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Home My WebLink About223166 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $6,372.92 CARMEL, INDIANA 46032 17016 CLOVER ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 223166 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 L00GE8 122 . 04 AUTO REPAIR & MAINTEN 1120 4351000 LOOGEM 1, 335 . 44 AUTO REPAIR & MAINTEN 1120 4351000 LOOGEN 1, 335 . 44 AUTO REPAIR & MAINTEN 1110 4232000 NOOKVW 3 , 580 . 00 TIRES & TUBES 08/06/2013 11 :34 3177733139 RTAUTONOBLESUILLE 91827 P. 001/001 �® R & T Tire—Noblesville R&T Frankfort(765)654-5588 44 17016 Clover Rd R&T Lebanon(765)482.5027 R&T Sheridan(317)759-4456 Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 Since 1988 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 07/11/13 12:25 PM RePrint 17016 CLOVER RD file id: NOB-27068 Page 1 NOBLESVILL,E, IN 46060 Your P/0 # A/R Acct# Terms Ship Via inv: NOOKVW N05743 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL POLICE DEPARTMENT $ 3 CIVIC SQUARE $ I $ CARMEL, IN 46032 Total $ 0.00 **MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK** ARC 317-571-2546 GRAD Qty Shp a/0 Item Number Description ::8/W FET Price Amount Init's 40 GY732354500 P225/60R16 97V S2 BAG RS-A 89.50 3560.00 18 V/Info: ---------------------------- - - - - - - --------------------------- "• Sub Total '.:;.,:.;;•... .,;::. .,. - - $3580.00 IN GOV'T,0.000W $0.00 Total: $3580.00 Newpymt: $0.00 Total Due: $3580 . 00 Received By: SP:Pete Thomas 0 INDIANA RETAIL TAX EXEMPT PAGE 0101 lL V 1i o C"',irmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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. IM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 4ASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 420`13 R&T Ilm and Auto Camel Police Dopartmont IDOR SHIP 3 Civic Squam TO 17016 Clever Road Ca mal, IN 40032 Noblesville, IN 4M (317)671 NATION i BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ount 42-M.00 40 Each tires $89.50 $3,580.00 Sub Total: $3,580.00 A .. d Invoice TO: Camel Police DePartMOM Aktn:`arose Anderson !�Civic 9009" PLEASE INVOICE IN DUPLICATE cat911Ai, IN 42- ACCOUNT PROJECT PROJECT ACCOUNT DEPARTMENT AMOUNT Dept. ENT $3, .00 Police Dept' r �� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND y VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY Qf;RATIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS THIS A/PP/OOPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. REPAID. ORDERED BY �.SHIPMENTS CANNOT BE ACCEPTED. C�aSE��DEFNU�6E�M�SSPPPEaRONa�� E 8wpf of PolleQ �QQ��G� ENtZHE��O. �SD�Da\SS��NCO�e`�aNCEP�OSUpp�E� � `�„1 ? CLERK TREASURER ZoP�Z�'E�EO SIGN AND RETURN TO CLERK'S OFFICE opC EN a tr Ppv'1, aN � M . ,;. T cpNTppL NO IV 70CUME �F- 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)) 07/11/13 NOOKVW tires $3,580.00 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 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 25366 I NOOKVW I 42-320.00 I $3,580.00 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 Friday, August 09, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund TTire-Lebanon R&T Frankfort(765)654-5588 R&T Lebanon (765)482-5027 1310 W South Street R&T Sheridan(3 17)758-4456 �a W." Lebanon,IN 46072 R&T Tipton(765)675-6775 765-482-5027 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/18/13 04:04 PM 1310 W. SOUTH STREET file id: LEB-21248 Page 1 LEBANON, IN 46052 Your P/0 # A/R Acct# Terms Ship Via Inv: LOOGE8 L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL 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 1Qty Shp B/O Item Number Description S/W FET Price Amount Init's 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85.00 85.00 202, 220 1 046100000 FLAT• REPAIR RRI TIRE 28 .00 28 .00 202, 220 BOB 'VANVORST SHOP SUPPLIES 9.04 V/Info: 2010 SEAGRAVES LADDER TRUCK RED Lic# NA IN Unt# L41 Mil: 1 Trq<," 81 ft# -------- --------- -----------_ ---t----------------------------- Sub-Total $122 .04 IN GOV'T, 0.000% $0.00 Total: $122. 04 NewPymt: $0 .00 Total Due: $122 . 04 Received By: SP:Terry Millikan R & T Tire-Lebanon R&T Frankfort(765)654-5588 1310 W South Street R&T Lebanon(765)482-5027 D R&T Sheridan(3 17)758-4456 „ Lebanon,IN 46072 R&T Tipton(765)675-6775 765-482-5027 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/10/13 03 :32 PM 1310 W. SOUTH STREET file id: LEB-21263 Page 1 LEBANON, IN 46052 Your P/0 # A/R Acct# Terms Ship Via Inv: LOOGEN L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL 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 .S/W FET Price Amount Init's 2 GY756141613 315/80R225 L G289 WHA°"TL .;' '::” 667 .72 1335.44 202 dot# MJ72WHAW1113, MJ72WHAW1113 UMIT E46 - _ - BOB. VANVORST -------------------- E, s . V/Info: •�;� .��_. �_ , ::_..br%�g �_�' ;- �-ate , --- -�f---3�Yy- -�- $-- ----- Sub-Total b,_.• •f. $1335.44 IN GOV'T, 0. 000% $0 .00 Total: $1335.44 NewPymt: $0.00 n l Total Due: $1335 . 44 Received By: wc'.ccJ� Ty ��5 SP:Terry Millikan R & T Tire-Lebanon R&T Frankfort(765)654-5588 p 1310 W South Street R&T Lebanon(765)482-5027 R&T Sheridan(3 17)758-4456 Lebanon, IN 46072 R&T Tipton(765)675-6775 765-482-5027 Since 1965 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/10/13 03 :44 PM RePrint 1310 W. SOUTH STREET file id: LEB-21262 Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: LOOGEM L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL 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/O Item Number Description S/W FET Price Amount Init's 2 GY756141613 3,15/80R225 L G289 WHA TL",'= >: 667.72 1335.44 202 dot# MJ72WHAW1113., 'MJ72WHAW1113 GS0002624 IND ,STATE •PRICING '- UNIT E40 BOB VANVORST —--—--—------—------ V/Info. ---- (N/A) (BLANK) Unt# E40/ 3 UNIT i f- -------------------------------------------------------------- ------------------------------------- -..' Sub-Total $1335.44 IN GOV'T, 0.000°s �''f.° '• :�::'s 5�; n 4:+µ"f','...`; v $0.00 Total: $1335.44 NewPymt: $0 .00 /- Total Due: $1335 . 44 Received By: aljvze"� 40 ��5��"` 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)) LOOGEM E40 $1,335.44 LOOG E N E46 $1,335.44 LOOGE8 I L41 I $122.04 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 $2,792.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 LOOGEM 43-510.00 $1,335.44 1 hereby certify that the attached invoice(s), or 1120 LOOGEN 43-510.00 $1,335.44 bill(s) is (are) true and correct and that the 1120 I LOOGE8 I 43-510.00 I $122.04 materials or services itemized thereon for which charge is made were ordered and received except AUG 12 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund