HomeMy WebLinkAbout255963 03/01/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350983
ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*****3,484.59*
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 255963
NOBLESVILLE IN 46060 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N017EE 740.59 AUTO REPAIR & MAINTEN
1110 4232000 33637 N017HL 2,744.00 TIRES
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire &Auto
IN SUM OF$
17016 Clover Road
Noblesville, IN 46060
$740.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 N017EE 43-510.00 $740.59 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
FEB 9 0 2016
.1
L LIND X,A,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
7-�qrz-'
R & T Tire-Noblesville R&T Frankfort(765)634"3588
R&T Lebanon(765)482-5027
17016 Clover Rd R&T Sheridan(317)758-4456
Noblesville,M 46060 R&T Tipton(765)675-6775
317-773-3130
Sinc*1965
Store Location Store Phn Date Time
R & T Tire/Auto NOB (317) 773-3130 02/,01/16 03:04 PM CR/APPt12
,17016 CLOVER RD file id: NOB-56246 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N017EE BOB N01614 1st 10th
Sold-To: _
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
317-409-0909 MARK C
Qty Shp B/O Item Number
Description S/w
FET Price Amount Init's
4 GY179535492 -L!t2.65/70R17 121/11SR E WR'L Sk- 161.91 647.64 5,428
4 EPA STATE TIRE F29 -(INDIANA) 0.25 1.00 5, ---
4 BALANCE*
'STEM ,
4 INSTALLMOUNT-COMPUTER;' L " ! I � . 10.50 42.00 5,428
1 078162000 COMPUTERIZED 4_-WHL'ALIGN (INCL 49.95 49..95 5,462
:*,*CUSTOMER; TO KEEP'TAKE OFF TIRE
**PUT; IN BED OF PIdK-UP
--------------------
V/Info: 2013 FORD F-150 WHITE f VIN .1FTFW1 ETBDFC36416
Lic# 18436 IN Unt# 412 Mil: 38752]- -. '
Last:
-
-----------------------------------------
-----------------------------------------------
Sub-Total
$740.59
IN GOVIT,0.00016
$0.00
Total: $740.59
NewPymt: $0.00
Total Due: $740 . 59
Received By: SP: Chuck Godby
VOUCHER NO. WARRANT NO.
ALLOWED 20
R&T TIRE&AUTO-NOBLESVILLE
17016 CLOVER ROAD IN SUM OF$
NOBLESVILLE, IN 46060
$2,744.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PQ#'/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
�j 3 6 7.r``I N017HL I 42-320.00 I $2,744.00 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
Monday, February 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R & TTire-Noblesville R&T Frankfort(765)654-5588
17016 Clover Rd R&T Lebanon(765) -5027
758
R&T Sheridan(317)758-4456
Noblesville,IN 46060 R&T Tipton(765)675-6775
317-773-3130
S1nae 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 02/08/16 08:32 AM
17016 CLOVER RD file id: NOB-56361 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N017HL JASON 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..*.W* 317-571-2546 GRAG W
Qty Shp B/O Item Number Description tS/W, FET Price Amount Init's
16 GY732297500 235/55R17 EAG RS-A 98WS2iVSBr VSB 109.00 1744.00 5
8 GY732301500 P265/60R17 108V SL EAGiRS A > 125.00 1000.00 5
-------------------- r
V/Info:
- ----------------------------
Sub-Total
$2744.00
y 8 ) •^
IN GOV'T' 0.000%
x $0.00
Lc
Total: $2744.00
NewPymt: $0.00
Total Due: $2744 . 00
Received By: SP: Chuck Godby
v INDIANA RETAIL TAX EXEMPT Page 1 -
of 1
arme
Y . � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33637
.
ONE CIVIC SQUARE 3576000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 -VOUCHER,DELIVERY MEMO;PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE.BOARD OF ACCOUNTS.FOR CITY OF CARMEL-1997, .
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO: DESCRIPTION
218/2016 -00350983
R&T TIRE&AUTO--.NOBLESVILLE Camel Police
VENDOR .17016 CLOVER ROAD SHIP _3-Civic Square
TO Carme1,:IN. 46032-
NOBLESVILLE, IN 46060
CONFIRMATION BLANKET : CONTRACT PAYMENT TERMS FREIGHT
QUANTITY. . 'UNIT OF MEASURE DESCRIPTION UNIT PRICE : . EXTENSION.
Department: .1110 Account: 42-320.00 Fund:'101 :. General-Fund '
1Each tires . $2744.00- . :$2,744.00
Sub Total
$2,744.60,
Z� .�
Send Invoice To:
Carmel Police 24 ties
3 Civic Square
-Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT .$2,744.00.
SHIPPING INSTRUCTIO `A/P VOUCHER CANNOT BE APPROVE_D FOR PAYMENT UNLESS THE P.O.:NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
`SHIP PREPAID. AFFIDAVIT ATTACHED. 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY:FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABS
"THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33637 CLERK-TREASURER. .