212350 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
0 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $216.82
NOBLESVILLE IN 46060 CHECK NUMBER: 212350
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 NOOCCI 216 . 82 OTHER EXPENSES
-Noblesville R& Frankfort(765)654-5588
R & T Tire
R&T Lebanon(765)482-5027
p 17016 Clover Rd R&T Sheridan(3 17)758-4456
"�-
fV 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 08/20/12 09: 08 AM
17016 CLOVER RD NOB file# : 0015985 Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOCCI 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
317-733-2855
317-716-3909
Qty Shp B/0 Item Number Description S/W FET Price Amount Init's
2 2 GY762394406 ST235/80R16E MTHN TRLR=')BSLRPT' 108 .41 216.82 5
V/Info:
Sub-Total
$216.82
Sales Tax
$0 . 00
v Total: $216.82
NewPymt: $0.00
Total Due:
$216 . 82
Received B 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 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 NOOCC 1 $216.82
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
VOUCHER # 121880 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
NOOM 01-6500-04 $216.82
Voucher Total $216.82
Cost distribution ledger classification if
claim paid under vehicle highway fund