HomeMy WebLinkAbout202734 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
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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
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ell a
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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