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Home My WebLink About208434 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $4,394.48 CARMEL, INDIANA 46032 17016 CLOVER ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 208434 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 N008GH 3,900.00 TIRES TUBES 601 5023990 N008TJ 344.36 OTHER EXPENSES 601 5023990 N04158 150.12 OTHER EXPENSES Tire— R T Frankfort (765) 654 -5588 1 f R T Lebanon (765) 482 -5027 17016 Clover Rd R T Sheridan (3 17) 758 -4456 t 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 03/28/12 01:46 PM 11016 CLOVER RD Page 1 NOBLESVILLE, IN 46060 Your P/O A/R Acct# Terms Ship Via Inv: N008GH 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/0 Item Number Description $/W FET Price Amount Init's 60 60 GY732354500 P225/60R16 97V S2 EAG =RS A;; 65.00 3900.00 18 V /Info: Sub -Total $3900.00 m IN GOV' T, 0 000 0 $0.00 Total: $3900.00 NewPymt: $0.00 Total Due: $3900.00 Received By: SP:Pete Thomas INDIANA RETAIL TAX EXEMPT PAGE C ®f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28928 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4A99�092 R A T Tara and Alto Carmel Police Depadmmn4 VENDOR SHIP 3 CIVIC sgsem 170% Clover Road TO Camel, IN Noblesville, IN 4 (397) 679 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT Accou UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 0.00 60 Each APBs $65.00 $3,900.00 Sub Total: $3,900.00 Send Invoice To: M Carol Police Department Attn: Torm Andomon 3 Civic Squm Cuml, IN 4M. PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT C PANG Dept. PAYMENT I 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 I T N SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Chief THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ch ie f of Polleo AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 4 O 126 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR 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)) 03/28/12 N008GH tires $3,900.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 R T Tire and Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $3,900.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 I N008GH 42- 320.00 I $3,900.00 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, April 19, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Z" A R T Frankfort 765 654 -5588 I T °N®bl R T Lebanon (760 -5027 17016 Clover Rd R T Sheridan (3 17) 758 -4456 a• Noblesville, IN 46060 R T Tipton (765) 675 -6775 317- 773 -3130 .Si r:cc 1965 Store Location Store Phn Date Time R t: T "ire /Auto NOB (317) 773 -3130 04/03/12 09:48 AM 1701.6 ;,OVER RD Page 1 1�OBLES`," _LLE, IN 46060 Your P/O A/R Acct# Terms Ship Via I1, N0 0 8T J N04158 1 ST 10TH Sold Tc: Ship To: Type Payment C -I'MEL WATER DISTRIBUTION (E09 ?',50 WEST 131ST ST CARMEL, IN 46074 -8267 Total 0.00 ARC 317 733 -2855 317- 716 -3909 Qty Si., a /O Item Number Descript "S /W FET Price Amount Init's 4 GY183408418 P235/7OR15 102S S2 WRL -SR A OW 86.09 344.36 5 s Sub -Total $344.36 Sales Tax $0.00 Total: $344.36 NewPymt: $0.00 Total Due: $344.36 Received 7 SP:Chuck Godby T Tire oblesville R T Frankfort (765) 654 -5588 t 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 Stor.- Location Store Phn Date Time R T Tire /Auto NOB (317) 773 -3130 04/17/12 09:18 AM 17016 CLOVER RD Page 1 vORLESVILLE, IN 46060 Your P/0 A/R Acct# Terms Ship Via 7 NO 0 9 5T JIM N04158 1 ST 10TH S;,a.d -T.>: Ship -To: Type Payment CARMEL WATER DISTRIBUTION (E09 3 WEST 131ST ST C1 %.RMEL, IN 46074 -8267 (n Total 0.00 ARC 317- 733 -2855 317- 716 -3909 Qty Shp B/O Item Number Description J1 i1S /W FET Price Amount Init's KS356296855 P.205/75R14 95S SL KLY EXPLORER 72.06 144.12 5 2 093002000 �ITIRE.,DISPOSAL 3.00 6.00 5,428 R ...a, q,E Sub -Total $150.12 Sales Tax $0.00 `a Total: $150.12 I NewPymt: $0.00 Total Due: $150 Received By• 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, price per unit, etc. Payee 350983 R T Tire Auto NOBLESVILLE Purchase Order No. 17016 Clover Rd. Terms Noblesville, IN 46060 Due Date 4/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/17/2012 N008TJ $344.36 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 Date 6ficer VOUCHER 114329 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 PO INV ACCT AMOUNT Audit Trail Code N008TJ 01- 6500 -04 $344.36 N 0 Lk [s Voucher Total L f Cost distribution ledger classification if claim paid under vehicle highway fund