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Home My WebLink About199651 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