HomeMy WebLinkAbout227474 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
0 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE CHECK AMOUNT: $802.36
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 227474
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 25421 N00PG3 802 . 36 TIRES
R & T Tire-N®blesville R&T Frankfort(765)6545027
17016 Clover Rd R&T Lebanon(765)482-5027
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 12/05/13 10:23 AM
17016 CLOVER RD file id: NOB-32987 Page 1
NOBLESVILLE, IN 46060
Your P/O # A/R Acct# Terms Ship Via
Inv: NOOPGB 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,*'* „e. ARC 317-571-2546 GRAG W
Qty Shp B/O Item Number Description � �;5/W FET Price Amount Init's
4 GY748535189 LT-265/70R17 WRL SILARMR PROGRD .' 200.59 802.36 18
V/Info•
4 .
---------------------------- 77 - - f 7 F -- - ---------------------------
Sub-Total
$802 .36
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4 IN GOV'T, 0.000
$0 .00
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( total: $802.36
NewPymt: $0.00
Total Due: $802 . 36
. .. s mss,
Received By: SP:Pete Thomas
INDIANA RETAIL TAX EXEMPT PAGE
City o C Armel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26421
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
R&T 711 and Auto Cannel € olice Department
VENDOR TOHIP 3 CIVIC square
17016 Clover Road Carnal, IN 46032
Noblesville, IN 46• (W)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Account
QUANTITY UNIT(OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 0.00
84 Each tires $123.73 $10,225.28
Sub Total, $10,225.25
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Send Invoice To: j
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Camel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $10,225.28
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYi
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. e ` Chief
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE :,"'h i of Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -'•
'J
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.I. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO..------------------
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Y
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire and Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
$802.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25421 I NOOPGB I 42-320.00 I $802.36 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
Wednesday, December 11, 2013
Chief of Police
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))
12/05/13 NOOPGB tires $802.36
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