329938 09/11/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350983
ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $.....*"123.97"
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 329938
NOBLESVILLE IN 46060 CHECK DATE: 09/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 NOITHL 123.97 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350983 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
R&T TIRE&AUTO-NOBLESVILLE IN SUM OF$ CITY OF CARMEL
17016 CLOVER ROAD An invoice or bill to be properly itemized must show:kind of service,when: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
$123.97
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
N01THL 42-320.00 $123.97 1 hereby certify that the attached invoice(s),or 8/22/18 N01THL tire $123.97
1110 101 1110 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,August 31,2018
&-� et r" j
Jim Barlow
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-Noblesville R&T Lebanon(765)482-5027
17016 Clover Rd R&T Sheridan(317)758-4456
0 R&T Tipton(765)675-6775
qRjrw
Noblesville,IN 46060
317-773-3130
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 08/22/18 09:29 AM
17016 CLOVER RD file id: NOB-84873 Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct Terms
Inv: N01THL JASON_- N05743 1 ST 10TH
Sold-To: Type - Payment
CARMEL POLICE DEPARTMENT" CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE $
CARMEL, IN 46032 CARMEL, IN 46032 $
(E18) (E18) 46032
Total $ 0.00
*MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** 317-571-2546 GRAG W
Qty Shp B/0 Item Number Description S/W FET Price Amount Init's
x r s
1 GY755056383 245/70R17 GY ASSUR CS FUEL MAX VSB` 123.97 123.97 5
--------------------
r „
/Info: fi
------------------------ ----
-- -------. ------- --- --------------------------------
Sub-Total
3 $123 .97. -
Ytr
IN GOV'T, 0.000.
$0.00
0: Total: $123 .97
i NewPymt: $0.00
Total Due:
$123 . 97
Received By: SP: Chuck Godby