
na QUNT
PAYMENT
• 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 POPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF I ATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPE?ri//I 10 SUFFICIENT PAI�FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,,gyp
SHIPPING LABELS. G of
Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
cJ�®®� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
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))
07/22/15 N013CP tires $1,074.00
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
$1,074.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33005 I N013CP I 42-320.00 ( $1,074.00 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
Thursday, August 06, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund