184454 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $612.38
CARMEL, INDIANA 46032 17016 CLOVER ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 184454
CHECK DATE: 4/14/2010
DEPARTMENT ACCOU PO N INVOICE NUMBER AMOUNT D
601 5023990 W09187 105816 612.38 TIRES
Fk r T=F2E ^U NOBLESV =LLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060
(317) 773 -3130 C'
FEDERAL TAX ID# 351145753
lir
.INVOICE 03/31/10 03/31/10
05 8 '1 6 09:30 AM 11:06 AM
7617 016637 105816 TERR: 7617
PAGE: Ol NONSIG: 197505
BILL TO: CARMEL WATER DISTRIBUTION (EO9)
3450 WEST 131ST ST /7
WESTFIELD, IN 46074- 8267��
W
PHONE 1....... (317)716 -3939 EXT. VEH YEAR /MAKE.
PHONE 2....... VEHICLE MODEL.
DATE REQUESTED 03/31/10 VEHICLE COLOR.
TIME REQUESTED CALL LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 005 005 PRIOR INVOICE. 104701
ACCOUNT COB TC CUST# TYPE /STATE
761704158 4 01 04158 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 139- 913 -205 -0 G 2 245/70R195 G G622 RSD TL 274.51 9.83 568.68
GS NUMBER. G0730929 QTY. 2 NO. MJ9362AW4609
005 028 040 -101 R 2 NEW TIRE INSTALL /DISMOUNT MOUNT .00 15.00 30.00
005 028 093 -002 R 2 TIRE DISPOSAL .00 5.00 10.00
THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY
*SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE
PARTS TOTAL........ 568.68
EXCISE TAX......... 19.66 LABOR TOTAL........ 40.00
CHARGED AMOUNT 612.38 MISC SHOP SUPPLIES. 3.20
STATE TIRE FEE .50 SUB TOTAL.......... 611.88
f TAXABLE AMOUNT .00 SALES TAX.......... 00
CUSTOMER AUTHORIZA 0 FORT AL IV! V O 2 C E O T A L 6 1 2! 3 S
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 04/10/10 DISCOUNT...... *NET*
Ca
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HAVE A QUESTION OR PROBLEMa
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
F TY WA R N I N G
I N JURY RY I NI
o Tire failure due to underinflation /overloading follow owner's manual or tire placard in vehicle.
E. plosion of tire, t rim assembly due to improper mounting only specially trained persons should rrloUnt tirES.
o All custom wheel lug nuts frltlst be re- torqued after 25 miles acid 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 X111FFLER?
CGCILiNG SYSTEM SERVICES STEERING AND SUSPENSION PARTS ((EXCLUDING
P= it tw: 12 rnonths or'12,000 mllps, jvN trever Qorneis rlrst. DRIVE TRAIN COMPONENTS)
i.ab:ar_ 11 mcnthis ar 1,J,1El nor F.�, .Yt'�icf; eve r car 4 fir'St. i'rat�. 1�> nioi rti�y er '12,!)OJ ;miles, vdra.cila�� corras�. :first
AIR SHOCKS Labor 12 r °,c.ntlis or 12,000 n°!les, acmes Eirs
ALIGNMiEN -1 MACPHERSON STRUTS CARTRIDGES, 9E- 10,°KS AND
BRAKE SERVICES tEXCLUDING OVERHAUL) ASSEMBLIES,
ENGINE TUNE UP Farts: St n 12 monl:hs or 110010 miles, h,;chever Firs;
1' mor!� s or 12J!"O rrrifes, vdiichi;ver oomes firs°f. Part: Lf` Eirr €e: Li' irr�e tc the a ~i nr�! prre;raser.
Labn> :2 mo 0s, or I2,000 miles.wNchever canes first. L. Ibo!: 12 months 12,00E rrides, VYh 4' c,c?rnc: first.
MUFFLER
BELTS AND HOSES (COOLING SYSTEM) Parts: Standard: 12 months Ur I2,OQ() rnj€?s, .'A veer'
L',fe:;4ne Iti tlar° orir r a9 ri c1 Baer, i
3 arts: ileti r;e t tirra� to tt?e oriel €raai r>urcfaa _r,
Lni)m: 12 Innith, c. 12,000—.dos, wli r ever canes first. _abur: '12 rnontra:=, Or �,JLO mi es, vwiid, i �iver t;ome first.
BRAKE OVERHAUL (BRAKES SHOES AND /OR DISC: PACTS VVIACEL E,, -y]- INCE (AUTO TIRES ONLY)
VVARR/',NhE`9 =D LEFE1 IME) uIAi;s.; 12 rnor.Ctr or 12,011) rnii�; :;,vJt3 €cfiwer t�rrru :xs °Irst
r mfs: 21 rnc !Wis rr 21,0CM rr: les, ;.t rr' cares trr:sL 1 4enr,e. Lifts of tha origi d tread
Lz 2 naomhz� cr 2 "'�!t;s... 'lieiarvcr conks first. Lilo c` tre, warranty iaty �,oad ]cr *ho 11 c;` 'he fr f of ]E e lire I „rear
Overhaul: disc andror drurn perfarrned as a packucYe mdudes: Nal valid if tire Is raismr inted,
F'rvserrt t €a s invoice fw a fee tire: I otat.cr. and car- ,der ';ht;r;l L'I; armit:
Di_ r:< rotors, rebuk or replace hydrau lic: cal €p€ors, ev`, y 6 r oths or'
�ai> if ?1 :�plrer a scci,;r °e.d is :�r;f� Sara. (Vehides .a r ifin rnei tin,1 m c.errTlo€ r :`�.r.g of urns duc+ r, spec1a
Wu -i :make shoes, resu rface drurEts� nevv witeei cy+1ders, crease
r Kclad d.;r
h irdtix.are.
r✓ ar.c all carer brake service or repair covered undar the 1E3rake
"ALL FARTS ARE NEW UNLESS OTHERWISE DESIGNATED. AUTOMOTIVE RE€PARS
AND PARTS, EXCLUDING TIRES. ARE WARRANTED FOR A MlNIMU�4 OF 12 MONTI is
0,R 12,000 MILES, FOR CO1 k NARRANITY DETAILS, SEE THE Si'E=CIFIC V'VARRANTY
FOR TIRES AND THE SPECIFIC WARRANTY EtrR AUTOMOTIVE REPAIRS AND PARTS,”
WHO MAKE=S THIS WARRANTY
This i,rarranty is rnade and will be serviced by the Gen'lini outlet Who performed the repairs identified on the
far,Q 01' YOUr repair invoice.
This warranty will a,so 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 origina! purchaser, and the rnotor vehicle identified an the
original repair invoice. It applies only during warranty periods stated above.
Warranty atlthorizrition merit be obtainod from the Warranty Administrator prier to any warranty repair
being performer, Phone 1- 803 426 -0733.
Warranty repair costs are covered up to the cost of the original repair.
T N, vv, rran Ly does not ;:apply to, Veil used commercially.
VOUCHER 101250 WARRANT ALLOWED
3 IN SUM OF
R T Tire Auto- NOBLES�W,I E
17016 Clover Rd.
Noblesville, IN 46060��'� O
op F..
Carmel Water Utility
1
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
105816 01- 6500 -05 $612.38
Voucher Total $612.38
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, raters per day, number of units,
price per unit, etc.
Payee
350983
R T Tire Auto- NOBLESVILLE Purchase Order No.
17016 Clover Rd. Terms
Noblesville, IN 46060 Due Date 4/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2010 105816 $612.38
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
Date Officer