319396 12/05/17 ,Cqq
CITY OF CARMEL, INDIANA VENDOR: 00350983
ONE CIVIC SQUARE R &T TIRE&AUTO -NOBLESVILLE CHECK AMOUNT: $********98.00*
=4 CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 319396
NOBLESVILLE IN 46060 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER_ INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 NOlM9J 98.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350983 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
R &T TIRE &AUTO- NOBLESVILLE IN SUM OF$ CITY OF CARMEL
17016 CLOVER ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of-units,price per unit,etc.
NOBLESVILLE, IN 46060
Payee
$98.00
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
NO1 M9J 43-510.00 $98.00 1 hereby certify that the attached invoice(s),or 12/1/17 N01 M9J $98.00
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
Friday, December 01,2017
David Haboush
Fire Chief
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
7v;o R & T Tire-Noblesville R&T Lebanon(765)482-5027
17016 Clover Rd R&T Sheridan(317)758-4456
R&T Tipton(765)675-6775
�!� Noblesville,IN 46060
317-773-3130
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 11/15/17 02:53 PM
17016 CLOVER RD file id: NOB-75511 Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct Terms
Inv: N01M9J JASON 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
317-409-0909 MARK C
Qty Shp B/O Item Number Y •. Description „S/W FET Price Amount Init's
4 040128000 &RAbIAL FLAT REPAIR ON aCfARRY �IN 21.00 84.00 5,432
(REPAIR 4 TIRES/THEN BALANCE AND
MOUNT'ONTO-VEHICLE)
4 093002000 TIRE DISPOSAL �, 3 .50 14.00 5,432
--------------------
/Info: 2014 FORD POLICE INTERCEPTOR UTILITY WHITE AI UIN TFM5K8A24EGC49715
ic# 25168 IN Unt# BAT 4A Mil 39143 `Trq 110 fb# P245,%5SR1:8<
Last:
-----------------------------
----------------------------- -
S
s
.:' ub Total
$98.00
,r
� ,ELI_ __
IN GOV'T, 0.000%
_.. -$0.00
Total: $98.00
NewPymt: $0.00
Total Due: $98 . 00
Received By: SP: Chuck Godby