207586 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
p 0 f ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $791.44
NOBLESVILLE IN 46060 CHECK NUMBER: 207586
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 N00831 191.80 OTHER EXPENSES
601 5023990 N00843 599.64 OTHER EXPENSES
R T Tire Noblesville R T Fr- wi0bri (765) 654 -5588
!l 17016 Clover Rd R T Lebanon (765) 482 -4027
R T Sheridan (317) 758 4456
Noblesville, 1N 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 03/09/12 08:21 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N00843 JIM 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 S/W FET Price Amount Init's
4 4 GY748747188 L'T- 245/75R16 WRL SLTARMR PROGRA 149.66 598.64 5
4 4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00 5
V /Info.
1,
Sub -Total
p
$599.64
Sales Tax
b�
h $0.00
Total: $599.64
NewPymt $0.00
Total Due: $599.64
Received B SP:Chuck Godby
x
R T Fire- Noblesville R T Frankfort (765) 654 -5588
R T Lebanon(765)482 -5027
17016 Clover Rd -4456 T Sheridan (3 17) 758
Noblesville, IN 46060 R T 'ripton (765) 675 -6775
317- 773 -3130
Since 1965
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 03/09/12 08:22 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: N00831 JIM 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 S/W FET Price Amount Init's
2 2 GY773430430 P2.35/75R16 S2 1065 WRL STBSLR 3 95.65 191.30 5
2 2 EPA 'STATE TIRE FEE (INDIANA) 0.25 0.50 5
V /Info.
r
Sub -Total
y $191.80
Sales Tax
O k
r r $0.00
P a
Total: $191.80
NewPymt: $0.00
Total Due: $191
Received SP:Chuck Godby
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,
i
price per unit, etc.
Payee
350983
R T Tire Auto- NOBLESVILLE Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 3/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2012 N00843 $599.64
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 114030 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
I
I PO INV ACCT AMOUNT Audit Trail Code
I
N00843 01- 6500 -05 $599.64
Voucher Total ri (7.
Cost distribution ledger classification if
claim paid under vehicle highway fund