181288 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
k e, c, ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $143.50
LEBANON IN 46052 CHECK NUMBER: 181288
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 L118772 143.50 TRANSPORTATION EXPENS
j J
LEBANON TIRE AU SVC
eler'eFP 1)6 //a
1310 W SOUTH STREET
LEBANON, IN 46052 E'A
(765)482 -5027 GOOD,
FEDERAL TAX ID## 351145753
I NVOICE 12/03/09 12/03/09 c
L" 1 1 8772 02:39 PM 05:19 PM per
TERR: 7798
PAGE: 01 NONSIG: 173531
BILL TO: CARMEL UTILITIES (E09)
760 THIRD AVE SW
CARMEL, IN 46032
PHONE 1 (317)716 -3905 EXT. VEH YEAR /MAKE.
PHONE 2 (317)571 -2634 EXT. VEHICLE MODEL.
DATE REQUESTED 12/03/09 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS NO ODOMETR IN /OUT NA
SALESMAN 002 002 PRIOR INVOICE. 113765
P 0 NUMBER COOPER
ACCOUNT COB TC CUST# TYPE /STATE
779801844 4 01 01844 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 75.00 75.00
002 017 046 -100 R 1 REPAIR TELEHANDLER TIRE .00 68.50 68.50
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL .00
LABOR TOTAL 143.50
CHARGED AMOUNT 143.50 SUB TOTAL 143.50
X TAXABLE AMOUNT .00 SALES TAX .00
CUSTOMER AUTHORIZATION FOR TOTAL I N V O I C E TOTAL_ '1 4-3 5 O
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 01 /10 /10 DISCOUNT *NET*
Call:
How Did We Do Today? We Want Your Feedback! 1.866.402.3523
Tell us for a chance to WIN a $500 Gas Card Enter Code:
See Official Rules in stores and at www.goodyeartires.com /gascard for details. 3379017353187728
No purchase necessary. Two winners per month. Must call within 7 days. Void where prohibited.
S E E REVER E S I® E F 0F2 I MPO RTA N Y S A F E TY
WARN I N G AN WARRANTY I N F O RMA Y 10N
HAVE A QUESTION OR PROBLEM?
Please tell our store manager. We value your opinion as much as your
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE 1 -800 -321 -2136
t
SERIOUS INJURY MAY RESULT FROM:
Tire failure due to underinflation 1 overloading follow owner's manual or tire placard in vehicle.
O Explosion of tire /rim assembly due to improper mounting only specially trained persons should mount tires.
All custom wheel lug nuts must be re- torqued after 25 Miles and checked periodically.
GEMINI NATIONWIDE WARRANTY
These warranties apply only to parts and labor
shown on your invoice there may be other
components in a system that are not covered.
AIR CONDITIONING SERVICES EXHAUST COMPONENTS (EXCLUDING MUFFLER)
COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS (EXCLUDING
Parts: 12 months or 12.000 miles, whichever cornes first. DRIVE TRAIN COMPONENTS)
Labor. 12 months or 12,000 mires, whichever comes first. Parts: 12 (months or 12,000 miles, whichever comes first.
AIR SHOCKS Labor: 12 months or 12,000 miles, whichever comes first.
ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND
BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES.
ENGINE TUNE UP Parts: Standard: 12 months or 12.000 mires, whichever comes first
Parts: 12 months or 12,000 miles, whichever cornes first. Parts: Lifetime: Lifetime to the original purchaser.
Labor: 12 months or 12,000 m',les,'whichever comes first, [.tabor: 12 months or 12,000 (riles. whichever comes first,
MUFFLER.
BELTS AND HOSES (COOLING SYSTEM) Parts: Standard: 12 months cr 12,000 miles, whichever comes first
Parts: Lifetime to the original purchaser, Parts: Lifetime: Lifetime to the original purchaser.
Labor. 12 months or 12.000 miles, whichever cones first. Labor: 12 months or 12,000 mires, whichever comes first.
BRAKE OVERHAUL (BRAKES SHOES AND /OR DISC PADS WHEEL BALANCE (AUTO TIRES ONLY)
WARRANTED LIFETIME) Standard: 12 months or 12,000 miles, whichever comes first
Parts: 24 mnnfhs pr 24,000 ;Hiles, whichever comes first. Lifefimn Life of the original tread
Labor: 24 months or 24,000 miles, whichever comes first. Life of tread warranty good for the life of the tread of the tire we balance.
Brake Overhaul: disc and/or drum pedarmed as a package includes: Not valid if tire is dismounted.'
Present this invoice for a free tire rotation and computer wheel balance
disc -disc pads, resurface rotors. rebuild or replace Hydraulic calipers, every 6 months or 6,000 miles.
grease seals (it e ui pp' ed 1, associated hard.varc (Vehicles requiring mounting or r.emor nting of tires due to special wheels
4
excluded.)
la Drum -brake shoes, resurface drums: ne +v wheel cylinders, grease
seals (if equipped', associated hardware.
Any and all other brake service or repair covered under the "Brake
Service" warranty.
"ALL PARTS ARE NEW UNLESS OTHERWISE DESIGNATED, AUTOMOTIVE REPAIRS
AND PARTS, EXCLUDING TIRES, ARE WARRANTED FOR A MINIMUM OF '12 MONTHS
OR 12,000 MILES. FOR COMPLETE WARRANTY DE I AILS, SEE THE SPECIFIC WARRANTY
FOR TIRES AND THE SPECIFIC WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS."
WHO MAKES THIS WARRANTY
This warranty is made and will be serviced by the Gemini outlet who performed the repairs identified on the
face of your repair invoice.
This warranty will also be honored by any participating Gemini outlet, nationwide, if you require warranty
service 25 or more miles from the location where the original service was performed.
This warranty extends only to you, the original purchaser, and the motor vehicle identified on the
original repair invoice. It applies only during warranty periods stated above.
Warranty'atitherization must be obtained from the Warranty Administratorprior to any warranty repair
'being performed. Phone 1 -800- 426 -0733.
Warranty repair costs are covered up to the cost of the original repair.
This warranty does not apply to vehicles used commercially.
VOUCHER 097076 WARRANT ALLOWED
182450 IN SUM OF
LEBANON TIRE AUTO SVC
1310W SOUTH ST
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
L118772 01- 7502 -06 $143.50
Voucher Total $143.50
Cost distribution ledger classification if
claim paid under vehicle highwa 4 d: 0rn.
9
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
182450
LEBANON TIRE AUTO SVC Purchase Order No.
1310 W SOUTH ST Terms
LEBANON, IN 46052 Due Date 12/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/301200'. L118772 $143.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer