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Home My WebLink About182060 02/03/2010 o. CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 �.4 I ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $600.56 CARMEL, INDIANA 46032 17016 CLOVER ROAD NO IN 46060 CHECK NUMBER: 182060 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 21316 103918 600.56 TIRES if 12 a T TYF2E AUTO NOBLESV1UL_E 17 016 CLOVER ROAD NOBLESVILLE, IN 46060 15-� v1 (317) 773 -3130 FEDERAL TAX ID# 351145753 I INVOICE 01/06/10 01/15/10 .1*G 1o:3 1 12:26 PM 02:42 PM 7617 016389- 103918 TERR: 7617 14,..... PAGE: 01 COPY: 01 NONSIG: 197505 BILL TO: CARMEL POLICE DEPARTMENT JASON OGLE 3 CIVIC SQUARE CARMEL, IN 46032 PHONE 1 (317)733 -4600 EXT. VEH YEAR /MAKE. PHONE 2 VEHICLE MODEL. DATE REQUESTED 01/06/10 VEHICLE COLOR. TIME REQUESTED QUTE LICENSE /STATE. RETURN PARTS NO ODOMETR IN /OUT NA SALESMAN 018 005 PRIOR INVOICE. 103463 ACCOUNT COB TC CUST## TYPE /STATE 761705743 4 01 05743 3 IN SLSM TECH PRODUCT CODE BC OTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 018 748 -747- 188 -0 G 4 LT245/75R16 WRL SLTARMR PROGRAD E BSLTL 149.89 .00 599.56 GS NUMBER. 00730929 QTY. 4 N0. MK11Y5HR4509 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY *SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE PARTS TOTAL 599.56 CHARGED AMOUNT 600.56 LABOR TOTAL .00 STATE TIRE FEE 1.00 SUB TOTAL 599.56 TAXABLE AMOUNT .00 SALES TAX .00 CUSTOMER AUTHORIZATION FOR TOTAL Y NE O I C E T Co 1E^ L_ eS ®v 5 6 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 02/10/10 DISCOUNT *NET* Call: How Did We Do Today? We Want Your Feedback! 1.866.402,3523 Tell us for a chance to WIN a $500 Gas Card Enter Code: See Official Rules in stores and at www.goodyeartires.com /gascard for details. 01500197505391.89 No purchase necessary. Two winners per month. Must call within 7 days. Void where prohibited. HAVE A QUESTION OR PROBLEM? Please tell our store manager, We value your opinion as much as your business. Should you need additional assistance, call our CUSTOMER ASSISTANCE LINE 1- 800 321 -2136 INDIANA RETAIL TAX EXEMPT PAGE City //of 1� a rme CERTIFICATE NO. 003120155 002 0 "'C 1 Carmel PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21 31 6 3 NEB CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ,TAmtaty 7. 2010 tires VENDOR R T Tire And Auto SH City of Carmel Police Department 17016 Clover Road 3 Civic Square Noblesville, IN 46060 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY 1 UNIT OF MEASURE II DESCRIPTION e UNIT PRICE EXTENSION 4 tires car 122 Elliott 600.56 w k/ o t\i, 4 v„,„, 1 ,u.,, i., 11 firi\i .1 i t 4 t ft, v \'4›.4 47( e. n 0 Y 0 s.,../ Send Invoice To: 41777:01r PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 320 tires and tubes PAYMENT' A !P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 111 I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER SHIP REPAID C.O.D. SHIPMENTS CANNOT BE ACCEPTED ORDERED BY �'4 A i f h F..`°L' F.. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 1 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Pol ice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r CLERK- TREASURER DOCUMENT CONTROL NO. V COPY SIGN AND RETURN TO CLERK'S OFFICE VO'dCHER NO. ;NWARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 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_ 20 W_ Signature Title I Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No, 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER y CITY OF CARMEL 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. Payee R T TIre and Auto Purchase Order No. 21316F 17016 Clover Road Terms Noblesville, IN 46060 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/15/10 103918 payment for tires 600.56 Total 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 Clerk- Treasurer VOUD -IER NO. WARRANT NO. ALLOWED 20 R T Tire and Auto IN SUM OF 17016 CLover Road Noblesville, IN 46060 600.56 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members Po# or INVOICE NO. ACC AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21316F 103918 320 600.56 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 January 29 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund