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186994 06/23/2010
CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $1,021.28 CARMEL, INDIANA 46032 noes CLOVER Bono NOBLESVILLE IN 46060 CHECK NUMBER: 186994 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 1120 4351000 107572 540.20 AUTO REPAIR MAINTEN 601 5023990 W09272 107578 481.08 TIRES FZ `T T=R.E AUTa NOBLES\,/ -L-E 17016 CLOVER ROAD NOBLESVILLE, IN 46060 FA (317) 773 -3130 FEDERAL TAX ID# 351145753 x N va xc E 06/11/10 06/11/10 09:19 AM 10:37 AM' 7617- 016893- 107578 TERR: 7617 PAGE: 01 NONSIG: 197505 BILL TO: CARMEL WATER DISTRIBUTION (E09) 3450 WEST 131ST ST WESTFIELD, IN 46074 -8267 PHONE 1....... (317)716 -3939 EXT. VEH YEAR /MAKE. PHONE 2- VEHICLE MODEL DATE REQUESTED 06/11/10 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT NA SALESMAN...... 018 005 PRIOR INVOICE. 107007 ACCOUNT COB TC CUST# TYPE /STATE 761704158 4 01 04158 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 018 179 -751 -217 -0 G 4 LT215/85R16 115/112P E WRL SR -A BSL TL 114.02 .00 456.08 GS NUMBER. G1030929 QTY, 4 N0, MKOPA7HR4509 018 005 093 -002 R 8 TIRE DISPOSAL .00 3.00 24.00 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM; SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY *SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE I PARTS TOTAL........ 456.08 CHARGED AMOUNT 481.08 LABOR TOTAL........ 24 -00 STATE TIRE FEE 1.00 SUB TOTAL.......... 480.08 r TAXABLE AMOUNT .00 SALES TAX,......... 00 STOVER AUTHORIZATION FO OTAL j Z Y C E TOTA 0$ BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 07/10/10 DISCOUNT...... *NET* HAVE A OUESTION'OR'PROBLEM7 Please tell our store manager. We value your opinion as much as your business. Should you need additional assislance, call our CUSTOMER ASSISTANCE LINE 1 -800- 321 -2136 S F W ke,% INJUR MAY ALT' tt Tire failUre due to underinflation r' overloading follow owner's manual or tire placard in vehicle. Explosion of tire ring assembly due to improper mounting only specially trained persons shOLIld 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 art 2 m€�ntt €s or 12,0(3U n�,9es. wi?ict"e"re3 comes �i st, DRIVE TRAIN COMPONENTS) .a f s P art 7 147e',r 11 rr,un�trvs ar `i 2,a��il mr�c;s, rwhisfrvver t;omcrs rat. r �,.'t5: 1', rYrorttfv5 or 'tl.tluU m ile::, w €uclvevQr c:t�r ?res first. AIR SHOCKS Lra'a(-r: 12 months or 12,000 milr3: avr� the ver comes fists ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SMOCKS AND BRAKE SERVICES iEXCLUDING OVERHAUL) ASSEMBLIE ENGINE TUNE UP Paris: SE<ar 12 rnerth> o 12,O01Cr rni3ca.vhir,h4v&r r:r;rn4s 9ic;r Parts: 12 rno€ a,s or 12, O rrdles, ev3rieha;rer come firr Parisi Lifetime: U{2!i €E;a to the uri4linal purccraser. Lahr,: 12 months ur 12,000 rrm!les, whichever coin °,s first. cn Labor ,2 rr.t�rithr� cr �ti',trt!0 ;�r `l�'S, urh�rt�i7e ..,...rrtes fir-s-f. Psi! FFLER BELTS AND HOSES (COOLING SYSTEM) Paris. Sta•ldarrl: 12 months r i2.t r Ie;. YYi ich re€ o ,cs fir >i. rlart^",: L'fe irr- to the eric n okv-cha sr r. Farts: ifet °n e L,'fetl 2 tb,i e tiri,,i,7a1 par hsrser. Lairor rnont €a or 1'2.000 miles. h r,�iever rcri85 fi 5 L.ahor�t2 room s or 1, );7t? nn :ers, vvhlc h,, )ver comes `ir'st. BRAKE OVERHAUL iBRAKES SHOES AND /OR DISC; PADS yfHf t-t_ EIAIJRMNCC ITc 1 rr`ES ONLY) tAJARRANTED LIFETIME) cart Svru: '1l rrrvrvrirs or'12,01,(; rr:iws.vvf Ow"Iar comes first P<.ris: 24 niar�ths or' 000 rrirr. s. ^fhi hexer rarrc:s f €rst. L `r:tirne: Life t f it r cxi €final tr ead Lobar: 2 4 met a or 2 nniik wn cnc er comes firs. Lite of tread warranty good fob ho Ho the tread of the tiro 4ve t3 c 3rak.e Overfvr_aul disc ac lior "run: per• €'ornned as a package ir Nat valid fltire is disrnQunted. Pr;;eent ;his invoko for f €ep tire, €otaCur�.:md cor- o: /ter vvlr.=ei talon Disc, -disc hoc. 't Sarface ttrtc;rs ret)r<ild Of rs place hpdrFnac; calipt :3'€s, every 6 months 6.Ci0f# r €Arta. aroase seals (if equipped), ata =,.cc har dwaro. or cetrnotd t!r of tyres dl,ft. ,a spf;r, nl ,.r'reo,'s rerun€ -brake shoes, resurface drur€rs: revs; rxaheei cylinders, grease aea z (if equipped assccia ed hardware figrry ctf %rs /make Ser vir�e or rep"a €-5 novered under the "E'trake E';! v iE;i3 warrar�ty. "ALL PARTS ARE NEW LINLESS OTHER'011SE DESIGNATED. AUTOMOTIVE REPAIRS AND PARTS, EXCLUDING TIRE'S, ARE \/'IARRANTED FOR A MINIMUrv%i OF 12 MONTI iS OR 12.000 MILES. FOR COMPLETE WARRANTY DETAILS. SEE THE SPECIFIC WARRANTY FOR TIRES AND THE SPECIFIC L!dARRANTY FOR AUTOMOTIVE REPAIRS AND PAI-- dl S." WHO MAKES THIS WARRANTY This ,varranty is rnade and will be serviced by the Gemini outlat who perforrned the repairs identified ran the lace 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 fror•n the location where the original service was performed. This warranty extends only to you, the original purcOaser, and the nlotor vehicle identified on the original repair invoice. It applies only during warranty periods stated above. Wnrranfy aothorization must be obtained from the Warranty Administrator prior to any warranty re :p<av being performed, Phone 1- 300 426-0733. 'lPlarranty repair casts are covered up to the cost of the oriyinai repair. Fhis warranty does not apply to vehicles used commercially. VOUCHER 101838 WARRANT ALLOWED 350983 IN SUM OF R T Tire Auto- NOBLESVILLLE 17016 Clover Rd. Noblesville, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code F n 107578 01- 6500 -05 $481.08 Voucher Total $481.08 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, rates 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 6/1412010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/14/2010 107578 $481.08 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 Date Officer 4 R- 1 T T2RE LJT( IV ©BLESV=L_L -a 17 016 CLOVER ROAD NOBLESVILLE, IN 46060 EA (317)773 -3130 G 0 0D% FEDERAL TAX ID# 351145753 x N v o= C E 06/11/10 06/11/10 G� rn n p N 1 075 7 a 07:57 AM 02:15 PM 7617 016894- 107572 TERR: 7617 PAGE: 01 NONSIG: 197505 BILL TO: CARMEL FIRE DEPARTMENT (E09) BOB VAN VOORST 2 CIVIC SQUARE CARMEL, IN 46032 PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE. 07 CHEVY TRUCK PHONE 2....... VEHICLE MODEL. TAHOE DATE REQUESTED 06/11/10 VEHICLE COLOR. PEWTER TIME REQUESTED 04:00 PM LICENSE /STATE. 77258 IN RETURN PARTS.. NO ODOMETR IN /OUT 093752 093752 SALESMAN...... 005 018 VEHICLE INFO.. UNIT #4505 VEHICLE ID 1GNFK130X7J255966 PRIOR INVOICE. 103789 ACCOUNT COB TC CUST# TYPE /STATE 761701614 4 01 01614 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS L3R /EXCISE LINE TOTAL 005 183 -106 -418 -0 G 4 P265/70R17 113R S2 WRL SR -A OWL TL 124.06 .00 496.24 GS NUMBER, G1030929 QTY. 1 NO. 4BT6DYWR1310 QTY. 1 NO. 4BT6DYWR1410 QTY. 2 NO. 4BT6DYWR4909 005 034 044 -263 R 4 WHEEL BALANCE COMPUTER SPIN 00 7.50 30.00 005 034 093 -002 R 4 TIRE DISPOSAL .00 3.00 1200 005 034 078 -161 R 1 VEHICLE ALIGNMENT CHECK .00 .00 .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........ 496.24 LABOR TOTAL........ 42.00 CHARGED AMOUNT 540.20 MISC SHOP SUPPLIES. .96 STATE TIRE FEE 1.00 SUB TOTAL.......... 539.20 TAXABLE AMOUNT .00 SALES TAX.......... 00 CUSTOMER AUTHORIZATION FOR TOTAL 31 N V Q 2 C E T O TA L_ 5 4® 2? 0 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 07/10/10 DISCOUNT...... *NET* HAVE A QUESTION OR PROBLEM? Please 10 our store manager. We value your opinion as much as your business. Should you need additional assistance, call cur CUSTOMER ASSISTANCE LINE 1- 800 321 -2136 zf`�A F E TY WA R N I N G SE'RtOUS INJURY MAY RESULT FROM Tiro fiailUrc duo to underinflation overloading follow owner's manual or tiro placard in vehicle. Explosion of tiro i rife assembly due to improper mounting only specially trained persons should wount 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 FARTS (EXCLUDING Farts: 1 2 wonths or 12,ot0© rniles, wNchever corner first, DRIVE TRAIN COMPONENTS) t nh. 3r° 12 rr cnt4 irs or 1:2,0;7 rrriEas, vwhif� lever cornes first, f'ea'ts; 12.. tnonth or 12'.000 Comes first. AIR SHOCKS La hs 'nor: 12 mont or 12,000 miles, svlrchsavnr con firs:_ ALIGNMENT" NIACPHERSON STRUTS CARTRIDGES, SHOCKS AND BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES, ENGINE TUNE UP Parts: Stan•dwd: 12 mo nti?, or 12,7010 rni'es, rhi hcver come:a firs Pars 12 rnpr :tfs or 12,900 rrifes, whicttever ccn€es firg�, part:;: 4 eCme: Lifa�ma to the orignral purchaser, Labo. 1 .2 mc)nths or 12,000 miles. wh�c,,mvr;r Coma_, First. I_.atrar� 12 rimnths M 12,000 F leF, w111cheve, co�rta first_ rOI IFFL BELTS AND [MOSES (COOLING SYSTEM) Pars: Standard_ 12 rnontths or 12,000 v i hichovor comes first. Parts: Lifet t {a the original piarc.Fra >cr. Parts: Liretnle: t.ifeliMe to tl srigioat pu cJieser. Labor. 12 months ar 12,000 m:le>, comes firm, Labor: 12 or "2 Jf79 nude_, ;Pal Never cnrnYS' €r t. BRAKE OVERHAUL (BRAKES SHOES APED /OR DISC PADS WHEEL BALaNr,e (AUTG I RES ONLY) aNARRANTEID LIFETIME) Standard: '12 rnordnz- or 12,0D0 rni u.s, tvhic lave corn :fps J r ;t Par!-,: 24 ratonths or 24,000 Mles, avNc hover Comes first, LI`ebr-ne. Life of thn original 'read _a')nr: 24 n1oa11 r or 24.000 r Ile.,. ;rhe -.ver cones firs;. Lito of tread vvm'r =�nty good for to I It; tho tread of th a r o hn �,:ar.. Brake Overnw fl: disc tandlor drurn per as <a package includes: Not valid it fire is dismorrntec Present this iwvcice for o free tire. rot.00n a 00I` oule.r ^vhe el b lamce ev y 6 r Ear€ I�[ P,s iw, parts, refurfnce rntcars rt?txuld or nivdr,ra!ic r;a1l; :r::, z Lr00 ra €.PS. 7'M'At1,S re r ule WC1 ITIOWnfin a CC;rrm I tvc Cif frf ^S 43,an I n 8po C,'.•a Ci •',,S S0,11, €nipped3, associaled h<ardttiarC. C)rtrrrn shocas, resurface drurns; nevv e0aeei cylinders, grease exclddcd.l seals (it equipped), associated hardware. An an€' al" other brake servir,e or repair is covered under the "Brake e vvar;ar ;ty. ALL PARTS ARE NE1nf UNLESS OTHERWISE DESIGNAI ED, AU I OMOTIVE REPAIRS AND PARTS. EXCLUDING TIMES. ARE WARRANTED FOR A MINlr OF 12 MONTI IS OR 12,000 MILES. FOR COMPLETE WARRANTY DETAILS, SEETHE SPECIFIC WARRANTY FOR "FIRES AND THE SPECIFIC lv'ARRANTY FOR AUTOMOTIVE REFAIRS AND PARTS," WHO MAKES THIS WARRANTY TNa,; warr<anty is made and vriii be serviced by the Germni outlet Whca per,,orrnerd t'rte repairs identified on the face of your repair it ?voice. This warranty will also be honored by any participating Gemini outlet, nationwide, if you require wa,rra,ify 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 authorization trUst be obtained from the Warranty Administrator prior to any vvarranty repair being performer!. Phone 1- 800 -426 -0733. V repair costs are covered up to the cost of the original repair. This warranty noes not apply to vehicles used C011ifnercially. Name Bob Van Voorst Company Carmel Fire Dept. Address 2 Civic square Carmel, IN Telephone 317-N /A Work Phone 317- 664 -0958 Vehicle (VIN) 1GNFK130X7J256966 License 77258 Color pewter Year: 07 Technician Duane Mileage 93752 Time Printed 6111/10 1:48 PM Chevrolet Truck/Van 07 -09 Tahoe 4X417" Goodyear R4Y Current Measurements Left Front Right Front Camber Camber 2.2 4.6° Caster "6 u =v Caster Front 0.05 u_�.� 0..30 r 701 �i a Toe l�l Toe Total Toe Steer Ahead Left Rear Right Rear Camber Camber Rear 1. -i_ C-1 X Toe Toe Total Toe Thrust Angle VOUCHER NO. WARRANT NO. ALLOWED 20 R T Tire Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $54 0.2 0 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1120 107572 43- 510.00 $540.20 1 hereby certify that the attached invoice(s), or 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 JUN V -,f _g i 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)) 107572 $540.20 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 20 Clerk- Treasurer