HomeMy WebLinkAbout203989 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
Q� ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $2,555.48
S r� CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 203989
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 25896 N004JJ 1,957.50 TIRES
601 5023990 N004LC 132.86 OTHER EXPENSES
601 5023990 N004XD 465.12 OTHER EXPENSES
T Tire—Noblesville R T Frankfort (765) 654 -5588
17016 Clover Rd R T Lebanon (765) 482 -5027
R T Sheridan (317) 758 -4456
Noblesville, IN 46060 R T Tipton (765) 675 -6775
317- 773 -3130
Since 1965
C aC-
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 11/02/11 03:08 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N004JJ N05743 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 317 733 -4600
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
30 30 GY732354500 P225/60R16 97V S2 EAG RS A 65.00 1950.00 5
30 30 EPA STATE TIRE FEE (INDIANA)'Z; 0.25 7.50 5
V /Info: w.
Sub -Total
$1957.50
IN GOV'T,0.000o
$0.00
Total: $1957.50
NewPymt $0.00
Total Due: $1957.50
Received By: SP:Chuck Godby
INDIANA RETAIL TAX EXEMPT PAGE
City of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
99 W2099
R 2, T Tiro @nd Auto C2mel Police Depmrtment
VENDOR SHIP 3 Civic Squats
TO
97096 Clovar Road Carmel, IN 46M
Noblimille, IN 46060 (97j 5792
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 -M.03
30 Each tires $65.25 $9,957.50
Sub Total: $1,957.50
11
r
f �o
z
°..s O
Send Invoice To:
a
Camel Police DepartmGnt
Attn: Tense Andmon
3 Civic Squam
Cwmol, IN 962- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
:armel Police Dept. PAYMENT $1,957.50
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
t NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY �rHAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI .ATIO�rSUFFICIENT TO-PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �H
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i hieP of Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 5 8 9 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 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
I
20
Signature i
Title
i
Cost distribution ledger classification if s
claim paid motor vehicle highway fund
I
R NO. WARRANT NO.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
and Auto
IN SUM OF CITY OF CARMEL
over Road An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
le, IN 46060
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$1,95 7.50 Payee
Purchase Order No.
COUNT OF APPROPRIATION FOR
Terms
armel Police Department
Date Due
Invoice Invoice Description Amount
INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
l 1 hereby certify that the attached invoice(s), or 11/02/11 N004JJ tires $1,957.50
N004JJ I 42- 320.00 $1,957.50
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, November 16, 2011
Chief of Police
Title
t distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
m paid motor vehicle highway fund with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
RM, T Tire–Noblesville R T Frank Port (765) 654 -5588
�i 17016 Clover Rd R T Lebanon (765) 482 -5027
R T Sheridan (3 17) 758 -4456
Noblesville, IN 46060 R T Tipton (765) 675 -6775
317- 773 -3130
sine 1965
Store Location Store Phn Date Time
R T Tire /Auto NOB (3 17 773 -3130 11/03/11 01:54 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N004LC 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 -3909
Qty Shp B/0 Item Number Description S '•FET Price Amount Init's
1
r
2 2 GY402314073 P225/60R16 97S S1 INTEGRITY 63.18 126.36 18
2 2 EPA STATE TIRE FEE (INDIANA) 0.25 0.50 18
2 2 093002000 TIRE DISPOSAL 3.00 6.00 18,418
V /Info:
d a,,
Sub -Total
$132.86
IN GOVT, 0.000°9
$0.00
Total: $132.86
NewPymt: $0.00
/L Total Due: $132.86
Received B SP:Pete Thomas
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 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 11/14/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201' N004LC $132.86
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
/j,
Date Officer
VOUCHER 112979 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto NOBLESVILLE
17016 Clover Rd.
Noblesville, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
I
N004LC 01- 6500 -07 $132.86
i
Voucher Total $132.86
Cost distribution ledger classification if
claim paid under vehicle highway fund
ra T Tire—Noblesville R T 1=rankfort (765) 654 -5588
17016 Clover Rd R T Lebanon (765) 482 -5027
a D R T Sheridan (3 17) 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 11/14/11 01:28 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N004XD TRUCK #41 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 -3909
Qty Shp B/O Item Number Description d 8 /W _�FET Price Amount Init's
4 4 GY179747492 LT245/75R16 120/116R E'WRL�S 113.03 452.12 5
4 4 EPA STATE :_TIRE FEE (INDIANA) 0.25 1.00 5
4 4 093002000 TIRE DIS- POSAL -7 3.00 12.00 5,418
<e
V /Info: l
K�
Sub -Total
$465.12
;r
IN GOV'T,0.000a
M 7, r' 15 Total $465.12
NewPymt: $0.00
Total Due: $465.12
Received y SP:Chuck Godby
PP:Tina Kitchel
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 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 11/14/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201' N004XD $465.12
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 O er
VOUCHER 112950 WARRANT ALLOWED
350983 IN SUM OF
R T Tire Auto NOBLESVILLE
17016 Clover Rd.
Noblesville, IN 46060 WA'TM
OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
I
N004XD 01- 6500 -05 $465.12
Voucher Total $465.12
Cost distribution ledger classification if
claim paid under vehicle highway fund