207203 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
4 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $622.87
NOBLESVILLE IN 46060 CHECK NUMBER: 207203
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N007WZ 602.35 AUTO REPAIR MAINTEN
1120 4351000 N0082M 20.52 AUTO REPAIR MAINTEN
R T Tire—Noblesville R T Frankfort (765) 654 -5588
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
Since 1965
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 03/06/12 11:47 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 460VMENT(EO A/R Acct# Terms Ship Via
Inv: N007WZ N01614 1st 10th
Sold -To: Ship -To: Type Payment
CARMEL FIRE DE
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 317- 664 -0958
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
4 4 GY183558436 P26
65/60R18 109T S2 W L` SR A USA 126.56 506.24 18,418
dot# M6C4EXWR0712, M6C4EXWRO712: M6C4EXWR0712, ".M6C4EXWRO712
4 4 EPA STATE�TIRE FEE (INDIANA) 0.25 1.00 18,418
4 4 BALANCE -COMPUTERIZED WHEEL BALANCE
8.00 32.00 18,434
4 4 093002000 TIRE DISPOSALS 3.00 12.00 18,434
1 1 078157000 ALIGNMENT (REF THRUST ANGLE NO 44.95 44.95 18,434
SHOP SUPPLIES, 6.16
F
VjInfo: 2008 DODGE DURANGO WHITEUI
Lic# 74957 IN Unt# 4507 Mil: 331 1 0 Trq:r 135 ft
Sub -Total
$602.35
IN GOV'T,0.000%
$0.00
Total: $602.35
NewPymt: $0.00
Total Due: $602.35
Received By: SP:Pete Thomas
R T Tire-Noblesville T Frankfort (765) 654 -5588
R T Lebanon(765)482 -5027
17016 Clover Rd 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 03/08/12 11:03 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct# Terms Ship Via
Inv: N0082M N01614 1st 10th
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPARTMENT (EO
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 317- 664 -0958
Qty Shp B/O Item Number Description a� ,3,S /W, FET Price Amount Init's
1 1 040100000 TIRE REPAIR CARRY IN 19.00 19.00 5,455
SHOP SUPPLIES 1.52
V /Info:
M E.
W
Sub -Total
20.52
j IN GOV' T, 0 000 0
$0.00
Total: $20.52
NewPymt: $0.00
Total Due:
$20.52
Received By: SP:Chuck Godby
VOUCHER NO. WARRANT NO.
R T Tire &Auto ALLOWED 20
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$622.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /T'ITLE AMOUNT Board Members
1120 N007WZ 43- 510.00 $602.35 1 hereby certify that the attached invoice(s), or
1120 N0082M 43- 510.00 $20.52 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
MAR 12 2012
o
Fire C hief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
N007WZ C4507 $602.35
N0082M $20.52
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