HomeMy WebLinkAbout199651 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
Q� CHECK AMOUNT: $3,993.30
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 199651
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 27810 115322 3,993.30 TIRES
07/19/2011 09:23 3177733139 RTTIRE PAGE 01
OWNED OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER
17016 CLOVER ROAD
NOBLESVILLE, IN 46060
(317)7 ID# 3 355 G®00 f y SEAR
FEDERAL TAX ID# 1145753
BYgJI��
05/04/11 05/10/11
N �Y� KEL1LY[ TIRES
7617 018128- 115322 03:34 PM 08:14 AM
PAGE: 01 COPY: 01 TERR: 7617
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 05/04/11 VEHICLE COLOR,
TIME REQUESTED LICENSE /STATE,
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN....,. 005 005 GS /AN NUMBER G0000733
PRIOR INVOICE. 112997 P 0 NUMBER.... JASON OGLE
ACCOUNT COB TC CUST# TYPE/STATE
761705743 4 01 057C3 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
005 732 354 -500 -0 G 60 P225 /60Ri6 97V S2 EAG RS -A VSBRPTL 65.00 .00 3900.00
OTY.60 NO. MKXOBEER1211
THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS MONDAY THROUGH FRIDAY 7 44-6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY
*SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE
PARTS TOTAL........ 3900.00
CHARGED AMOUNT 3915.00 LABOR TOTAL........ .00
STATE TIRE FEE 15.00 SUB TOTAL.......... 3900.00
TAXI@ E AMOUNT .00 SALES T .00
CUSTOMER AUTHORIZATION FOR TOTAL Z UM VO Z C a_ u CYT A a-- 1 15 00
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 06/10/11 DISCOUNT...... *NET*
HAVE A QUESTION OR PROBLEMI
Dlosae wl Our i1CN —apof. wo -k.0 your pptNw as MUM as yow
z ynoao you n d ao0tlonal •swronce, owl ow
CUSTOMER ASSISTANCE LINE 1- 8001-721.2138
INDIANA RETAIL TAX EXEMPT PAGE
C i ty ®f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT V990
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
51 4011
R T Tiro and Auto C@ntnol Pollee Dop@ttmont
VENDOR SHIP 3 CI gqu
9 MIS Clover Road TO C@t' GI, Ilil
Noblesvlll®, IN 4M (317) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT MEASURE DESCRIPTION UNIT PRICE EXTENSION
//yy 42420
0Q Each tiros $05.00 $3,9
Sub Total: $3,9
0 4,
�r
l
Send Invoice To: UN
Attn: Torow Andamon
3 Civic Squmm
Drool, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT W
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 T fP OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBYCER.T TTHERE ISld UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPRO Al Tii SUFFIC NT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r
C
SHIPPING LABELS. Iii l��ll�c�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
t�
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 810 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.—
ALLOWED 20
IN THE SUM OF
a,
ON ACCOUNT OF APPROPRIATION FOR y
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEFT. 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,if
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/11 115322 payment for tires $3,993.30
1 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
$3,993.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
27810 I 115322 I 42- 320.00 I $3,993.30 f 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
Thursday, July 14, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund