184910 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
s ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $2,052.76
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 184910
CHECK DATE: 412712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1110 4232000 21864 105962 1,537.76 TIRES
601 5023990 W09213 106276 515.00 TIRES
i
R T" TIRE ^U MaE3L- ESVXLLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060
(317)773 -3130 Cp00
FEDERAL TAX ID# 351145753
JEINiVOJECE 03/30/10 04/06/10
N Sp 03:36 PM 07:53 AM
TERR: 7617
PAGE: 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 03/30/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 005 005 PRIOR INVOICE. 105449
P O NUMBER.... JASON OGLE
ACCOUNT COB TC CUST# TYPE /STATE
761705743 4 01 05743 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 732- 002 -500 -0 R 16 P235/55R17 98W S2 EAG RS -A VSBRPTL 95.86 .00 1533.76
QTY.16 NO. M678LNER2409
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........ 1533.76
CHARGED AMOUNT 1537.76 LABOR TOTAL........ .00
STATE TIRE FEE 4.00 SUB TOTAL.......... 1533.76
X--------------------------- TAXABLE AMOUNT .00 SALES TAX .00
CUSTOMER AUTHORIZATION FOR TOTAL Y IV N/ O a C E F (3 TA L S 1 5 3 7_ 7 6
BUYING PLAN... A OF PAYMENTS, I PAY START DATE 05/10/10 DISCOUNT...... *NET*
HAVE A OUESTION OR PROBLEM?
Please tell our store manager. We value your opinion as much as your
business. Shoutd you need additional assistance, call our
CUSTOMER ASSISTANCE LINE 1- 800 -321 -2136
'r
V
V e R N�
%.,�L INJURY MAY RESULT FROW
i ire failure due to underinflation i overloading follow owner's manual or tire placard in vehicle.
xpioeion of tire: i rim assembly due to improper mounting only specially trained persons ,,h00d mount tires.
All custom wheel lug nuts must be re- torqued after 25 miles and checked periodically.
GEMINI NATIONWIDE WARRANTY
These warranties apply only to parts and labor
shown an yct.tr invoice there may be other
components its a system that arse not covered.
AIR CONDITIONING SERVICES EXHAUST Ct MPONEWS (EXCLUDING N;1UPF=LER)
COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS
rts: 12 acaalhs cr (2 Lao miles wit °,ICf e ar ��ora: s rust.
DRIVE TWAIN COMPONENTS)
AIR SHOC Laoc€r: 12 manthsc;r12,00f)
ALIGNMENT MACPHERSON S"I"R TS CARTRIDGES, S, OCK .AND
EE -SAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES,
ENGINE TUNE UP Puns: Slar,darn: 12 months car
Par 12 months or 12,1"'0 €rains, e 1 ,0mvs fire;. Paris L' €`fit: me: 1.E °atir €ae'.c: the ritflrrra€ hurt; a<avEr-
fa,ior 2 mo€ is .s nT 1Z.0 E? mtl€ s, Vvh:G" ie� ce;rn:s hst- 1 -abc .t 2 rnontt ;Ft '12,O( (7 f� vta r,�a� =ate i1
BE l._ i S AND I §CSES (COOLING SYSTEM) Pw ts: Sta°idard: 12 tnotnt^:, :,r 12,(X)0 1�,e;. vvhi -h, .e,a co In l
t, fe i ale lv. the 7 ici.nnl P,arta: if€atme: [_ifs -thee to tf`e
a ma ttim o: i 2.000 .lam.,, ,,.a )eve. cc riles firs'. L_ataur t? rn, r g as or i3OC rr €a,
BRA, :E OVERHAUL (RRAKES SHOES P,NDIOR DISC PACES `VV f'PE !„i j 0 TIFT;; c:?r�LY)
RA" Eta LIFETIME) �,'_a a air, t., rnearatrs Ear 12,9t �v ni'�.F_�, €r rP�;: :.r z F a :i €st
24 ronntr s 2 00 f�,s 4r is f t;vtac rt> r,s �rsf. L `E r €ne_ i eaf i.f;e aril, €�t €:':r c;
Labor: 2 t n�er,ti.3 2a. rCiG Ir�. :vh ;sic r.. orues firs.. Lift, o'tre ad v,wraity good for .F0 H,a ui th trc,h a oli 1,,,, ,v,r r,,. ,.r
,jisc, 3n d'ar d4urn per io! rne,9 as a f,tackar.e rd,ades: Not vai d if r< is disnm O atec.
f'rvse:, tt :fa ai fW u €r guts
rotors, a�1,t.iEc� ^r i. �yc'rzaaac ,airr ;rt
ev; ^y E r fA< I 6J Ot mi e;
rat C;'Iides ".:ql ina Ymi. €trlq of ce;mm f r.a ;if tares do16 lt3
e ui eci, ass :,ria :cr hna itivaarc._
exludsu °.i
R rt .n shoes, revur;ace ijru os_ r., .ti vheel cylinders, grease
a C'c1iS i,if c=f. assoda e"< l'a <jt'+dv "arc;.
'v-• ij oil o -her brake s.ervicp or repair c:warad under Jr L "F rake
"ALL PARTS ARE NBA' UNLESS DiHERVASE DESIGNATPD, AUTONICY11VE REPAIRS
AND PART EXCLUDING 1 IRES. ARE 'O ARRANTEC) FOR A MINIrYlUr�fl OF 12 h
OR 12,000 fv FOR CC7MPLETE'A'ARRANTY DETAILS, SEE THE SPECIFIC WARRANTY
FOR TIRES AND THE SPECIFIC trdARRAWY FOR A,1TC-)K-10TWE REP=AIRS ;AND PA,,1 S."
WHO MAKES T HIS WARRANTY
This warranty is Crude, and will be serviced by the Gemini outlet who per 'nrrned the repairs idenWied an the
face of your repa;i invoice,
This warranty will also be honcared by any participating Gemini outlet, nationwide, if you require, warra-It��r
service 25 or more miles from the location w here the onginai service was performeo.
This warranty extends only to you, the original purchaser, and the motor vetlicie identified on the
original repair Invoice, It applies, only during warranty periods stated above.
V authorization must he obtained from the Wbrranty Administrator prim to ary wnrranty repair
being perfernaed. Phone 1- 800-426 0733,
k, repair costs are severed Lip to the, crest of the uriginal repair.
ft;;s ��farranty does Carat apply to vehicles used c;ommerc;ially.
INDIANA RETAIL TAX EXEMPT PAGE
City o I' Carmel PURCHASE OR CERTIFICATE N0. 003120155 002 0 D E ��l++ 11 DER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7
3q)XE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P
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
March 31 2010 tires
VENDOR R T Tireaand Auto SHIP City of Carmel Police Department
17016 Clover Road TO 3 Civic Square
Noblesville, IN 46060 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
16 tires new vhhicles 95.86 1,533.76
ta
te
4 f•• as a xs
Send Invoice To:
w
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
11101 320 tires and tubes PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERER BY l sr b C fI -T
SHIPPING LABELS. °T
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
j CLERK TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT 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
bili(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
Signature
Title
Cost distribution ledger classification if
.claim paid motor vehicle highway fund
I
Prescribed by Stale Board olAccounts City Form No, 201 �Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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. 21864F
17016 Clover Road Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/30/10 105962 payment for tires 1,537.76
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Tire and auto IN SUM OF
17016 Clover Road
Noblesville, IN 46060
1,537.76
ON ACCOUNT OF APPROPRIATION FOR
police genera flund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21864F 105962" 1,537 .76 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
April 22 20 10
Signature
Chief .Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
R S T TX12E ^U NOBLESV 2LLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060
(317) 773 -3130 (v0®
FEDERAL TAX ID# 351145753
T a 04/20/10 04/20/10
N '1 06Z 7 6 08:56 AM 08:56 AMA`"
7617 016711- 106276 TERR: 761'7
PAGE: 01 NONSIG: 197505
BILL TO: CARMEL WATER DISTRIBUTION (E09)
3450 WEST 131ST ST
WESTFIELD, IN 46074 -8267
PHONE 1....... (317 )716 -3939 EXT. VEH YEAR /MAKE"
PHONE 2....... VEHICLE MODEL"
DATE REQUESTED 04/20/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 005 005 PRIOR INVOICE. 105816
ACCOUNT COB TC CUST# TYPE /STATE
761704158 4 01 04158 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 758 492 -189 -0 G 4 P235/70R16 104T WRL SLTARMR SL OWL TL.. 125.26 .00 501.04
GS NUMBER, G0730929 OTY. 3 NO. 4BO83PHR4708 QTY. 1 NO. 4BO83PHR4808
005 005 093-002 R 4 TIRE DISPOSAL .00 3.00 1200
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 nATERIALS USED IN SERVICING YOUR VEHICLE
J
PARTS TOTAL........ 501.04
LABOR TOTAL........ 12.00
CHARGED AMOUNT 515.00 MISC SHOP SUPPLIES. .96
STATE TIRE FEE 1.00 SUB TOTAL.......... 514.00
TAXABLE AMOUNT .00 SALES TAX.......... .60
CUSTOME�AUTHOR,2� OR TOTAL Y m w O I C E T O T A L 5 1 5_ O
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 05/10/10 DISCOUNT...... *NET*
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 -2196
MA NA
o Tire fa °lure due to underinflation /overloading follow owner`s manual or tire placard in vehicle,
c. Explosion of tire i rim assembly due to improper mounting only speciaHy trained persons should rnount tires.
o All custom wheel lug nuts must be re- torqued after 25 miles and checked periodically,
GEMINI NATIONWIDE WARRANTY
These warranties apply only to parts and labor
shown on your invoice there may be ether
components it) a systern If iat are not coveted.
CONDITIONING SERVICES EXHAUST COMPONENTS (EXCILL)DING MLJF F F=RS
C;0 SYSTEM SERVICES STEERING AND SUSPENSION PARTS €EXCLtUL7!W.3
1 rt o. the ar'2 000 -nay rh.2,,ever go=res Prst. €7RIVE TRAIN (,'O PC)NFNTS}
,•x 1 .3L`s(3a3 s}u f'4�i t.U.3tr f =rsf. rtS: t rru.iiirrts I')ti0:•:as('...:. .,)_.rrt,Oasre,, I. €st.
AIR SHOCKS KS Laoo!, 12 inond1! t cr 12 n ire vtt to er cc nsr,> first
ALIGNMEN"1" IL1ACPl- IERSON S FRUTS CARTRIDGES, SHOCK
S.RAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES.
ENGINE TUNE UP
Parts: S <'l3'uar!i: 12 months cr 12,00v rniess i' €r:�
Fa(, 1I 'E`C of 12, r 0e.s• ,Nhic ever col 'w f- P r(S:
Lc 12 m nths o, 12,000 E,. bo. 12 moott 2,000 r: ilc so (?3 3Gs t p;
tv1! !FFR
BELTS AND HOSES (COOLING SYSTEM t, ta;3ct „Ec3: 12 mc,;3r s ar �2,(C0 ti• h!,hr�.c! ioa e�:>
'�r,s. L:fvr;tnc; tc the cmqsral r a eha: >er. Fa is ..ifefirne: to i'hr Sri, iEtr,'
h
monWs 4r 12,0€ 0 ndos. vv7): :c ac ler conies fist.
l..atsoi_ 12 v, 1 2 ,O"Oe i ?'1 �vhit t:a: -asr c,cu .ps °irsL
E FI,AKE OVERHAUL RAKES SI--IGES Af D /0R'DISC:, PADS 7 I OM-Y
`f RF?AN7'E0 LIERTIMEi :at= ,nla�' 32 rnclr�itrs of
24 n n, Es :;r 21,0010 r I:,.., v niJu v o? t first. L:(t, nitre ir c.r the orickiai ',r t;
13c;: rr3r!?t! s or 24,000 r•.Ie a• c'��c tnr comes fist. 1 310 of troad r� .31� �o s ,1�7 I:f:r the tr. �d i�f to-.; i! r
0 i< UI d{Jfr 31 drLIM porfal7 med is a pack age irdLlde3: Not v�i{k7 if rf' S C�iSYrlr 3 f??t�7+.
P Gsettt 1 3;s i v o i- I r a fr'e. trrr. IC a h HI :_r e f l t; iI
a r a s a irfat o 1otcv yr 1 r 00, ^i i� F tce nydrsacrit, .nrt�,t'.,,,
eve h r)rt i e B 03� �Ii.
1L.iP.S inn ETl..i3 €3 {3Y .,j r,3' ia�';t71i')r I, T, Of ti..S i1.1 i''3
w I rfagr r1 Eaci, s nc�:f;er h.:3d�.v73:;.
xc;1 1 „d, i
IT r U -C`,rd G 1flOto f8'.'=li rf C° CI113.`il`.i riW4�'L'f?L'81 GV. €.'1CItrS. bra S
c uiF:psc, associa ed hardV are.
l,ri; ali o rcir f7r'ave ,.e! Ji%? Gr re par under the TTrz3ke-
E;rvlt:,t� yr rr�zrty.
"ALL PAR ARE NBN UNLESS 0;HERV'ViSE DESI~ HATED_ AUTON CTIVE REPAIRS
AND €'AR'T`"s, i- X(',[UL7lNG TILES. ARE '%NARRANTE:3 FOR A MJNIir1UM OF '12 K1ONI l6
OR 12-OW MILES. FOR CON1PLE E WARRANTY DETAILS. SEE THE SPEC;1FI(; VV'ARIRAN s Y
FOR TIRES ANC) THE SPECIFIC; WARRANTY FOR AU]'- 0MQT`IVF RENT. €R` AND S.”
WHO MAKES THIS WARRANTY
I
This ,.wirrranty is made and will be serviced by the Gemini outlet who performed the. repairs,identified cin ttte
face Qf y(. repair invcic.cr.
This warranty will also be honored by any participating Gemini outlet nationwide, if VCA rtaetrai(rz warranty
service. 26 or more miles froEn the Ideation where the original service was perforn ed.
This warranty extends only to you, the original purchaser, and the rraotc t vehicle identified tar, the
o6 inal repair invoice. It applies only during warranty periods, stated above_
VVarrranty authorization must bo obtained from they Warranty Adm? nistralor prior to any vwqrrarlty repair
being perforr €red. Phone 1 -800 -426 -0733.
Vilarranty rep aif costs are covered up to the coast of the original repair.
1 his vr�arrarity does not EaPply to vehiGies t�sad cin i aercicaliy.
VOUCHER 101421 WARRANT ALLOWED
350'983 IN SUM OF
R T Tire Au to- NOBLESVILLE
17016 Clover Rd.�
Noblesville, IN 46060
0 _,,C�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
106276 01- 6500 -05 $515.00
5
Voucher Total $515.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMIEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350983
R T Tire Auto NOBLESVILLE Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 4/21/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2010 106276 $515.00
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
5� /z 14 ,Au e.--_
Date Officer