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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