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173508 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $5,700.00 17016 CLOVER ROAD CARMEL, INDIANA 46032 NOBLESVILLE IN 46060 CHECK NUMBER: 173508 CHECK DATE: 6/10/2009 DEP ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 20990 5,700.00 TIRES v t ,,t 1' FZ IF TXMa AUTO IVOBLESVZL_L_E 17016 CLOVER ROAD NOBLESVILLE, IN 46060 E Q (317)773 -3130 C'0 FEDERAL TAX ID4 351145753 2 NVO a C E 05/20/09 05/21/09 IV Q�i$Q7'1 10:32 AM 10:44 AM TERR: 7617 PAGE: 01 NONSIGI 197505 BILL TO: CARMEL POLICE DEPARTMENT JASON OGLE 3 CIVIC SQUARE i CARMEL, IN 46032 PHONE 1....... (317)733 -4600 EXT. VEH YEAR /MAKE. PHONE 2....... VEHICLE MODEL. DATE REQUESTED 05/15/09 VEHICLE COLOR. TIME REQUESTED DELI LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT NA SALESMAN...... 005 005 PRIOR INVOICE. 094181 P 0 NUMBER.... JASON ACCOUNT COB TC CUST# TYPE /STATE 761705743 4 01 05743 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 005 732- 354 -500 -0 R 100 P225/60R16 97V S2 EAG RS -A VSBRPTL 56.75 .00 5675.00 QTY. 0 NO. MKXOBEER4508 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY *SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE PARTS TOTAL........ 5675.00 CHARGED AMOUNT 5700.00 LABOR TOTAL........ .00 STATE TIRE FEE 25.00 SUB TOTAL.......... 5675.00 X TAXABLE AMOUNT 00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION FOR TOTAL I N WC) I C E T O r^ :M 5 '0 7) 0 00 BUYING PLAN... A OF PAYMENTS, 1 PAY START DATE 06/10/09 DISCOUNT...... *NET* Ca How Did We Do Today? We Want Your Feedback! 1.866.402.3523 Tell us for a chance to WIN a $500 Gas Card Enter Code: See Official Rules in stores and at www.goodyeartires.com /gascard for details. 1419019750580717 No purchase_ necessary. Two winners per month. Must call within 7 days. Void where prohibited. HAVE A QUESTION OR PROBLEM? Please tell our store manager. We value your opinion as much as your business. Should you need additional assistance, call our CUSTOMER ASSISTANCE LINE 1- 800 321 -2136 1. S-AFETY WARN SERIOUS NJURY MAY RESULT A Tire failure due to underinflation overloading follow owner's manual or tire placard in vehicle. Explosion of tire rim assembly due to improper mounting only specially trained persons should mount tires. All custom wheel lug nuts must be re- torqued after 25 miles and checked periodically. GEMINI NATIONWIDE WARRANTY These warranties apply only to parts and labor shown on your invoice there may be other components in a system that are not covered. AIR CONDITIONING SERVICES EXHAUST COMPONENTS (EXCLUDING MUFFLER) COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS (EXCLUDING Parts: 12 rrrorttPrs ur 72,000 r� ies• :�hickrever corr:es first. DRIVE TRAIN COMPONENTS) Lao 3r. "12 monfn� or 1 2,0(10 ndles, rife €tt °mac r ca es first, f'ar't_s, 12 €rror [hs or 12.000 comes first, AIR SHOCKS Labor: 12 rrionths, or 12.CM0 mile,. vvh;C 3r c m ofirst. nles fir ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES. ENGINE TUNE UP Paris: Standard: 12 months or '12.©1,0 miles, --vhlchevt:r curves lust Parts 12 months or 12,000 miles• whichever comes Crsi' Parts: Lifetime: Life!Ume is the original [)Urchaser. Labor: 12 months or miles, whichever comes first, Labor: 12 rnonths' or 12,000 miler, whlCtIOVer c:emt,5 first. NUFFL.ER BELTS AND HOSES (COOLING SYSTEM) Parts: Standard_ 12 months or 12,000 rnitra. whichever comes fir:rt Parts: Lifein e W the original fiurehaser. Parts: Lifetime: 1 fetirne to the or;gincil purchaser, Labor: 12 months or 12.00E mites, wnic,ho Corne5 f I...abr )r: 92 months or 12,000 rail v�frlct7ever comES first. BRAKE OVERHAUL (BRAKES SHOES AND /OR DISC PADS V11H,EEL BALANCE (AUTO TIRES ONLY) VVAI FLAN ED L1t ETIME) tare 9arc': 12 rrzur,tr�; o. l J,o00 r ri': s. whic ;t uve c.oryies first Parts''24 months of 24, 000 milos, vvhichC comes first. Liti ii le: �if of tlrn original t €ear1 Labor: months or 24.000 rniles. vtil comes flr;, Life of tread warranty good for the He of the tread of the tiro we t;a'ancu. Brake Overhaul: disc ,ndior drurn performed as a package Includes: Not valid if Lire is disrr ounteC- Present this invoice for a free ter& rr3taior? and computer wheel balanc�a ra Dr,c c!isc pad �r s rrf e ;e rots rs, r2builc or r ;plaro hydrarrie calipers, every 6 months or C,000 rn les_ crease seals (if eq[:rppec associates hardware. (Ve:hicles rogtiiririq mounting Qr domotwl mq of tires dart; to special vvheols a Orum brake shaes, resurrdr•e tirums, ne+•r wheel cylinders, grease exciudod.7 seals (if egOpped associaCed hardware. Any arw all elver brake service or repair is covered under the "Brake St:rvict�" rdarranty. "ALL PARTS ARE NEW UNLESS OTHERWISE DESIGNATED, AUTOMOTIVE REPAIRS AND FARTS. EXCLUDING TIRES, ARE WARRANTED FOR A MINIMUM Ur 12 l'' ONTI IS OR 11000 MILES. FOR COMPLETE WARRANTY DETAILS, SEE THE SPECIFIC WARRANTY FOR TIRES AND THE SPECIFIC WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS." WHO MAKES THIS WARRANTY This warranty is made and will be serviced by the Gemini outlet who performed the repairs identified on the face of your repair invoice. This warranty will also be honored by any participating Gemini outlet, nationwide, if you require warranty service 25 or more miles from the location where the original service was performed. This warranty extends only to you, the original purchaser, and the rnotor vehicle identified on the original repair invoice. It applies only during warranty periods stated above. Warranty authorization must be obtained from the Warranty Administrator prior to any warranty repair being performed. Phone 1 -800- 426 -0733. Warranty repair costs are covered up to the cost of the original repair. This warranty does not apply to vehicles used Commercially. INDIANA RETAIL TAX EXEMPT PAGE Ci o C lS.0 anal CERTIFICATE NO. 003120155 002 0 1L PURCHASE ORDER NUMBER Polio Department FEDERAL EXCISE TAX EXEMPT 20990 35- 60000972 39-N- kCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION May 15, 2009 tires VENDOR R T Tiresand Auto SHIP City of Carmel. Police DeparMent 17016 Clover toad TO 3 Civic S uarew Noblesville, IN 46060 Caraml, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 100 tires 57.00 5,700400 r ~1 P J Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 320 tires and tubes PAYMENT f A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. j 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1 l,.f I f=.�'!1� `�r� l f'T',1`5 SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chie of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9 CLERK- TREASURER DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR 1 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 rwFibed 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 R T Tire and Auto Purchase Order No. 2099OF t 17016��Clover Road Terms Noblesville, IN 46060 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/21/09 98071 payment for tires 5,700.00 Total 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. 20 Clerk Treasurer V„PdJCHER NO. WARRANT NO. 4 ALLOWED 20 R T Tire and Auto IN SUM OF 17016 CLover Road Noblesville, IN 46060 5.700.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 2099OF 98071 320 5,700. 0 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except June 3 20 09 Signature Chief of Police e Cost distribution ledger classification if Title claim paid motor vehicle highway fund