330338 09/21/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350983
ONE CIVIC SQUARE R &T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*****1,449.78*
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK NUMBER: 330338
NOBLESVILLE IN 46060 CHECK DATE: 09/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N01SJM 603.56 AUTO REPAIR & MAINTEN
1120 4351000 N01T8A 846.22 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00350983
R&T TIRE &AUTO- NOBLESVILLE IN SUM OF$ 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
$1,449.78
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
N01 SJM 43-510.00 $603.56 1 hereby certify that the attached invoice(s),or 9/17/18 N01 SJM U342 $603.56
1120 101 1120 101
N01T8A 43-510.00 $846.22 bill(s)is(are)true and correct and that the 9/17/18 N01T8A C46 $846.22
1120 1 1 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Monday, September 17, 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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
new g °
1'01i1 i'to<<,• Id
EL Date Tire
Share. a -
li:..� .l+ii 07g
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l,fR acct Tarms
C:l,RTMEL FIRE DE_.I.-T E\
CIVIC 2-OUARu
C;L .1EL,
..� 1 T�t2.:i $ �•v
jzC 17-5 -7622 DEPT S
F SE NSTSC�RR' 3 -
+lk�a�$s3ER C iKE `:�`n�r,1F. 'rIP.E C T:�'IC J17-690-•2-93 ,dSC]_'-
ShP Blo Item dumber Description
S/St FET Price amount init' s
Gn797472_7 LrrY_,
75RSo 120i11GR E WRL SR_ 137 .69 550.75 �1
ti�tm t+11501%'0517, PJISEOIV041?, PJ11EO1V111S, PJ!—IEO1V111S
0'25 _.00
STATE TTRE F=E CINDIP\a1 5 Y01
=01
o TER .95 5i.SO 51
I�ST�LL MOUNT-COMPUTER -STEM 12
----------------------------------- ------------------------ ---
Sub-Total
$603.56
IN GO 'T,0.000°;
$0.00
Total: $603 .56
Nei.*P,znt: $0.00
Total Due: $603 . 56
Received BV: SP: Chuck Godby
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�n
stare Phn Date Tine �
\tib- 3S wN •ic�C"\
your v''0 l✓'R Acct Terms
hi�1Ni•t -SC _t�Ci: _ p a,^:e
CARMEL FIREAR
DFP15;i•:n`: _
vVRU`I'cr'lL'• .. CT\'TC SQUARE,„
C;LTZ L, IN 46032
S
(els) 450321
iE:�Be ^oval S O.CO
++lE• SR O TI;E C-OOM'EAR TIRE C SERVICE \"ETS�QF.wa ARC
3_,-5.71-2622' DENTS
3' 7-034-y^03 ;aso
Qty ShpB/17 Iters Nunber Description S/T4• FET Price
Arsount Init's
137.60
4 C' -c
a11 9-47217 LT= -t`75R16 120/1168 a :vRL SR'-
SR-
dot' PU1.1E02,VO517, PJ11EO1V0417, PJ11EOiV.111S," PJI1EO1v111S
0.25 1..06
4 1 STATE :'IRE FEE (INDIANA) si.30 =0i
4 TNSfi1 L r'C7LT\ -00` 1PUTER B.=LLMCE-STEM 12.9:
--- -------------------------------- ------------ --------- --- --
--
Su -Total
$603.56
IN GOY"T,O.-O00%-
$� .66
Total: $603 .56
NewP,,rmt: $0.00
Total Due: $603 . 55
Peoeived Bv. SP: Chuck Godby i
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