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Home My WebLink About227085 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