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226450 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 a ONE CIVIC SQUARE R&T TIRE&AUTO—NOBLESVILLE CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $1,810.52 NOBLESVILLE IN 46060 CHECK NUMBER: 226450 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 31357 10292013 1, 790 . 00 TIRES 1120 4351000 NOONL7 20 . 52 AUTO REPAIR & MAINTEN R & T Tire—Noblesville R&T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 D R R&T Sheridan(317)758-4456 SEW 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 10/28/13 09:03 AM 17016 CLOVER RD file id: NOB-30571 Page 1 NOBLESVILLE, IN 46060 -- -- Your P/O # A/R Acct# Terms Ship Via Inv: NOONL7 N01614' 1st 10th Sold-To: Ship-To: Type - Payment CARMEL FIRE DEPARTMENT (EO $ 2 CIVIC SQUARE $ CARMEL, IN 46032 Total $ 0.00 { *MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*,*.' ARC 317-664-0958 317-690-4283 Jason C Qty Shp B/O Item Number Description "..,S/W FET Price Amount In7 1 040128000 RADIAL FLAT REPAIR ON-LFT FRNT 19.00 19.00 5,465 SHOP, SUPPLIES 1.52 V/Info: 2009 FORD EXPEDITION ,BLUE _VIN.: IFMFU1658�)EA973.85 Lic# 1337736 IN Unt# 44 Mi"1:;, 104993 Trgi 100 i Sub-Total $20 .52 IN GOV'T, 0 .000% '. $0 .00 Total: $20.52 NewPymt: $0. 00 Total Due: $20 . 52 Received By: SP:Chuck Godby 1 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)) NOONL7 VIN 7385 $20.52 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 r VOUCHER NO. WARRANT NO. ALLOWED 20 R & T Tire &Auto IN SUM OF $ 17016 Clover Road , Noblesville, IN 46060 $20.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I NOONL7 I 43-510.00 I $20.52 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 NOV 19 2nii Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund R & T Tire-Noblesville-", R&T Frankfort(765)654-5588 p f / R&T Lebanon(765)482-5027 `ti ``�17016 Clover Rd R&T Sheridan(317)758-4456 Noblesville,IN 46060 R&T Tipton(765)675-6775 Since 1965 317-773-3130 Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 10/29/13 11:40 AM 17016 CLOVER RD file id: NOB-30606 Page 1 NOBLESVILLE, IN 46060 Your P/0 # A/R Acct# Terms Ship Via Inv: NOONM6 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 317-571-2546 GRAG W Qty Shp B/O Item Number Description r=;` .`, ;S/W. FET Price Amount Init's 20 GY732354500 P225/60R16 97V S2 EAG RS-A 89.50 1790.00 5 V/Info: w Sub-Total r 4T: $1790.00 3 IN GOV'T, 0.000% $0.00 = Total: $1790 .00 NewPymt: $0.00 Total Due: $1790 . 00 Received By: SP:Chuck Godby ��1 INDIANA RETAIL TAX EXEMPT PAGE City of Carmel `ti CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 319f7 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9 � _ R Pa T 7Iro @nd Auto Cumol Polleo Dop2flment VENDOR SHIP TO 3 TIC Squm 97M90 ClovoP Road C @MgI, IN 4 Noblola Illo IN 46M W 67J2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 0 20 Each tires $89.50 $1,790.00 Sub Total: $1,790.00 '� o noo a Send Invoice To: C:mol Pollco Dopmrtmont. Attn: `form Andorson 3 Chic Sclu:m Caravel, IN - PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT, PROJECT • PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT K790,00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIOSUFFICI N- SHIP REPAID. ENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY F1 • PURCHASE ORDER NUMBER MUST APPEAR ON ALL � SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE eb Qq IHq pollen AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V CLERK-TREASURER DOCUMENT CONTROL NO. 31357 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ �y 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)) 10/29/13 10292013 tires $1,790.00 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 $1,790.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31357 I 10292013 I 42-320.00 I $1,790.00 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 Thursday, November 14, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund