213792 11/20/2012 CITY
OF CARMEL, INDIANA
ONE CIVICS VEND
CARMEL, INDIgARE OR: 00350983
NA 46032
06 CLOVRER ROAD TO'NOBLESVILLE
NOBLESVILLE IN 46060 CHECK Page � of �
DEPARTMENT AMOUNT: $1,288.30
ACCOUNT CHECK NUMBER: 214792
1110 PO NUMBER INVOICE N CHECK DATE:
1120 4232000 UMBER 11/20/2012
2200
I 4351000 25513 UMBER AMOUNT DESCRIPTION
I 4232000 NOOEGA 614 . 76 TIRES
NOOENV 653 . 02 AUTO
20 52 REPAIR & MAINTEN
TIRES & TUBES
I
R & T Tire-Noblesville R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
q� p � 17016 Clover Rd R&T Sheridan(317)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 11/16/12 09: 13 AM
17016 CLOVER RD NOB file# : 0019003 Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOENV N02655 1 ST 10TH
Sold-To: Ship-To: Type - Payment
CARMEL ENGINEERING DEPT. (E $
1 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0 .00
ARC 317-571-2441
Qty Shp B/O Item Number Description =S/W FET Price Amount Init's
1 1 040128000 RADIAL FLAT REPAIR ON-RIGHT FR 19.00 19. 00 5, 462
.SHOP SUPPLIES 1.52
V/Info: 2006 FORD ESCAPE WHITE ;VIN: IFMCU96H76KA26090
Lic# 27780 IN Unt# E5 Mil: ,57434 Trq: 98 ft#,; ,
------------------------------------------------------------------------------------------------
Sub-Total
$20 .52
IN GOV'T, 0 .000%
$0 .00
Total: $20.52
NewPymt: $0.00
Total Due: $20 . 52
Received By: Z'_—!::� SP:Chuck Godby
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
R&T Tire- Noblesville Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/16/2012 Noo ENV Tire Repair $ 20.52
Total $ 20.52
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
VOUCHER NO WARRANT NO.
R&T Tire- Noblesville ALLOWED 20
I
17016 Clover Rd. IN SUM OF $
Noblesville, IN 46060
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$ 20.52
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#or
DEEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
0 Noo ENV 2200-4232000 s 20.52 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
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received except
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�.r 11/19/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
& T Tire-Noblesville
RRTF - _
170 rankfort 765 -
16 Clover ( )6�4 ��88
Rd RR �
I' -
LebanOn
Noblesville, 76�)482-5027
IleN R
s►n�e iss 46060 � 7�Sheridan -
s (317) 758-44
317- �6
773-3130 R&"►'Ti tc -
P n(76� 675-6775
75 677-
IStore Location
I R & T Tire/Auto - NOB Store Phn
17016 CLOVER RD (317) 773-3130 1Date Time
1/09/12 10:59 AM
NOB file#: 0018730 Page 1
NOBLESVILLE, IN 46060
Inv: N00EGA P/0 # A/R Acct#
Sold-To: 0 ,1G N01614 Terms
"1 JJ 1st 10th Ship Via
CARMEL FIRE DEPARTMENT Ship-To:
2 CIVIC SQUARE (E0 Type - Payment
CARMEL, IN 46032 $
Total $---________
0. 00
ARC 317-664-0958
QtY Shp B/O Item Number 317-690-4283
Jason C
2 Description
2 GY139177080 245/708195 133/132L G S/w FET Price
Amount �Initl�s
V/Info: Ge47 RS
326.51 653 . 02 5
------ ,-----------------------------
Sub-Total
$653 . 02
IN GOV'T, 0. 000°s
$0. 00
Total:
$653. 02
NewP
ymt. $0. 00
Total Due:
Received By: $653 . 02
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 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))
NOOEGA A45 $653.02
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire & Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$653.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
1120 I NOOEGA I 43-510.00 + $653.02 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
V 1 6 2012
r-\
17
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R&T ort(765)654-5588
R & T Tire-Noblesville Lebanon R&T Lebanon(765)482-5027
' �� D � '1 17016 Clover Rd R&T Sheridan(317)758-4456
3 Noblesville,IN 46060 R&"I'Tipton(765)675-6775
317-773-3130
since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - NOB (317) 773-3130 11/07/12 09:42 AM
17016 CLOVER RD NOB file# : 0018627 Page 1
NOBLESVILLE, IN 46060
Your P/0 # A/R Acct# Terms Ship Via
Inv: NOOEDF 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 $/W FET Price Amount Init's
4 4 GY758501189 P265/70R17 113T WRL SLTARMR SL "~ 153 . 69 614 . 76 18
V/Info:
--------------------------- ------------------ --------- -- -' -----------------------------
Sub-Total
$614 .76
IN GOV'T, 0. 000.
$0. 00
Total: $614 .76
NewPymt: $0.00
Total Due: $614 . 76
Received By: SP:Pete Thomas
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
iir/12012
R&T TIro and Auto Caren ai Police Department
VENDOR SHIP 3 Civic squaw
TO
17016 Clow Road Camel,el, IN 484
Nobi@Wllo, IN (3 7)671 M
CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
Account 42-320.00
4 Each tires $153.69 $614.71
Sub Total: $514.76
• �
:. a A q
,
r 125 Graham � � <•�
Send Invoice To:
Carmel polies Department
Attn: Teresa Anderson
3 Civic Square.
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C`3 PAYMENT $614.76
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SOFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
! t /
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chi@f f of i P ai9e@
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
'i r"
J CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
_ IN THE SUM OF$
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))
11/07/12 NOOEDF tires $614.76
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire and Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$614.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25513 I NOOEDF I 42-320.00 I $614.76 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, November 16, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund