HomeMy WebLinkAbout304116 10/10/16 (9CITY OF CARMEL, INDIANA VENDOR: 00350983
ONE CIVIC SQUARE R &T TIRE&AUTO -NOBLESVILLE CHECK AMOUNT: $*******159.55*
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 304116
, NOBLESVILLE IN 46060 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N01CLH 159.55 AUTO REPAIR & MAINTEN
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
R &T TIRE &AUTO- NOBLESVILLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
17016 CLOVER ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NOBLESVI LLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$159.55 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
N01CLH 43-510.00 $159.55 1 hereby certify that the attached invoice(s),or 9/29/16 N01CLH Car413 $159.55
1120 101 1120 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, September 29,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
R & T Tire Noblesville
R&T Frankfort(765)654-5588
17016 Clover Rd R&T Lebanon(765)482.5027
D R&T Sheridan(317)758-4456
"..� 4 L9T � 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 09/28/16 08:19 AM CR/APP:12
17016 CLOVER RD file id: NOB-62981 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms
Inv: NOICLH KEITH N01614 1st 10th
Sold-To: Type - 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
" 4 317-409-0909 MARK C
Qty Shp B/O Item Number Description �� � S/W �FET Price Amount Init's
1 040128000 RADIAL FLAT REPAIR ON C=ARRY 19 21.00 21.00 5,428
1 GY732026500 245/55R18 103V GY EAGLE R8 A 127.80 127.80 5,428
dot# M6DXJA2R2476�„
1 EPA STATE TIRB FEE (3NDIANA) 0.25 0.25 5,428
Al
1 INSTALL MOUNT COMP�ITER BALANCEFSTEM h � 10.50 10.50 5,428
-------------------- t E
V/Info: °H
---------------------------
3 Sub-Total
1
$159.55
3
IN GOV'T, 0.000%
$0.00
Total: $159.55
NewPymt: $0.00
Total Due: $159 . 55
Received By: SP: Chuck Godby
�/' / 4