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Home My WebLink About206405 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE 0 CHECK AMOUNT: $1,828.00 CARMEL, INDIANA 46032 17016 CLOVER ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 206405 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 N006YU 1,828.00 TIRES TUBES R T Tire Noblesville R T Frankfort (765) 654 -5588 R T Lebanon(765)482 -5027 ____rrr�vvv��tL� 17016 Clover Rd R T Sheridan (317) 758 -4456 R oblesvilie, IN 46060 R T Tipton (765) 675 -6775 Cj 317 -773 -3130 YSince 1965 C f 0 C) Store Location Store Phn Date Time R T Tire /Auto NOB (317) 773 -3130 01/31/12 11:33 AM 17016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct# Terms Ship Via Inv: N006YU 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 M Qty Shp B/0 Item Number Description S/W FET Price Amount Init's 20 20 GY732002500 P235/55R17 98W S2 EAGRS AN', 91.15 1823.00 5 20 20 EPA ESTATE TIRE FEE (INDIANA) 0.25 5.00 5 V /Info. t;- Sub -Total ,y $1828.00 IN GOV'T,0.000% $0.00 Total: $1828.00 NewPymt: $0.00 Total Due: $1$28.00 Received By: SP:Chuck Godby INDIANA RETAIL TAX EXEMPT PAGE City of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2M 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12 A A YAr@ and Argo Carnal Police Dap2ftmont VENDOR SHIP 3 Civic Squaro 17016 Clover Romd TO c2mol, IN 4M Noblasvlllo, IN 4M CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 20 Each Aires $81.40 $1,828.00 Sub Total: $1,828.00 r A "A 4i J. Send Invoice To: Coal Polico Dap@rtmant Attn: Tomoz Andarson 3 Civic Squm Carmol, IN 48=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Policy: Dept. '\\p PAYMENT Kws.00 J A/P VOUCHER CANNOT BE APPROVES] 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 APPROPRI ICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1d SHIPPING LABELS. hlaf o Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLER SIGN SURER DOCUMENT CONTROL NO. 2 6 O 6 O A.P.V. DOPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._ WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR 'ZD Hoard 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 VOUCHER NO. WARRANT NO_ ALLOWED 20 R T Tire and Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $1,828.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 26060 N006YU I 42- 320.00 I $1,828.00 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 Friday, ebruary 10.2012 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)) 01/31/12 N006YU tires $1,828.00 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