322890 03/12/18 Cqq
'�' ""• CITY OF CARMEL, INDIANA VENDOR: 00350983
a,
Bb it ONE CIVIC SQUARE R &T TIRE&AUTO -NOBLESVILLE CHECK AMOUNT: S"**""'516.00`
?� CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 322890
NOBLESVILLE IN 46060 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION
1120 4351000 T0165S 258.00 AUTO REPAIR & MAINTEN
1120 4351000 T0168Z 258.00 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
$516.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
T0165S 43-510.00 $258.00 1 hereby certify that the attached invoice(s),or 3/5/18 T0165S $258.00
1120 101 1120 101
T0168Z 43-510.00 $258.00 bill(s)is(are)true and correct and that the 3/5/18 T0168Z $258.00
1120 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Monday, March 05,2018
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
R & T Tire-Tipton R&T Lebanon(765)482-5027
R&T Sheridan(317)758-4456
p 804 West Jefferson Street R&T Noblesville(317)773-3130
f �>! Tipton,IN 46072 -
765-675-6775
Since 1965 -
Store Location Store Phn Date Time
R & T Tire/Auto - TIP (765) 675-6775 02/14/18 11:50 AM
804 W JEFFERSON STREET file id: TIP-54755 Page 1
TIPTON, IN 46072
Your P/O A/R Acct Terms
Inv: T0168Z T00860 GOV'T
Sold-To: Type - Payment
CARMEL FIRE DEARTMENT $
BOB $
2 CIVIC SQUARE $
C-ARME1,j---IN--4603-2-- ____==________
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** ARC 317-664-0958
"7777
Qty Shp B/O Item Number Des'crptlon „1� S/W FET Price Amount Init's
1 046120000 ROAD SERVICE PER HR/PEI MAN 1(R ` 90.00 90.00 553;528
4 040141000 MT/DISMT 17.5" RIM DIAM &gLGrI 29.00 116.00 553,528
4 041263000NEW VALVE STEM 5.00 20.00 553,528
4 093002000 TIRE fDZSPOSAL R7�;�: 8.00 32.00 553,528
V/Info:
---------------------------- - -----------------------------
Sub-Total
y, $258.00
m
IN GOV'T,0.000% .
� a E $0.00
Total: $258.00
a NewPymt: $0.00
-- - -- —--- - ---
—Total--Due: 1�2 5 8 . 0 0 -
Received By: SP: PATRICK HENDERSON
R & T Tire-Tipton R&T Lebanon(765)482-5027
R&T Sheridan(317)758-4456
%M
MR
804 West Jefferson Street R&T Noblesville(317)773-3130
- Tipton,IN 46072
765-675-6775
Since 1965
-Store Location Store Phn Date Time
R & T Tire/Auto - TIP (765) 675-6775 02/06/1 04:57 PM
804 W JEFFERSON STREET file id: TIP-54640 Page 1
TIPTON, IN 46012
Your P/O A/R Acct Terms
Inv: T0165S T00860 GOVT
Sold-To: Type - Payment
CARMEL FIRE DEARTMENT $
BOB $
2 CIVIC SQUARE $
- --- ___CARMEL.,-__IN ._4_6_0.32 - -- ------ -- -- — - _==s=--__
Total $ 0.00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** 317-664-0958
Qty Shp B/O Item Number DebcriptioS/V� FET Price Amount Init's
1 046120000 ROAD SERVICE PER HR/PER MAN ,(WR f 90.00 90.00 553,528
4 040141000 MT/DISMT 17.5" RIM DIAM & LG{Rl , 29.00 116.00 553,528
4 041263000 NEW VALVE STEM 5.00 20.00 553,528
4093002000 TIRE DISPOSAL /8.00 32.00 553 528
------ -----
3
V/Info: r
---------------------------
t - --- ------------------------
P
, Sub-Total
$258.00
y IN GOV'T, 0.000%
$0.00
Total: $258.00
NewPymt: $0.00
— -- -- -- - - - - - Total Due.- $258 . 00 `---- —
Received By: SP: PATRICK HENDERSON