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HomeMy WebLinkAbout204941 12/20/2011 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: $783.00 NOBLESVILLE IN 46060 CHECK NUMBER: 204941 CHECK DATE: 12/2012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 25932 N005LC 783.00 TIRES T Tire N® esyjIle R .$�7�.ranZlnrl.�ZEa�,4,a:'�aaS� R Jr w 2,:iP,?,4� �'nxP�, ��ayll s- 01P-. JJAWI iIiWi SsLar- .o_7lPF Store Location Store Phn Date Time R T Tire /Auto NOB (317) 773 -3130 12/13/11 09:30 AM RePrint 17016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/0 A/R Acct# Terms Ship Via Inv: N005LC 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 12 12 GY732354500 P225/60R16 97V S2 EAGiRS A.' 65.00 780.00 5 12 12 EPA STATE TIRE FEE (INDIANA): 0.25 3.00 5 V /Info: f Sub -Total $783.00 IN GOV'T,0.000 $0.00 Total: $783.00 ,k NewPymt: $0.00 $783.00 Received By: SP:Chuck Godby INDIANA RETAIL TAX EXEMPT PAGE Ci of C arm el CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 22 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 92rt�99 R [A T Tire and Auto Carmel Police Department VENDOR SHIP 3 Civic Squ= TO 97090 Clover Road Carmel, IN 4M Nobioavillo, IN 4M (397) 579 coNFIRMn71DN BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.0 42 Each tires $05.25 $783.00 Sub Total: $783.00 a 4 Send Invoice To: Carmel Police Department Attn: oros@ Anderson 3 Civic Squam Cannel, IN 462- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT_ AMOUNT armei 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 THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPR�N OF ICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE W of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THE IOCUMENT CONTROL NO 2 5 9 3 2 CLERK- TREASURER COPY -SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR r 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 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)) 12/13/11 N005LC tires $783.00 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 VOUCH NO. WAR NO. ALLOWED 20 R T Tire and Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $783.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25932 I N005LC I 42- 320.00 I $783.00 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 Thursday, December 15, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund