The URL can be used to link to this page

Home My WebLink About202734 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $1,724.87 NOBLESVILLE IN 46060 CHECK NUMBER: 202734 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 N003EL 593.84 OTHER EXPENSES 1110 4232000 27938 N003FE 567.92 TIRES 1120 4351000 N003MA 563.11 AUTO REPAIR MAINTEN R_ T Tim No esxjaae R 4TJ.Pk�.n�n�:I�S� ?.8�...547� i h:ii'�, 4,,�.�k►xP. r� 7� 7;.�"riu'an_. z U a -a "54, Y.,& X_I�p n_Ik Z I k.1 4 4.1,14 star_�.J�afi s Store Location Store Phn Date Time R T Tire /Auto 1 NOB (317) 773 -3130 09/28/11 03:22 PM 17016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/0 A/R Acct# Terms Ship Via Inv. N003FE 27936 N05743 1 ST 10TH Sold -To: Ship -To: Type Payment CARMEL POLICEIDEPARTMENT 3 CIVIC SQUARE CARMEL, IN 46032 Total 0.00 ARC 317- 733 -4600 Qty Shp B/O Item Number Descri p`� tion FET Price Amount Init's 4 4 GY758501189 P2,65/70R17 113T WRL SLTARMR SL 141.73 566.92 15 4 4 EPA ESTATE TIRE FEE (INDIANA)`3g ,ff 0.25 1.00 15 ae V /Into: E 4 f Sub -Total g =c m� $567.92 1A a vHexcsa,' u r g IN GOV'T,0.00096 $0.00 d ui e..f w glbFt Total: $567.92 NewPynt: $0.00 D $567.92 Received By: SP:MIKE McENTIRE s INDIANA RETAIL TAX EXEMPT PAGE C ity of C arme l CERTIFICATE N0. 003120155 002 0 PURCHASE ORDER N M NU MBER FEDERAL EXCISE TAX EXEMPT 2 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P 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 R 7 TIm and Auto C S I PoIICta DopaAffl nt VENDOR SHIP 3 CIVIC squm 17016 CI6Vor Rood T O Cam IN Noblosviile, IN 46M (397) 671 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 4 Each tires $141.73 $668.92 Sub Total: $566.92 r ®a V ell a ke y 1 p t Todd Luckoaltl J �J r Send Invoice To: Carmol Pollco Dopartmont Attn: Tom:= Andorson 3 Civic squam Carol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT L PROJECT, AMOUNT Carmel Police Dept. PAYMENT =.92 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 CERT!,YfHAT� THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIAT O 7 UFFICIENT TO AY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I PURCHASE ORDER NUMBER MUST APPEAR ON ALL g g� SHIPPING LABELS. I0 of p oll ea THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t AND ACTSAMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 g 9 3 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or iNVOfCE NQ. 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 classificatibn if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 R T Tire and Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $567.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 27938 I N003FE 42- 320.00 I $567.92 1 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 Wednesday, October 05, 2011 Chief of Police 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)) 09/28/11 N003FE payment for tires $567.92 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 R_ T T1e Nohlesville {TF.canLlnr��a �Z�ag.5a g 4 3 1:9.17 "A Store Location Store Phn Date Time R T Tire /Auto NOB (317) 773 -3130 09/28/11 12:38 PM 17016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct# Terms Ship Via Inv: N003EL N04158 1 ST 10TH Sold -To: Ship -To: Type Payment CARMEL WATER DISTRIBUTION (E09 3450 WEST 131ST ST CARMEL, IN 46074 -8267 Total 0.00 ARC 317 733 -2855 317- 716 -3939 P Qty Shp B/O Item Number Description f '�S /W 1 °FET Price Amount Init's 2 2 GY139418205 225/70R195 F G622 RSD'3f&Rg 281.42 562.84 5 dot# MJ9YDLLW1611, MJ9YDLLW1611 p g 2 2 EPA STATE TIRE FEE (INDIANA)F£ 0.25 0.50 5 1 1 093002000TIRE DISPOSAL§ Ez 3.00 3.00 5,28 2 2 040100000 bore r a- 13.75 27.50 5,28 M r� V Info d sa a*ii; i a a �E s sub -Total $593.84 IN GOV'T,0,000. ,.;3 J: $0.00 f� 50 Total: $5.84 -7 NewPymt $0.00 G Total Due: $593.84 Received 7z SP:Chuck Godby VOUCHER 112549 WARRANT ALLOWED 350983 IN SUM OF R T Tire Auto NOBLESVILLE 17016 Clover Rd. Noblesville, IN 46060 OPERq ONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code N003EL 01- 6500 -05 $593.84 Voucher Total $593.84 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form Igo. 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 350983 R T Tire Auto NOBLESVILLE Purchase Order No. 17016 Clover Rd. Terms Noblesville, IN 46060 Due Date 10/3/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2011 N003EL $593.84 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 Date Officer L, r-7 R (AL T Tire Noblesville R T Frankfort (765) 654 -5588 R T Lebanon(765)482 -5027 17016 Clover Rd R T Sheridan (317) 758 -4456 Noblesville, IN 46060 R T Tipton (765) 675 -6775 317 -773 -3130 since 1965 Store Location Store Phn Date Time R T Tire /Auto NOB (317) 773 -3130 10/05/11 02:04 PM 17016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/0 A/R Acct# Terms Ship Via Inv: N003MA 4501 N01614 1st 10th Sold -To: Ship -To: Type Payment CARMEL FIRE DEPARTMENT (EO 2 CIVIC SQUARE CARMEL, IN 46032 Total 0.00 ARC 317- 664 -0958 a a< 1 Qty Shp B/O Item Number Des cription ��5 /W� FET Price Amount Init' s 4 4 EPA STATE TIRE FEE (INDIANA)F �o, 0.25 1.00 18 'R 4 4 044263000 'WHEEL BALANCE COMPUTER°SPIN�°m 8.00 32.00 18,34 ip 4 4 041263000 NEWUALVE STEM 2.25 9.00 18 4 4 093002000 TIREDISPOSAL;, 3.00 12.00 18,34 4 4 GY183106418 P265/�70R17, 113R X52 WRL %�SR A OW 117.29 469.16 18 F r dot# 4BTD 6YWR211A1., i 4BT6D�1 R211,g 4BT6 #DyVJR2 =111th 4BT6DYWR2111 1 1 078162000 COMPUTERIZE HL (1NCL 39.95 39.95 18, 34 V /Info: 2009 FORD EXPEDITION BLUE VINf:IVMFU16589EA973V851 �4, a Lic# 1337736 IN Unt# 4501 Mil X 67169 �iTr 100�ft Ll e a Sub Total 3 i�' s E �7 a� p ia as ti i $563.11 IN GOV' T, O OOO o $0.00 Total: $563.11 NewPymt: $0.00 Total Due: 563.11 Received By: SP:Pete Thomas /5 PP:Chuck Godby VOUCHER NO, WARRANT NO. ALLOWED 20 R T Tire Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $563.11 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 N003MA 43- 510.00 $563.11 1 hereby certify that the attached invoice(s), or 1120 43- 510.00 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 OCT 10 2011 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) N003MA 4501 $563.11 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