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Home My WebLink About203989 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