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Home My WebLink About219873 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE �.% CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $5,779.68 NOBLESVILLE IN 46060 CHECK NUMBER: 219873 CHECK DATE: 5/7/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 LOODPM 596 .34 AUTO REPAIR & MAINTEN 1120 4351000 LOOEUB 1, 603 .34 AUTO REPAIR & MAINTEN 1110 4232000 25721 NOOJIJ 3 , 580 . 00 TIRES —�� R & T Tire-Noblesville R&T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 R&TV R&T Sheridan(317)758-4456 Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 Since 1969 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 04/27/13 07 :33 AM 17016 CLOVER RD file id: NOB-24679 Page 1 NOBLESVILLE, IN 46060 Your P/O # A/R Acct# Terms Ship Via Inv: N00JIJ JASON N05743 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL POLICE DEPARTMENT $ 3 CIVIC SQUARE $ CARMEL, IN 46032 Total $ 0 .00 **MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** ARC 317-733-4600 Qty Shp B/0 Item Number Description - ;S/W FET Price Amount Init's 40 GY732354500 P225/60R16 97V S2 EAG:RS-A 89.50 3580 .00 5 V/Info: ------------------------------------------------------------------------------------------------ Sub-Total $3580.00 IN GOV'T, 0.000% $0 .00 Total: $3580.00 NewPymt: $0 . 00 Total Due: $3580 . 00 Received By: SP:Chuck Godby C0 INDIANA RETAIL TAX EXEMPT PAGE RY o li li Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 25721 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 R&11 Tiro and Auto Carmel Police Department VENDOR TOIP 3 Civic Square 17010 Clover Road Carmol, IN 46032 ; Noblcreville, IN 46060 3171671-209 ? CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-0.00 t 40 Each tires $89.50 $3,580.00 Sufi Total: $3,580.00 o Send Invoice To: Carmel Police Department Attn: Teresa Anderson 3 Civic Square Carmel, IN 48b PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. --' PAYMENT $3,580°00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. \� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIF�TrHlAT THERE IS A.N UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROP IP TION SUFFICIE T TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. t1yl •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !llddd" i SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Af pedler, AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 7 CLERK-TREASURER DOCUMENT CONTROL NO. A4. COPY-SIGN AND RETURN TO CLERK'S OFFICE I i VOUCHER NO.- _ WARRANT NO._ ALLOWED 20 _ IN THE SUM OF$ 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)) 04/27/13 N00J1J tires $3,580.00 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 $3,580.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25721 I N00J1J I 42-320.00 I $3,580.00 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, May 01,2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 01/17/2013 02:22 FAX 17656756771 RTAUTO z 001 T Tire-Lebanon R&T Frankfort(765)654-5588 OIL it R&T I.,ebanon(765)482-5027 S1 1310 W South Street it&T Shcridan(317)758.4456 Lebanon,IN 46072 R&'r Tipton(765)675-6775 lq*Tw 765-482-5027 since 1905 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 04/2S/13 02:14 PM 1310 W. SOUTH STREET file id: LEB-19235 Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv; L00EUB vanvorst L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CA,RMEL FIRE DEPT $ 2 CIVIC SQUARE $ CARMEL, IN 46032 ---'°� Total $ 0.00 **MEMBER OF 'THE GOODYEAR TIRE & SERVICE NETWORK" REP 317-664-0958 317-571-2615 Qty Shp B/0 Item Number Description �/W FET Price Amount Init'e 2 GY756141614 315/808225 L G289 WHA DURAISEA 726.67 1453.34 202 dot# MC72PWEW4012, MC72PWEW391,2 2 041263000 NEW VALVE STEM 4 .50 9.00 202 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85.00 85.00 202,220 2 046100000 mt- dismount 26.00 56.00 202,220 G0002624 state bf indiana son vANVORS'r v/Info: 2010 SEAGRAVES LADDER TRUCK RED Lic# NA IN Unt# L41 Mil: 18267 Trq; B1 ft# ----------------------------------- -- Sub-Total 51603.34 IN GOV'T,0.000* $0.00 Total.: $1603,34 NewPymt: $0.00 Total Due: $1603 .34 Received By: SP:Terry Millikan 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)) LOOEUB L41 Tires $1,603.34 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 $1,603.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I LOOEUB I 43-510.00 I $1,603.34 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except MAY 6 2013 V66%4 141114421�1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 01/27/2013 21:52 FAX 17656756771 RTAUTO z 001 R & T Tire—Lebanon��G9.8H�$i R&.T Frankfort(765)654-5588 1310 'W South Street R&T Lcbanon(765)482-5027 R&T Shcridan(317)758-4456 Lebanon,IN 46072 R&T Tipton(765)675-6775 slaCa Igas 765-482-5027 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 02/28/13 09:46 AM RePrint 1310 W. SOUTH STREET file id: LEB-17770 Page 1 LEBA,gON, IN 46052 Your P/0 # A/R ACCt# Terms Ship Via Inv: LOODPM L00259 1 ST 10TH Sold-To: Ship-To: Type - Paymer-t CARMEL FIRE DEPT $ 2 CIVIC SQUARE $ S CARMEL, IN 46032 '�i /� L (/U Total $ 0.00 "MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK{ * REP 317664-0958 317-571-2615 10tY Shp B/0 Item Number Description S/W FET Price Amount Ini,t,e 2 GY139172907 225/708195 G G149 RSA T 298.17 596.34 202 dot# MCHRLRIR3612,, MCHRLRIR3612 G00Q1644 Pot Subs. &t?tte xic.%rig...:.,. -------------------- 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:Terry Millikan 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)) LOODPM A46 $596.34 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 $596.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I LOODPM I 43-510.00 I $596.34 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 MAY c6 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund