216252 01/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE
CHECK AMOUNT: $596.34
CARMEL, INDIANA 46032 17016 CLOVER ROAD
s4, t`r' NOBLESVILLE IN 46060
CHECK NUMBER: 216252
CHECK DATE: 1/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 NOOFGQ 596 . 34 AUTO REPAIR & MAINTEN
& T Tire-Noblesville R&T Frankfort(765)654-5588
r= R&T Lebanon(765)482-5027
17016 Clover Rd R&T Sheridan(317)758-4456
Noblesville,IN 46060
R&T Tipton(765)675-6775
fit] 317-773-3130
Sin cc 1965
Stone Location Store Phn Date Time
R & 7' Tire/:.uto NOB (317) 773-3130 12/21/12 05 : 07 PM
17016 CLOVER RD file id: NOB-20042 Page 1
NOBLESVILLE, IN 46060
Your P/0 # A/R Acct# Terms Ship Via
Inv: N0 0 FGQ N01614. 1St 10th
Sold-To: Ship-To: Type - Payment
C:ARMEL FIRE DEPARTMENT (EO $
2 CIVIC SQUARE $
CARMEL, IN 46032 i t
l/ Total $ 0 .00
ARC 317-664-0958
317-690-4283 jason C
Qty Slip B/0 Item Number Description S/W FET Price Amount Init's
2 CY139172907 22'5/70R195 G G149 RSA T 298.17 596.34 18
V/Info:
Sub-Total
$596.34
IN GOV'T, 0.000.
$0 .00
Total: $596.34
NewPymt: $0 .00
Total Due: $596 . 34
Received By: , SP:Pete Thomas
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire &Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$2,585.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1120 LOOCD7 43-510.00 $1,876.08 1 hereby certify that the attached invoice(s), or
1120 L00CG13 43-510.00 $113.40 bill(s) is (are) true and correct and that the
1120 I NOOFGQ I 43-510.00 I $596.34 materials or services itemized thereon for
which charge is made were ordered and
received except
JAN 7 29P
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
8m invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Nhom, 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))
LOOC D7 E42 $1,876.08
L00C G B L41/A41 $113.40
NOOFGQ I A41 I $596.34
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