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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 s:: Y­ I y I r y 7 f pjj I` Cl :'i -kil il r` L E-JR I n I F" l7i Z f z 7 V P `Q T T L fLz GG TrrH j T 'i ij tE i i&,�- E C R T f.] N". fl, J T E 7 �,r i 2 E F!, is II Gis LiJIND"U. i" i i, II UIJ VV I i a3 :r lql f f r.g 7 i II, r I I T I I VI F �Ai 1 yfJ 111F TT. I A!!T. r�r, 1 i I V U (.2"UR S L Qu N21 AY T H R U c, H Fir i A"Y 7 1" :l 1, Uhl -I y A 0. i I- I t I t i Y 1 1 Y L_�_ f rp 111 T 7. IT 4 1 n 7: F t1 r P I Tnr 7 r,, A T 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