249867 09/23/15 r_Cqq-
°' '; CITY OF CARMEL, INDIANA VENDOR: 00350983
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® `°I ONE CIVIC SQUARE R &T TIRE & AUTO - NOBLESVILLE CHECK AMOUNT: S"""""""130.02"
x CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 249867
9��TpN����? NOBLESVILLE IN 46060 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N014BT 130.02 AUTO REPAIR & MAINTEN
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
17016 Clover Rd
-f 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 09/03/15 04 :25 PM CR/APP:12
17016 CLOVER RD file id: NOB-52265 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N014BT JASON N01614 1st 10th
Sold-To: Type - Payment
CARMEL FIRE DEPARTMENT (EO $
2 CIVIC SQUARE $
jV LQ�"
CARMEL, IN 46032 C�'k '"� q { p 9` G 3 2 =$__________=
S //0-0L Total $ 0 .00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*'* `= 317-664-0958
317-690-4283 jason C
Qty Shp B/0 Item Number Description S/W FET Price Amount Init's
1 GY183106436 P2`65/70R17 113R S2 WRL SR-A,•VS' 115 .13 115 .13 5,470
1 EPA 'STATE TIRE FEE (INDIANA) 0.25 0.25 5, ---
1 BALANCE '.-COMPUTERYZED:WkEEL BALANCE 8.00 8 .00 5,470
1 041263000 : NEW•:VALVEJ-STEM 3 .00 3.00 5,470
1 093002000 .,TIRE DISPOSAL' 3 .00 3.00 5,470
SHOP. SUPPLIES,g 0.64
-------------------- _...
V/Info:
--------------------------------- --------- Sub-Total
$130.02
IN GOV'T,0 .000s
$0. 00
Total: $130 .02
NewPymt: $0.00
Total Due: $130 . 02
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))
N014BT VIN 6932 $130.02
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.
ALLOWED 20
R & TTire & Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$130.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 N014BT 43-510.00 $130.02 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
SEP 2 1 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund