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Home My WebLink About213792 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 I I I I I I I I $ 20.52 I I I I ON ACCOUNT OF APPROPRIATION FOR I I 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 I received except I f I I II I I I I I I I I I I I I I I I I I J �.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