215155 12/04/2012 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: $500.64
L.o� NOBLESVILLE IN 46060 CHECK NUMBER: 215155
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 NOOEDE 500 . 64 OTHER CONT SERVICES
Frankfort Tire—Noblesville�1 ®ble5�7i1le R&T rankfort(765)654-5588
R&T Lebanon(765)482-5027
'b { �� �. 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 11/07/12 09:41 AM
17016 CLOVER RD NOB file#: 0018626 Page 1
NOBLESVILLE, IN 46060
Your P/0 # A/R Acct# Terms Ship Via
Inv: NOOEDE 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
IQty Shp B/0 Item Number Description ' 'S/W FET Price Amount Init' s
4 4 GY758496189 P245/75R16 109T WRL SLTARMR SL 125.16 500.64 18
V/Info:
------------------------------------------------------------------=-----------------------------
Sub-Total
$500 .64
IN GOV'T, 0.000%
$0. 00
Total: $500.64
NewPymt: $0.00
Total Due: $500 . 64
Received By: SP:Pete Thomas _
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire and Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$500.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 / hereby certify that the attached invoice(s), or
y'�O E� I 43-509.00 $500.64
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
Monday, December 03, 2012
Director
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 $500.64
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