HomeMy WebLinkAbout227085 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
0 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $4,180.40
NOBLESVILLE IN 46060
CHECK NUMBER: 227085
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 LOOJWI 2, 390 . 40 AUTO REPAIR & MAINTEN
1110 4232000 31384 NOOPDT 1, 790 . 00 TIRES
R & T Tire-Noblesville R&T Frankfort(765)654-5588
17016 Clover Rd R&T Lebanon(765)482-5027
ow I som.
Rq R&T Sheridan(317)758-4456
�— 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 12/03/13 10 :47 AM
17016 CLOVER RD file id: NOB-32897 Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOPDT 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*:* t,::• ARC 317-571-2546 GRAG W
Qty Shp B/O Item Number Description f .y S/W. FET Price Amount Init's
Y
20 GY732354500 P.225/60R16 97V S2 EAG RS A' ' 89.50 1790 .00 5
-------------------- s ,z�t f
V/Info:
———————————————————————————-pe —————----- --- ———!.q _J _————— ------ ----------------——---------—-—-—-
Sub-Total
. . : > $1790.00
=s » •' IN GOV'T, 0.000%
$0.00
Total: $1790.00
NewPymt: $0.00
Total Due: 1790 . 00
Received By: SP:Chuck Godby
INDIANA RETAIL TAX EXEMPT PAGE
City Yc.,.h1f C°�ox rme 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 5m
35-60000972 umv
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
i 921412099
R&T Tina and Auto Cumol Polico Dep@rtmont
VENDOR TOIP 3 CIVIC squm
17016 ClovoP Road Cumol, IN 460 2
Noblesvillo, IN 4M (317)571-2674
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I`
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION t
Account 42-320.00
20 Each tires $89.30 $1,700.00
Sulk Total: $1,790.00
�a
I 0
Send Invoice To:
Comol Polito Dopaytmon4
Attn: P24 Young
3 Civic Squm
Ctrol, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
Cumel Police Dept. `..0 PAYMENT $9,7E0.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI I• SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE d o
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 313 84 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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))
12/03/13 NOOPDT 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
31384 I NOOPDT 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, December 05, 2013
eZ1" Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R & T Tire-Lebanon R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
1310 W South Street
R&T Sheridan(317)758-4456
qRqpl�, Leba non, IN 46072 R&T Tipton(765)675-6775
765-482-5027
Since 1965
Store Location Store Phn Date Time
R & T Tire/Auto - LEE (765) 482-5027 11/05/13 07 :20 AM
1310 W. SOUTH STREET file id: LEB-25777 Page 1
LEBANON, IN 46052
Your P/O # A/R Acct# Terms Ship Via
Inv: LOOJWI L00259 1 ST 10TH
Sold-To: Ship-To: Type - Payment
CARMEL FIRE DEPT $
2 CIVIC SQUARE $
- CARMEL, IN 46031
Total $ 0 .00
**MEMBER OF THE GOODYEAR TIRE & SERVICE NETWORK*-*:` = REP 317-664-0958
317-571-2615
Qty Shp B/O Item Number Description `' ' `
;�a,�'"� f, fi S/W °FET Price Amount Init's
1 046120000 "ROAD SERVICE PER HR/PER,,FVAN_,(R 90.00 90. 00 202,245
LF S.
4 GY138864665 '12R225 H G288 MSA w,. T i 559.55 2238.20 202
dot# MC3XL70W4.9'1 2 MC3XhZ°OW4`234:;a:MC3^XL.7;OW4234°;"';MC3XL70W4234
4 EPA STATE±;;TIRE='FEET= (INDIANA) ;Y": :;' r '',i'-: :- •-y �.44L/ 0.25 1.00 202
•:..,. ,:: �6
1 046100000 INSTALLED-
FOUNTAIN SLTE!,,.: i .'<;; : Ra ;f. M 0.00 0.00 202, 245
c a t..
4 041263000 NEW VAhVE STEM:::':°: ,-' •1 ,N g 4 .50 18 .00 202
4 093002000 TIRE:~;DISPOSAL'µ, '<: ?'' 9.00 36.00 202, 245
SHOP SUPPLIES � 7.20
-------------------- i
V/Info: 2010 SEAGRAVES LADDER TRUCK-RED
Lic# NA IN Unt# L41 Mil: 1 Trq: 81 i,f t#
--------------------------------------------------F4``----------------------------------------------
C! 8 �� �
. .. '_. -Total
..rr „we .. Sub
$2390.40
IN GOV'T, 0.000%
$0.00
Total: $2390.40
NewPymt: $0.00
Total Due: $2390 .40
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))
LOOJ W 1 L41 $2,390.40
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 &Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$2,390.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 I LOOJW1 I 43-510.00 I $2,390.40 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
DEC - 9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund