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Home My WebLink About160544 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE (i CHECK AMOUNT: $5,700.00 CARMEL, INDIANA 46032 17016 CLOVER ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 160544 CHECK DATE: 6/10/2008 DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 16707 89234 5,700.00 TIRES M. 1 06/03/2008 13:24 3177733139 RTTIRE PAGE 01 94 17016 CLOVER ROAD NOBLESVILLE, IN 46060 a (317)773 -3130 FEDERAL TAX ID# 351145753 x mva x 05/29/08 06/02/08 m- c)av ar4b. 04:49 PM 04:03 PM 7617 013963- 089234 TERR: 7617 PAGE. 01 NONSIG: 197505 BILL TO: CARMEL POLICE DEPARTMENT JASON OGLE 3 CIVIC SQUARE CARMEL, IN 46032 PHONE 1....... (317 73 3 -4600 VEH YEAR /MAKE, PHONE 2....... (317)5 -2644 VEHICLE MODEL. DATE REQUESTED 05/29/08 VEHICLE COLOR. TIME REQUESTED DELI LICENSE /STATE. RETURN FARTS.. NO ODOMETR IN /OUT NA SALESMAN...... 005 005 PRIOR INVOICE. 086386 P 0 NUMBER.... JASON OGLE ACCOUNT COB TC CUST# TYPE /STATE 761705743 4 01 05743 3 IN SLSM TECH PRODUCT CODE BC OTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 005 732 354.500 -0 G 100 P225/60R16 97V S2 EAG RS-A, VSBRPTL 56.75 .00 5675.00 GS NUMBER. G0730929 QTY, 0 NO. MKX08EER4507 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR 'FIRE 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 K&TERIALS USED IN SERVICING YOUR VEHICLE** PARTS TOTAL........ 5675.00 CHARGED AMOUNT 5700.00 LABOR TOTAL,,...... .00 STATE TIRE FEE 25.00 SUB TOTAL... 5675.06 �6 TAXABLE AMD IVY 0 SptES pX....... QO CUSTOMER AUTHORIZATION FOR TOTAL I 0/� E �TA&L. 5P Poo 0c) BUYING PLAN... A OF PAYMENTS, 1 PAY START DATE 07/10/08 DISCOUNT...... *NET* HAVE A WE9110N OR PROALEM7 04aoo ta4 am, won mmmcm. We vm6b low oynbA as muM of Yow boohaao. Sbmm yoo And end aeMaa»oa, "N ow CUSTOMER ASMSTA14CE UNE 1-006921 -21$8 INDIANA RETAIL TAX EXEMPT PAGE City of C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER 111111 r Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 .Q _q CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,' FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION May 30. 2008 VENDOR R T Tire and Auto TO City of Carmel Maintenance Facility 17016 Clover Road TO 3400 14. 131st Street Noblesville, IN 46060 Westfield, IN 46474 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 100 tires 56.75 5,675.00 r f s g Send Invoice To: 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 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 APPROPRIATI 6FFICiENT TO PAY FOR THE ABOVE ORDER. G.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AJistant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO.1 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF S 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 Signature Title Cost distribution ledger classification it claim paid motor 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 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 Purchase Order No. 16707F 17016 Clover Road Terms Noblesville, IN 46060 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/2/08 89234 payment for tires 5,700:00 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. If ALLOWED 20 R E. T Tire and AUto IN SUM OF 17016 Clover Road Noblesville, IN 46060 5,700.00 ON ACCOUNT OF APPROPRIATION FOR police general ufnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 16707F 89234 320 5,700.00 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except June 6 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund