327243 07/10/18 +n1 C„!�f
a'/ CITY OF CARMEL, INDIANA VENDOR: 00350983
• ONE CIVIC SQUARE R&T TIRE&AUTO -NOBLESVILLE CHECK AMOUNT: $********14.00*
s9 �, CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 327243
yi*oN�. NOBLESVILLE IN 46060 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 N01S7W 14.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350983
R &T TIRE &AUTO- NOBLESVILLE IN SUM OF$ 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
$14.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
N01S7W 42-320.00 $14.00 1 hereby certify that the attached invoice(s),or 6/27118 N01S7W $14.00
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
Monday,July 02, 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
R & T Tire-Noblesville R&T Lebanon(765)482-5027
R&T Sheridan(317) 56
17016 Clover Rd
IR
R&T Tipton(765)675-6775-677 5
�% Noblesville,IN 46060
317-773-3130
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 06/27/18 09:57 AM
17016 CLOVER RD file id: NOB-83228 Page 1
NOBLESVILLE, IN- 46060
Your P/0 A/R Acct Terms
Inv: N01S7W 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 r
B/O. Item Number Desciption, =": ,S/W FET Price Amount Init's
4 093002000 TIRE DISPOSAL � ��'�� �� �, � 3 .50 14 .00 5,405
--------------------
V/Info:
----------------------------
- ---------------------------
-- -- - Sub-Total
z $14.00
9
y ry
IN GOV'T, 0.000 0
f $0.00
Total: $14.00
; .NewPymt: $0.00
Total Due:
$14 . 00
Received By: SP: Chuck Godby