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HomeMy WebLinkAbout260290 06/28/16 r CAq J`%` M?� CITY OF CARMEL, INDIANA VENDOR: 00350983 ;.� "a ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $"""2,200.40• _° CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 260290 +M�roN NOBLESVILLE IN 46060 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 34036 N01ACY 2,200.40 TIRES VOUCHER NO. WARRANT NO'. Prescribed by State Board of Accounts City Form No.201(Rev.1995) R&T TIRE &AUTO-NOBLESVILLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 17016 CLOVER ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service C NOBLESVILLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,200.40 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT j 34 N01ACY 42-320.00 $2,200.40 1 hereby certify that the attached invoice(s),or 6/20/16 N01ACY 20 tires $2,200.40 1110 101 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 Thursday,June 23,2016 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer & T. Tire-Noblesville R&T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 4456 �� D �•� � ;s R&T Sheridan(317)758-4456 %,���/� Noblesville,M 46060 R&T Tipton(765)675-6775 �I �?�' 317-773-3130 sanoeises �O qfo Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 06/20/16 07:28 AM 17016 CLOVER RD file id: NOB-60082 Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct Terms Inv: NOlACY 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*` ARC 317-571-2546 GRAG W Qty Shp B/O Item Number Description rS/W FET Price Amount Init's 20 GY732002500 P235/55R17 98W S2 E7Ugg>RS A 110.02 2200.40 5 -------------------- V/Info: 1 Sub-Total $2200.40 ` a 0 IN GOV'T, 0.000% f $0.00 r Total: $2200.40 NewPymt: $0.00 Total Due: $2200 .40 Received By: SP: Chuck Godby 1