253965 01/26/16 y°�_c�P3
r �, CITY OF CARMEL, INDIANA VENDOR: 00350983
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�' ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $...****115.99*
9 �_�; CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 253965
MdTON-�o. NOBLESVILLE IN 46060 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 N01745 115.99 TIRES & TUBES
R & T Tire.-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
p 17016 Clover Rd 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 01/13/16 11:12 AM
17016 CLOVER RD file id: NOB-55877 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N01745 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/O Item Number Description FET Price Amount Init's
1 GY755056383 245/70R17 GY ASSUR CSs}FUEL MAX USB 115.99 115.99 5
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$115.99
v IN GOV'T, 0.000%
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- i Total: $115.99
$ i
NewPym t: $0.00
M Total Due: $115 . 99
— -- 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/13/16 N01745 $115.99
1110 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
R&T TIRE&AUTO-NOBLESVILLE ALLOWED 20
17016 CLOVER ROAD IN SUM OF$
NOBLESVILLE, IN 46060
$115.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO, ACCT#/Fund AMOUNT Board Members
I N01745 I 42-320.00 I $115.99 1 hereby certify that the attached invoice(s), or
1110 101
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, January 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund