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326391 6/15/2018 CITY OF CARMEL, INDIANA VENDOR: 00350983 ® ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*.......230.00* CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 326391 NOBLESVILLE IN 46060 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 N01RPQ 230.00 TIRES & TUBES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00350983 IN SUM OF$ CITY OF CARMEL R &T TIRE&AUTO- NOBLESVILLE 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 $230.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT N01 RPQ 42-320.00 $230.00 1 hereby certify that the attached invoice(s),or 6/7/18 N01 RPQ $230.00 2201 2201 2201 2201 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 Tuesday,-June 12,2018 Huffman, Dave Director 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 a_ R & T Tire—Noblesville R&T-Lebanon(765)482-5027 > 17016 Clover Rd R&T Sheridan(317)758-4456 D 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 06/07/18 04:28 PM CR/APP:12 , 17016 CLOVER RDfile :id: NOB-82574 Page 1 NOBLESVILLE, . IN 460.60 Your P/O k/R Acct Terms Inv: NO:IRPQ N04814 GOV'T Sold-TO: Type Payment CARMEL STREET DEPT $ 3400 WEST 131ST ST $ CARMEL; IN 46074 =_____=__ Total $ 0.00 *MEMBER OF .THE GOODYEAR 'TIRE & SERVICE NETWORK** ARC 317-733=2001 Qty Shp B/O Item Number Description S/W . FET Price Amount Init's 1 OPP 19.:-5 IN .STEEL WHEEL/lO"'HOLE 230.00 230.00 JPK PER BENTLEY -------------------- -------------- ---7--- - ---------------------- ----- . Sub-Total 2 3 $230.00 ° INOV'T, 0.000% 0.00 Total: $230.00 x., ...' NewPymt: $0.00 Total Due: $230 . 00 k Received By: SP: Jim Kitchel