HomeMy WebLinkAbout211436 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $3,573.76
CARMEL, INDIANA 46032 17016 CLOVER ROAD
a� NOBLESVILLE IN 46060 CHECK NUMBER: 211436
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 26213 NOOB8R 3 , 573 . 76 TIRES
Ted
R&T Frankfort(76�)6654-5588 R & T Tire-Noblesville
f 17016 Clover Rd R&T Lebanon(765)482- 027
. =M p er, R&T Sheridan(3 17)758-4456
=�� 3 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 07/24/12 11:22 AM
17016 CLOVER RD Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOB8R 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/O Item Number Description S/W FET Price Amount Init's
40 40 GY732354500 P225/60R16 97V S2 EAG RS-A. 65.00 2600. 00 18
8 8 GY732276500 P235/50R18 99W XL EAG RS7A 121.72 973 .76 18
V/Info:
---------------------------------------------------'---------------------------------------------
Sub-Total
$3573 .76
IN GOV'T, 0. 000%
$0 .00
Total: $3573 .76
NewPymt: $0 . 00
Total Due: $3573 . 76
Received By: SP:Pete Thomas
!/ INDIANA RETAIL TAX EXEMPT PAGE
C1t of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28213
i 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
70=2 "
R&T 71m and Auto Cumol Police Department
VENDOR
SHIP 3 Civic Square
97M Clover Road TO Cumol, Its 432
Noblesville, IN 46MO (317)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-320.109
40 Each tires $65.00 $2,800.00
8 Each tires $121.72 $973.78
Sub Total: $3,573.78
_ (n) G ;�
o +kt� 1 I1 � • �
��WV• � � a a��
Send Invoice To: ✓� i;°I
Camol Police wpa1't6 ont
Attn:Tmaa Anderson
3 Civic squm
C@1o1, IN X32= PLEASE INVOICE IN DUPLICATE
i DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �J PAYMENT �'g '75
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYJJi T HERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRI 10 FICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
.•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / ,,/� @
SHIPPING LABELS. la ®/�1 Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 2-6- 213 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NOWARRANT
�O�___-
ALLOWED 20___
/N THE SUM 0F$
'
�, .
'
(}N ACCOUNT OF APPROPRIATION FOR
PO#or �
Board Members
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT | hereby certify that the attached invoioo(o). or
bill(s) is (any) true and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received exoept__ ........ ____
. �
-
20___-
. ` � .
� �
Signature
`
Title
`
Cost distribution ledger classification if
claim paid mom,vehicle highway fund
/ . .
. `
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire and Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$3,573.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26213 I N0068R I 42-320.00 I $3,573.76 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
Friday, July 27, 2012
Chief of Police
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))
07/24/12 N00138R tires $3,573.76
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