185331 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $2,397.72
�o LEBANON IN 46052 CHECK NUMBER: 185331
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 121724 2,539.56 AUTO REPAIR MAINTEN
1120 4351000 121801 141.84 AUTO REPAIR MAINTEN
r
May 041011,023 P.1
i.._EBARV�9� _i -3L RE glJ�O s
1311 W SOUTH STREET
LEI;.ON, iN 46052
765)482 -502
FEDERA TAX ID#I 35114 53 i F!
05!04%1
N v o x q E 05:03/10
w.
C 1 217 2'x%- T 09: 4n A 11:09 AM
ERR: 7798
7798 016333 1 21724 NONSIG: 173531
PAGE: 01
BILL TO: CARMEL FIRE DEPT
BOB VANVOORSi
2 CIVIC SQUARE
CARNiET-, IN 46032
PHONE 1 317)664-0958 EX '.i.' YEAR /:J1AKE
PHONE 2 (377)571 -2615 I,X:L'• FAX VEHICLE CCLLOR.
DATE REQUESTED 05/03/10 LICENSI; :STATE.
TIME REQUESTED ODOMETR IN /OUT f NA
RETURN PARTS.- O D02 PRIOR INVOICE. 120018
SALESMAN.....
P O NUMBER.... VANVOORST
ACCOI'.\T COB TC CUST# TYPElSTATE
77':800259 2 0 00259 4 A
SLSM TRH PRODUCT CCUE BC O1° D ESCRIPTION
PARTS LIBR.IEXCISE _INE TOTAL
410.16 .00 1040.72
T
002 _38 -854 665 -0 G 4 12R225 H G288 NSA L
GS NUMBER. C-373092S OTY 4 NO. Mc2X88HR0210
R g IJE!W VALVE STEM 4.50 .00 36.07
CO2 C17 041 -263
GC2
732 -354 -500 -0 R S P225/6CR16 97V S2 EAG RS-,4 VSBRPTL 77.48 .00 619.8
QTY. B P.C. PLX03EL =A .)4
002 C17 345 -132
R B MT- JISMOUN3T --ROTATE DRIVES 00 30.00 240.00
J02 017 046 -700
rt 1 UNIT-L41 -E45 .00 .03 fl
002 Oil 046 -100
R 1 UNIT- AT STATION BOB VAPNODRST 00 00 .00
002 017 046 -100
R 225160P16 STAFF CARS -STO�_K .00 .00 °C
REMEMBER TC SERVICE YDUP, TF.ANS'•II :SIGN EVERY 15000 TO 300170 MILES! WE THANK YOU FOR :CUR BLS 'n'ITH US.
FARTS TOTAL........ 2296,56
CHARGED AMC•UNT 2539.56 LA90R TO 240.00
STATE TIRE FEE 3.DO SL3 TOTAL.......... 2536.56
X TAX.ADLE AN OUNT OD SALES TAX.......... 00
A FOR TOTAL JE HIV Y C E T O T A L_ a; 2 1 5 3 9 5 95
-dSTOMER BUYING PLAN... A 7
OF PATIENTS. 1 PAY START DATE 06!10;10 DISCCUNT...... *NET*
F= IF= REVERSE 's I ®E I F C3 �MF3 SAF ETY
�wDA1�� eghEll WA1IF�F;,b Y ����RNOAT��N
HAVE A QUESTION OR PROBLEM?
Please tell your store marager. We value your oplr.ion as Ruch as your
busness. Should you •,eed additional assistance, call epr
CUSTOIAER ASSISTANCE LINE 1 -800 321.2136
May 05 10 03:06p P.1
LEnAd\�1C3Ri TX FZE At 1TC> S VC
1 110 W SOUTH STREET
.TN 46052-
5027���®
FEDE1!AL TAX ID# 351145753
'I NVO I C E I
,2 1 1 os /os /za c5/05
S (�'8
7798- 016337- 121801 .03 :13 PM 03:14 PN�I
'?AGE: 07 -SPY: O1 ERR: 7798
I DIONSIG: 173531
BILL TO: CARMEL FIRE DEFT
BOB VAN`TOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE l....... (317)664 -0958 i,}':C, VEH YEAR /MAKE,
PHONE 2. (31'7) 571 -26.15 1,2 P. FAX VEHICLE MODEL,
REQUESTED 05/05/10 VEHICLE COLOR.
TINE REQUES'T'ED VEHICLE STATE'
RETURN PARTS NO ODOMETR IN /OUT NA
SAL ;SIv1AN. 002 f 002 PRIOIR INVOICE. 121724
A.000UNT #,E COB TC CUST#k YPE /STATE
779800259 2 01 00259 4 IN
SLSM TECH PRODUCT CCOF BC CT' DESCRI ?TION PARTS L8R /EXCISE '_TNE TOTAL
C 732 -354 -500 -0 G 8 P225/EOR15 97V S2 EAG RS F VSBRPTL 77
GS NLMPER, G0730929 O,C 519,84-
002 732 354 500 G 5 P225/60Ri6 97V S2 FAG RS -A. VSBRPTL
GS 59.75 CO 47$.00
irJUh'iBER. G673092'� OTY. 8 No. PLYORELP,0610
REMEMBER TO SERVICE YUJR TRANSf'ISS ON EVERY 1500- TO 30000 MILESI WJ- THANK YOU FOR OUR BUSINESS WITH US,
I
PARTS TOTAL........ 141 84-
LABCR 70TAL........ DO
CHARGED ANIDUNT 141.84- SUB CTRL.......... =41.84
x TAXABLE AMOUNT CO SALES TAX.......... .00
OUSTOMER AUTHORIZATIO'd FOR TOTAL I A R C=' 1E= C R a p 3E F 1 41
BUYIil-S PLAN... A n OF PAYI VS 1 PAY START OAT= 06ii01j0 DISCOUNT...... *NET*
RFFERZNCF NCYf. L21724 REFERENCE D 'L. 05/04/16 3IL_ED Ev.R01JG
SEE RE\1ERSE S:]::E>E FOR ,IM1='ORTA9�T SAFETY
WAR�4911�G ATV®: W A RRANTY 2NFORMATgO
I
HAVE A QUESTION OR PROBLEM?
Ph sae tell our ntve rranagur. W e value your npiiion as much as your
business, Shaul? yoLj neec additcnal assistance, call cur
:,USTOMER ASSISTANCE LINE 1.800 -321 -2135
VOUCHER NO. WARRANT NO,
ALLOWED 20
Lebaron Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$2,39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 121801 43- 510.00 ($141.84) 1 hereby certify that the attached invoice(s), or
1120 121724 43- 510.00 $2,539.56
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
MAY 10 2010
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))
121801 Credit ($141.84)
121724 E45 $2,539.56
1 hereby certify that the attached invoice(s), or bill(s), 1s (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer