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228683 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R&T TIRE&AUTO-NOBLESVILLE 0 CHECK AMOUNT: $6,474.00 CARMEL, INDIANA 46032 noes CLOVER Bono NOBLESVILLE IN 46060 CHECK NUMBER: 228683 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000 31432 NOOQ14 6, 066 . 80 TIRES 1110 4232000 31424 NOOQ35 407 . 20 TIRES �11 —Noblesville R&T Frankfort(765)654-5588 R&T Lebanon(765)482-5027 II&TOV 17016Clover Rd R&T Sheridan(317)758-44560171! Noblesville,IN 46060 R&T Tipton(765)675-6775 317-773-3130 1965 �� n �11111„YYYJJJ��/// Store Location Store Phn Date Time R & T Tire/Auto - NOB (317) 773-3130 01/03/14 11:47 AM 17016 CLOVER RD file id: NOB-33809 Page 1 NOBLESVILLE, IN 46060 Your P/C # A/R Acct# Terms Ship Via Inv: NOOQ35 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* 317-571-2546 GRAG W Qty Shp B/O Item Number Description S/W FET Price Amount Init's 4 GY738285571 225/65R17 102T SL ASSJRANCEFFU 101.80 407 .20 5 -------------------- V/Info: b i -------------.-------------- 'S v5 Sub-Total $407.20 err IN GOV'T, 0.000% $0.00 � t .. Total: $407.20 NewPymt: $0.00 Total Due: $407 . 20 Received By: SP:Chuck Godby R & T Tire-Noblesville &T Frankfort(765)654-5588 17016 Clover Rd R&T Lebanon(765)482-5027 D R&T Sheridan(317)758-4456 a� 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 01/14/14 10:12 AM 17016 CLOVER RD file id: NOB-33736 Page 1 NOBLESVILLE, IN 46060 Your P/O # A/R Acct# Terms Ship Via Inv: NOOQ14 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/0 Item Number Description Iftff FET Price Amount Init's 40 GY732002500 P2>b5/55R17 98W S2 EAG 'R5 A"'- - 106.92 4276.80 5 20 GY732354500 P225/60R16 97V S2 EAG. RS,;A 89.50 1790.00 5 -------------------- V/Info: ---------------------------- --------------------------------- - --------- -- ---- -- -- Sub Total $6066.80 � •,• IN GOV'T, 0.0000 :a 4 � $0.00 ry Total: $6066.80 NewPymt: $0. 00 Total Due: $6066 . 80 Received By: SP:Chuck Godby INDIANA RETAIL TAX EXEMPT PAGE City ®f ��arme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 314V 35-60000972 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION I/ x'14 R 8,T Tire and Aceto Carmel Police Department VENDOR SHIP 3 Civic Squame 17016 Clover Road TO Carmel, IN 46M Noblesville, IN 4M (W)6712674 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 60 Each tires $101.11 $6,066.60 Sub Yowl. $6,066.60 r I ieZ :gng ---• I�'l� 1 r z $ ° 0 ` 41V u ®% gyAr jex . 02 4V 1 Send Invoice To: 1 / g f 76ss° Carmel Police Dmpar4meng Attn: Pat Young 3 Civic Squam Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police De8pt. PAYMENT $6,101W.60 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIONS O ENT TO.PAY FOR THE ABOVE ORDER. • i •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C o7$ Pollce AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 4 3 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._____VVARRANTNO`_�__ ALLOWED 20___ |NTHE SUM OF8 ' ' ' ' ^ (]NACCOUNT OFAPPROPRIATION FOR PO#or Board Members DEPT ! hereby certify that the attached invoioe(o). or bill(s) is (ar*) true and correct and tha1.the materials or services itemized thereon for which charge iemade were ordered and received except ' � 20 � � ' Signature � � . Title ' ' ' Cost distribution ledger classification if � . claim paid motor vehicle highway fund ' INDIANA RETAIL TAX EXEMPT PAGE City ®f qarmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ��,�� 35-60000972 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 91931209@ R 2,T Tim and auto Cool Pollco Dopartmont VENDOR TOP 3 CIVIC squam 97096 Clover Rodd Cool, IN 462 NoblosVillc, IN 4M (397)5712574 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS a FREIGHT Account �gpUNpIT�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-1.00 4 Each Tires GY738285571 $101.80 $407.20 Sub Total: $407.20 Nz- 'w' a Ar ° I 'A wz Awe ` Se Invoice To: , Carmol Pollen Department Attn: Pet Young 3 CIVIC Squam Carmol, IN PLEASE INVOICE-IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT X07.20 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTFYERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATIQ SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLEIef of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 4 2 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHERVVARRANTND`____ ALLOWED 20___ |NTHE SUM OF$ ` ' ONACCOUNT OFAPPROPRIATION FOR Board Members PO#or D | hereby certify that the attached invoice(s), or bill(s) is (ena) true and correct and that the materials nrservices itemized thoreon.for which charge iamade were ordered and received except ' � ' _�___— ........ Signature - ` Title Cost mumouuvo ledger classification if claim paid motorvehicle highway fund . ' . � VOUCHER NO. WARRANT NO. ALLOWED 20 R & T Tire and Auto IN SUM OF $ 17016 Clover Road Noblesville, IN 46060 $6,474.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31432 NOOQ14 42-320.00 $6,066.80 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 31424 NOOQ35 42-320.00 $407.20 materials or services itemized thereon for which charge is made were ordered and received except Friday, January 24, 2014 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)) 01/14/14 NOOQ14 tires $6,066.80 01/21/14 NOOQ35 tires $407.20 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