HomeMy WebLinkAbout222125 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367213 Page 1 of 1
ONE CIVIC SQUARE R&T TIRE-LEBANON
s
CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $1,473.68
LEBANON IN 46072 CHECK NUMBER: 222125
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 CARMEL0713 1, 473 . 68 AUTO REPAIR & MAINTEN
R&T Lebanon 7654830478 PA
=e^r & T T* e—Leb a ®� R&T Frankfort(765)654-5598
R&T Lebanon{765)492-502-7
1310 W South Street R&T Shcrir]an(_I 17)758-4156
S Lebanon,IN 46072 R&TTipton (765)675-6775
765-482-5027
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - LEE (765;• 482-5027 06/27/13 04 :09 PM RePrint
1310 W. SOUTH STREET file _d: LED-20906 Page 1
LEBl-hON, IN 46052
Your P/0 #k A/R Acct# Terms Ship Via
inv: LOOG4Q L00259 1 ST 1CTH
Sold-To: ship-To: Type - Payment
CART4EL FIRE DEPT $
2 CIVIC SQUARE $
CARMEL, IN 46032
Total $ 0 .00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** REP 317-664-0958
31"7-571-2615
Qty Shp H/0 Item Number Description S/W FET Price Amount Init's
2 GY756256420 3i5/80R225 L G291 LP T 686.84 1373.68 202
dot{ MJ725VAW0613, MJ725VAW3012
1 046120000 ROAD SERVICE PER HR/PER MAN �(R 85-00 85.00 202, 220
2 041263000 NEW VALVE STEM 4.50 9.00 202
2 Oy3002000 TIRE DISPOSAL 3.00 6.00 202, 220
APROVAL 4G0002624
UNIT-45...PUMPER-STEERS
BOB VANVORST
MILEAGE '64i11-STEERS_
V/_nfo: 2000 FIRE ENGINE (BLANK) RED
Lic# E43 IN Mil; 64211 Trq: 63 ft'"
--------------------------------------------------------- -----------------------------------
r Sub-Total
$1473 .66
/1 � $0 .�I
1 � ✓t/�5 IN O.OOO t
l _ $0 .00 0
Total: $1473 .66
NewPymt: $0 .00
Total Due: $1473 . 68
Received By: SP:Terry Millikan
VOUCHER NO. WARRANT NO.
R & T Tire & Auto L .a'�,5d' ALLOWED 20
X310
J` j IN SUM OF $
$1,473.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I LOOG4Q I 43-510.00 I $1,473.68 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
II Ii1 2013
Fire Chief
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))
LOOG4Q E43 $1,473.68
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