HomeMy WebLinkAbout215750 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $1,300.00
CARMEL, INDIANA 46032 17016 CLOVER ROAD
o� NOBLESVILLE IN 46060 CHECK NUMBER: 215750
CHECK DATE: 1 2/1 81201 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 25527 NOOEXY 1, 300 . 00 TIRES
& T Tire—Noblesville &T Frankfort(765)654-5588
8. 17016 Clover Rd R&T Lebanon(765)482-5027
tj %' R&T Sheridan(3 17)758-4456
ti 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 11/28/12 11:36 AM
17016 CLOVER RD NOB file#: 0019366 Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOEXY JASON N05743 1 ST 10TH
Sold-To: Ship-To: Type - Payment
CARMEL POLICE DEPARTMENT $
3 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0. 00
317-733-4600
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
20 20 GY732354500 P225/60R16 97V S2 EAG RS-A 65 . 00 1300 . 00 5
--------------------
V/Info:
Sub-Total
$1300 . 00
IN GOV'T, 0 .000%
$0 .00
Total: $1300 .00
NewPymt: $0. 00
Total Due: $1300 . 00
Received By: SP:Chuck Godby
! INDIANA RETAIL TAX EXEMPT PAGE
City o 1i Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27
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
1112712012
R&T Tire and Auto Carmel Pollee Department
VENDOR SHIP 3 Civic Square
TO
17010 Clover Road Carmel, IN 46M
Noblesville, IN 46 (W)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 420.1
20 Each tires $1,300.00
e��Jn p• Sub,Tota1: $1,300.00
,/fit � .a• IP a -
f. S a •a
Imo':` 'i,� '••t?` ~'"'--,
- qtr � •�
NtF, .•gpg.• ' � 1 i
Send Invoice To:
_ell ' _
Carmel Polio Department
Attn: Teresa Anderson
3 Clvic Squam
Carmel, IN 46032m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. - 'ti° PAYMENT $1,3013.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYjTHAftHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '
SHIPPING LABELS.
�g! Police•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
A . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
' 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire and Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$1,300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
rt
25527 I NOOEXY I 42-320.00 I $1,300.00 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
Wednesday, December 12, 2012
�
&Chiefof 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))
11/28/12 NOOEXY tires $1,300.00
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