HomeMy WebLinkAbout228118 1/14/2014 „f CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $2,485.20
NOBLESVILLE IN 46060
CHECK NUMBER: 228118
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 LOOKFD 2 , 485 . 20 AUTO REPAIR & MAINTEN
R & Y Tire—Lebanon R&T Frankfort(765)654-5588
R&T Lebanon(765)482-5027
�- 1310 W South Street
� D R&T Sheridan(317)758-4456
aTP Lebanon,IN 46072 R&T Tipton(765)675-6775
765-482-5027
Since 1.965
Store Location Store Phn Date Time
R & T Tire/Auto - LEB (765) 482-5027 12/04/13 04 :47 PM
1310 W. SOUTH STREET file id: LEB-26473 Page 1
LEBANON, IN 46052
Your P/O # A/R Acct# Terms Ship Via
Inv: LOOKFD 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 a S ,FET Price Amount Init's
4 GY138864665 12R225 H G288 MSA T 559.55 2238.20 202
dot# MC3XL70W2212, MC3XL7OW2212, MC3Y L70W3313 'MC3XL7OW2212
4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00 202
:
4 041263000 NEW,VALVE STEM', 4 `
„g 4 .50 18 .00 202
4 093002000 ~ TIREDISPOSAL, b
E 9.00 36.00 202, 245
4 046100000 MT DISMOUNT 28. 00 112 .00 202, 245
1 046120000 ROADSERVICE -PER HRS/PER MAN '(R 80.00 80.00 202, 245
POL ;SUBS=G0002624' 'IND 03 7115-2014 EXPIRES
ENGINE 4�-5A
106TH AND COLLEGE/10701 N COLLEGE
- -------------
.. n
�E
V/Info: ---- (N/A) (BLANK)
Unt# 2050
—— Sub-Total
$2485.20
IN GOV'T, 0.000%
$0.00
Total: $2485.20
NewPymt: $0.00
Total Due: $2485 . 20
Received By: SP:Terry Millikan
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & TTire &Auto
IN SUM OF $
17016 Clover Road
Noblesville, IN 46060
4 $2,485.20
N ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1120 LOOKFD I 43-510.00 I $2,485.20 1 hereby certify that the attached invoice(s), or
1 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
.IAN 3
Fire Chief
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))
LOOKFD E45 $2,485.20
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
120
Clerk-Treasurer