HomeMy WebLinkAbout189964 09/14/2010 a -z CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $601.30
V CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 189964
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 109691 497.24 OTHER EXPENSES
911 4351000 N108483 104.06 AUTO REPAIR MAINTEN
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VQ1JCHER 102686 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto- NOBLESVI 91
17016 Clover Rd. Cn
Noblesville, IN 46060 z
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
109691 01- 6500 -04 $497.24
Voucher Total $497.24
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 CARMEL
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
350953
R T Tire Auto- NOBLESVILLE Purchase Order No,
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 917!2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/2010 109691 $497.24
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.
Date fficer
t
R T TIRE AUTO NOBLESVILLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060
(317) 773 -313 0
FEDERAL TAX ID# 351145753
INVOI E 07/16/10 07/16/10
N -108 83 02:35 PM 02:35 PM
7617 017021 108483 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 07/16/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 000000 000000
SALESMAN...... 005 005 PRIOR INVOICE. 105962
P 0 NUMBER.... JASON
ACCOUNT COB TC CUST# TYPE /STATE
761705743 4 01 05743 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 183- 407 -418 -0 G 1 P235/70R16 104S S2 WRL SR- -'HOWL TL 103 -81 .00 103.81
GS NUMBER. 61030929 QTY. 1 NO. 4B08DYIP2110
THANK YOU FOR CHOOSING R &T TIRE AUTO N08LESVILLE FOR ALL YOUR TIR£ 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........ 103.81
CHARGED AMOUNT 104.06 LABOR TOTAL........ .00
STATE TIRE FEE .25 SUB TOTAL.......... 103.81
X TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL INVOICE TOTAL $104.06
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 08/10/10 DISCOUNT...... 'NET*
Terr Date Doc No. Due Date Amount Due Payments Adjustments Balance Owing
7617 07/16/2010 N- 108483 08/10/2010 104.06 .00 .00 104.06
Page 1
Previous Balance Current Charges Late Charges Adjustments Current Payments New Balance
104.06 .00 .00 .00 .00 104.06
Past Due
Current Future 1-30 31 -60 61 -90 91 -120 Over 120 Total Due
.00 .00 104.06 .00 .00 .00 .00 104.06
Account R T TIRE AUTO NOBLESVILLE
761705743 17016 CLOVER ROAD
NOBLESVILLE, IN 46060
`Y Prescribed by State Board of Accounts 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 Auto Noblesville Purchase Order No.
17016 Clover Rd
Terms
Noblesville, IN 46060
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/10/10 N108483 payment for tires 104.06
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
aK)UC;IF_R NO. WARRANT NO.
ALLOWED 20
R &T Tire Auto Noblesville IN SUM OF
17016 Clover Rd
N oblesville, IN 46060
104.06
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
oEPT I hereby certify that the attached invoice(s), or
•-6a;a- N108483 132e 104.06 bill(s) is (are) true and correct and that the
I jt -O materials or services itemized thereon for
IX
which charge is made were ordered and
received except
Sep 10, 20 10
Signature
Chief of Police
Cast distribution ledger classification if
Title
claim paid motor vehicle highway fund