HomeMy WebLinkAbout250821 10/21/15 ��r_c�gMfi
CITY OF CARMEL, INDIANA VENDOR: 00350983
® ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $""*'1,320.24'
:. CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 250821
9M��ON��=' NOBLESVILLE IN 46060 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 33160 N014HD 1,320.24 TIRES
10/16/2015 08:47 3177733138 RTAUTONOBLESUILLE #3363 P. 001/001
R & T Tire-Noblesville R&T Frankfort(765)654-5588
17016 Clover
R&T Lebanon(765)482-5027
1 1 et Rd R&T Sheridan(317)758-4456
Noblesville,IN 46060 R&T Tipton(765)675.6775
91nce lees 317-773-3130
Store Location store Phu Date Time
R & T Tire/Auto - NOB (317) 773-3130 09/11/15 09:34 AM RePrint
.17016 CLOVER RD file id: NOB-52465 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N014HD N05743 1 ST 10TH
Sold-To: Type - Payment
CARMEL POLICE DEPARTMENT S
3 CIVIC SQUARE $
$
CARMEL, IN 46032
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*4'• ARC 317-571-2546 GRAD
Qty Shp B/0 Item Number Description ;; •.S/W INET Price Amount Init's
12 GY732002500 P235/55R17 98W S2 110.02 1320.24 12
V/Info:
Y- 4.- ---- q ---------------------------
--------------------------
w'w.-..-.--w.
'. ,...,
, ,..„.. ,.,.. •.. .:�` Sub Total
$1320.24
IN GOV I T,O.0 0 0 V
$0.00
Total: $1320.24
NewPymt: $0.00
Total Due: $1320 .24
Received By: SP: Jim Kitchel
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33140
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
R&T Tiffi and Auto Pollc@ Depaltment
VENDOR
SHIP 3 CIVIC Squar
17010 Clow Road TO Cannel, IN 4
NobleNvill€a, IN 46060 (31 r)571-255-0
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-320.00
12 Each tires $110.02 $1,320.24
Sub Total: $1,320.2
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Send Invoice To:
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Carmel Police DepaPtment � t.
Attn: Pat Young
3 CIVIC Squam
Carnial, IN 40032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT —AMOUNT
Carrhei Police lupi. •,174V.ce`
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN
�FFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT jHrTO
SHIP REPAID. E)SAN UNOBLIGATED BALANCE IN
THIS APPROPRIATION•SUFF((CIENT PAY FOR THE-ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. G -
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY a
SHIPPING LABELS. Chi f Dolle'@
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 16 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
POor
# INVOICE NO. ACCT#/TITLE 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
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
$1,320.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33160 I N014HD I 42-320.00 I $1,320.24 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, October 16, 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))
09/11/15 N014HD tires $1,320.24
i
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