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Home My WebLink About213630 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $2,492.95 CARMEL, INDIANA 46032 17016 CLOVER ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 213630 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 25484 NOOD5P 1, 950 . 00 30 TIRES 1120 4351000 NOODAP 542 . 95 AUTO REPAIR & MAINTEN R & T Tire-Noblesville R&T Frankfort(765)654-5588 R&T Lebanon(765)482-5027 ' p 3 17016 Clover Rd 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 09/20/12 03 :51 PM 17016 CLOVER RD NOB file#: 0017053 Page 1 NOBLESVILLE, IN 46060 Your P/O # A/R Acct# Terms Ship Via Inv: NOOD5P 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 1Qty Shp B/O Item Number Description S/W FET Price Amount Init's 30 30 GY732354500 P225/60R16 97V S2 EAG RS-A 65.00 1950. 00 18 V/Info: ------------------------------------------------------------------------------------------------ Sub-Total $1950. 00 IN GOV'T, 0 .000% $0 .00 Total: $1950 . 00 NewPymt: $0 .00 Total Due: $1950 . 00 Received By: SP:Pete Thomas INDIANA RETAIL TAX EXEMPT PAGE City o C°�anal CERTIFICATE NO.003120155 002 0 11 ��//(�..lt Y PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION i A120`I2 R&T Tire and Auto Carmal Police Department VENDOR SHIP 3 Civic Square TO �n 17016 Clover'Road Carmel, IN 4 Noblesville, IN A O (317)671-2%9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 30 Each tires $55.00 $1,950.00 Sub Total, $1,950.00 If I qS°n ) Send Invoice To: Carmel Police Department � • -ti Alta:Teresa.Anderson 3 Civic Square Carmel, IN 46W..- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept, PAYMENT $1,950.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �ahlef SHIPPING LABELS. of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2.7 CLERK-TREASURER DOCUMENT CONTROL NO. AAP. • COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.-_...-,-.—.'----.WARRANT NO.. .._.___-.---.. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR •;l 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 VOUCHER NO. WARRANT NO. ALLOWED 20 R & T Tire and Auto IN SUM OF $ 17016 Clover Road Noblesville, IN 46060 $1,950.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 25484 I NOOD5P I 42-320.00 I $1,950.00 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 Tuesday, October 02, 2012 Ni 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)) 09/20/12 NOOD5P tires $1,950.00 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 u (( ` ®Noblesville R&T Frankfort(765)654-5588 R T Tire � . R&T Lebanon(765)482-5027 _` � 17016 Clover Rd R&T Sheridan(3 17)758-4456 z Noblesville,IN 46060 R&T Tipton(765)675-6775 1 317-773-3130 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 09/25/12 01:54 PM 17016 CLOVER RD NOB file#: 0017233 Page 1 NOBLESVILLE, IN 46060 Your P/O # A/R Acct# Terms Ship Via Inv: NOODAP 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 1Qty Shp B/O Item Number Description S/W FET Price Amount Init's 4 4 GY183293436 P245/70R16 106S S2 WRL SR-A "VS 109.46 437 .84 18,418 dot# MD9LEXER2611, MD9LEXER5111, MD9LEXER5111,,, MD9LEXER2511 4 4 EPA STATE TIRE FEE (INDIANA) . 0.25 1.00 18,418 4 4 BALANCE COMPUTERIZED WHEEL BALANCE 8. 00 32 .00 18,455 4 4 041263000 NEW VALVE STEM 2.25 9.00 18,455 4 4 093002000 TIRE.DISPOSAL 3 .00 12 .00 18,455 1 1 078162000 COMPUTERIZED 4 WHL ALIGN (INCL 44 .95 44 .95 18, 455 SHOP SUPPLIES 6 .16 -------------------- V/Info: 2003 CHEVY TRAILBLAZER MAROON LiC# 64550 IN Unt# 4599 Mil: 90028 Trq: 100 ft# ---------------------------------------------------7-------------------------------------------- Sub-Total $542 . 95 IN GOV'T, 0 .000% $0 .00 Total: $542 .95 NewPymt: $0 .00 Total Due: $542 . 95 Received By: �,. `� SP:Pete Thomas VOUCHER NO. WARRANT NO. ALLOWED 20 R & T Tire & Auto IN SUM OF $ 17016 Clover Road Noblesville, IN 46060 $542.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#1TITLE AMOUNT Board Members 1120 I NOODAP I 43-510.00 I $542.95 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 L u Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Drescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n 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)) NOODAP C4599 $542.95 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