209651 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $946.15
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 209651
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 N009ZK 372.00 TRANSPORTATION EXPENS
601 5023990 NOOA47 424.48 TRANSPORTATION EXPENS
1120 4351000 NOOA9L 149.67 AUTO REPAIR MAINTEN
T Tire Noblesville R f Frankfort (765) 654 -5588
R T Lebanon(765)482 -5027
sn
17016 Clover Rd R T Sheridan (317) 758 4456
Noblesville, IN 46060 R T Tipton (765) 675 -6775
317- 773 -3130
since 196S
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 05/31/12 07:56 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship Via
Inv: NOOA9L 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
317 -690 -4283 jason C
Qty Shp B/O Item Number Description S/W "FET Price Amount Init's
1 1 GY755582383 265/60R18 110H SL ASSUR'CS FUE 15 138.42 138.42 18
dot# PJ80JC
1 1 EPA "STATE TIRE FEE (INDIANA) 0.25 0.25 18
1 1 BALANCE COMPUTERIZED''WHEEL BALANCE 8.00 8.00 18,428
1 1 093002000 TIRE DISPOSAL 3.00 3.00 18,428
V /Info: 2008 DODGE DURANGO WHIT "E VIN .ID8HB48N18"F1
Lic# 74959 IN Unt# 4541 Mil 5- 7889'
Sub -Total
$149.67
IN GOV'T,0.000%
$0.00
Total: $149.67
NewPymt: $0.00
Total Due: $149.67
Received By: SP:Pete Thomas
VOUCHER NO. WARRANT NO.
R T Tire Auto ALLOWED Zp
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$149.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I NOOA9L I 43- 510.00 I $149.67 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
JUN 4 2012
f Fire Chief
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))
NOOA9L C4541 $149.67
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
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
>7 317- 773 -3130
Since 19G.ri
Store Location Store Phn Date Time
R T Tire /Auto NOB (317) 773 -3130 05/18/12 03:15 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O A/R Acct# Terms Ship via
Inv: N009ZK 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 GY183114470 P24,5/70R17 108S S2 WRL SR A,.SL 93.00 372.00 5
V /Info:
Sub Total
$372.00
Sales Tax
$0.00
Total: $372.00
NewPymt $0.0
Total Due: $372
Received By SP:Chuck Godby
T Tire 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 05/24/12 01:39 PM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/0 A/R Acct# Terms Ship Via
Inv: N'OOA47 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/0 Item Number Description S/W FET Price Amount Init's
4 4 GY163680418 P23,5/75R16 109S XL WRL SR A yOW 103.12 412.48 5
4 4 093002000 TIRE.,DISPOSAL 3.00 12.00 5,405
V /Info:
Sub -Total
$424.48
Sales Tax
$0.00
Total: $424.48
7Pk-056 4 NewPymt 0. 00 y
Total Due: $424.48
3 85�(P
Received By SP:Chuck Godby
VOUCHER 121069 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
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
N009ZK 01- 6500 -04 $372.00
1
Voucher Total
Cost distribution ledger classification if
claim paid under 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 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 5/30/2012
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2012 N009ZK $372.00
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
Date Officer