HomeMy WebLinkAbout258507 05/10/16 4(r 44HF! CITY OF CARMEL, INDIANA VENDOR: 00350983
® ONE CIVIC SQUARE R &T TIRE&AUTO - NOBLESVILLE CHECK AMOUNT: $...3,305.12'
9 =q; CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 258507
ETON NOBLESVILLE IN 46060 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 33818 N0190T 2,601.60 TIRES
1110 4232000 33818 N0190V 703.52 TIRES
■
VOUCHER NO. WARRANT NO.
R&T TIRE&AUTO-NOBLESVILLE ALLOWED 20
17016 CLOVER ROAD IN SUM OF$
NOBLESVILLE, IN 46060
$3,305.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
—,P6#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member;
X33818r N0190V 42-320.00 $703.52
I hereby certify that the attached invoice(s), or
1110 101
33818 N0190T 42-320.00 $2,601.60 bill(s) is (are)true and correct and that the
1110 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, April 27, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�
Prescribed by State Board mAccounts City Form No.em(Rev.1995)
^
ACCOUNTS~~ ' ^ ^ ^ ^ ==^^~— 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 mfhours, rate per hour,number ofunits,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))
04/19/16 N0190V tires $703.52
1110 101
04119116 N0190T tires $2,601.60
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 |C 5-11-10-1.0
. 2O____
Clerk-Treasurer
R & T Tire-Noblesville R&T Frankfort(765)654-5588
` 17016 Clover Rd R&T Lebanon(765)482-5027
AR&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 04/19/16 10:33 AM
17016 CLOVER RD file id: NOB-58351 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N0190V 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/0 Item Number Description �a` S/W._. FET Price Amount Init's
4 GY748535189 LT265/70R17 WRL SILARMRPROGRD, 175.88 703.52 18
-------------------
V/Info:
}
- - ----------------------------
----------------------------
Sub-Total
i $703.52
,.
IN GOV'T, 0.0000
y $0.00
4 i
Total: $703.52
NewPymt: $0.00
Total Due: $703 . 52
Received By: SP: Pete Thomas
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
D 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 04/19/16 10:33 AM
17016 CLOVER RD file id: NOB-58349 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms
Inv: N0190T 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 ~° $/W. FET Price Amount Init's
12 GY732354500 P225/60R16 97V S2 EAG�£RS A :` BWL 89.00 1068.00 18
12 GY732026500 24' ,JS5R18 103V GY EAGLE ;RS A , 127.80 1533.60 18
--------------------
V/Info:
( - 7 - ----------------------------
----------------------------
fi Sub-Total
$2601.60
IN GOV'T, 0.000%
$0.00
_ .. Total: $2601.60
NewPymt: $0.00
Total Due:
$2601 . 60
Received By: SP: Pete Thomas
City
® pro Carmel
INDIANA RETAIL TAX EXEMPT Page 1 of 1
.JIIIl� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33818
ONE CIVIC SQUARE 35-6000972 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
4/19/2016 00350983
R&T TIRE&AUTO-NOBLESVILLE Carmel Police
VENDOR 17016 CLOVER ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46060-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS IFREIGHT
4194
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 42-320.00 Fund: 101 General Fund
1 Each tires $3,305.12 $3,305.12
Sub Total $3,305.12
NIN
,.
a
Send Invoice To: ^
Carmel Police
3 Civic Square �'�
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,305.12
SHIPPING INSTRUCTIONS "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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I 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 LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ®®®®
TITLE
CONTROL NO. 33818 CLERK-TREASURER