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HomeMy WebLinkAbout331053 10/09/18 CITY OF CARMEL, INDIANA VENDOR: 00350983 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $*******751.92* CARMEL, INDIANA 46032 17016 CLOVER EROAD CHECK NUMBER: 331053 NOBLE VILLEN46060 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 N01UBF 751.92 TIRES & TUBES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00350983 R&T TIRE &AUTO- NOBLESVILLE IN SUM OF$ 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 $751.92 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 N01 UBF 42-320.00 $751.92 1 hereby certify that the attached invoice(s),or 10/2/18 N01 UBF Tires/Tubes $751.92 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 Friday, October 05,2018 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)758-4456 R&T 17016 Clover Rd R&T Tipton(765)675-6775 Noblesville,IN 46060 317-773-3130 slnceisss Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 10/02/18 02:29 PM 17016 CLOVER RD file id: NOB-85947 Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct Terms Inv: N01UBF 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** 317-733-2001 Qty Shp B/O Item Number Description „r N ;,,S/W FET Price Amount Init's r 2 C005221460000 225J70R19.5 CON HDR 348.71 697.42 5,494 2 EPA STATE TIRE FEE (INDIANA). 0.25 0.50 5,494 2 040100000 INDUSTRIAL TIRE INSTALL; 19.00 38.00 5,494 2 093002000 TIRE DISPOSAL 8.00 16.00 5,494 V/Info: --------------------------- - ------------ ---------------- Sub-Total $751.92 IN GOV'T, 0.000°s $0.00 b Total: $751.92 NewPymt: $0.00 Total Due: $751 . 92 Received By: — SP: Chuck Godby