190843 10/13/2010 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: $2,942.77
f+ LEBANON IN 46052
CHECK NUMBER: 190843
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 124455 932.52 AUTO REPAIR MAINTEN
1120 4351000 124456 75.00 AUTO REPAIR MAINTEN
1120 4351000 125067 699.57 AUTO REPAIR MAINTEN
1120 4351000 125068 1,235.68 AUTO REPAIR MAINTEN
1310 W SOUTH STREET
LEBANON, IN 46052
(765)482 -5027
FEDERAL TAX ID# 351145753
X"wc> x c a 09/28/10 09/29/10
L I I5 0957 03:42 PM 08:49 AM
7798 016808 125067 TERR: 7798
PAGE: 01 COPY: Ol NONSIG: 173531
BILL TO: CARMEL FIRE DEPT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)571 -2615 EXT. FAX VEHICLE MODEL.
DATE REQUESTED 09/09/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 006 002 PRIOR INVOICE. 124456
ACCOUNT COB TC CUST# TYPE /STALE
779800259 2 01 00259 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
066 732 354 -500 -0 G 9 P225/60R16 97V S2 EAG RS -A VSBRPTL 77.48 .00 697.32
GS NUMBER. G1030929 QTY. 9 NO. PLXOBELR2210
006 002 046 -100 R 1 BOB VANVOORST .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL........ 697.32
CHARGED AMOUNT 699.57 LABOR TOTAL........ .00
STATE TIRE FEE 2.25 SUB TOTAL.......... 697.32
x TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL T- x/ C a T T A L !S gsso so 7
BUYING PLAN... A It OF PAYMENTS. 1 PAY START DATE 10/10/10 DISCOUNT...... *NET*
Sl S3[® FC> 3[MPC>R-PT ^MT S► ^FETY
tn� ARN2 �G W^F $N (3R-k ®N
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
�E�ANON �i =FEE AIJ FO SVC
1310 W SOUTH STREET
LEBANON, IN 46052
(765)482 -5027 C 0 00
FEDERAL TAX ID#t 351145753
INVO 09 101 110 09 /01/10
05:23 PM 05:23 PM
7798- 016719 124455 TERR: 7798
PAGE: 01 COPY: 01 NONSIG: 173531
BILL TO: CARMEL FIRE DEPT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)571 -2615 EXT. FAX VEHICLE MODEL.
DATE REQUESTED 08/26/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 002 002 PRIOR INVOICE. 123344
P O NUMBER.... BOB V
ACCOUNT COB TC CUST# TYPE /STATE
779800259 2 01 00259 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 756 256 -420 -0 G 2 315/80R225 L G291 LP TL 425.51 .00 851.02
GS NUMBER. G1030929 QTY, 2 NO. MC725VHR2410
002 020 041 -263 R 2 NEW VALVE STEM 4.50 .00 9.00
002 020 093 -002 R 2 TIRE DISPOSAL .00 6.00 12.00
002 020 046 -100 R 2 MT- DISMOUNT .00 30.00 60.00
002 020 046 -100 R 1 INSTALLED AT TRUCK SERVICE -BOB V .00 .00 00
002 020 046 -100 R 1 UNIT 0474 .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL........ 860.02
CHARGED AMOUNT 932.52 LABOR TOTAL........ 72.00
STATE TIRE FEE .50 SUB TOTAL.......... 932.02
TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL N V O 3[ C E F40 F^1_ S) 3 z 5 z
BUYING PLAN... A OF PAYMENTS. I PAY START DATE 10/10/10 DISCOUNT...... *NET*
SEE REVERSE SY ®E FOR 31M9"ORTAN T SAFETY
WARNYNG AN® WARRAIVTY' 21%4FCWZMATI0oN
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
l_EBAIVOI�J TgRE ^U SVC
1310 W SOUTH STREET
LEBANON, IN 46052��
(765)482 -5027 G OR%
FEDERAL TAX ID# 351145753
G i
I_ N Z 445 45 05
05:30 PM 05:30 PM
TERR: 7798
PAGE: 01 COPY: 01 NONSIG: 173531
BILL TO: CARMEL FIRE DEPT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)571 -2615 EXT. FAX VEHICLE MODEL.
DATE REQUESTED 09/01/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 002 002 PRIOR INVOICE. 124455
P 0 NUMBER.... BOB V
ACCOUNT COB TC CUST# TYPE /STATE
779800259 2 01 00259 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 020 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) 00 75.00 75.00
002 020 046 -100 R 1 SERVICE @TRUCK SERVICE BOB VANVOORST .00 .00 .00
002 020 046 -100 R 1 TIRES INSTALLED UNIT 0474 .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US,
PARTS TOTAL........ .00
LABOR TOTAL........ 75.00
CHARGED AMOUNT 75.00 SUB TOTAL.......... 75.00
X TAXABLE AMOUNT .00 SALES TAX.......... 00
CUSTOMER AUTHORIZATION FOR TOTAL Iri V O 11 C E T O TA I_ !S 00
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 10 /10 /10 DISCOUNT...... *NET*
SEE IZEVEF2SE S=UE FOR 2MPORTANT SAFETY
WARN WARF2AMTY ,X N F 0 F2MAT TON
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 -900 -321 -2136
LaE3ANC)N T 2 RF-= AU S VC
1310 W SOUTH STREET
LEBANON, IN 46052
(765)482 -5027
FEDERAL TAX TD# 351145753
x NVG a C E 09/28/10 09/28/10 r
L I a5 ®tea 03:43 PM 03:56 PM
7798 016805- 125068 TERR: 7798
PAGE: 01 NONSIG: 173531
BILL TO: CARMEL FIRE DEPT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317 )664 -0958 EXT- VEH YEAR /MAKE.
PHONE 2....... (317 )571 -2615 EXT. FAX VEHICLE MODEL.
DATE REQUESTED 09/28/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 777777 777777
SALESMAN...... 002 006 PRIOR INVOICE. 124456
P 0 NUMBER.... UNIT E42
ACCOUNT COB TC CUST# TYPE /STATE
779800259 2 01 00259 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
006 759 -313 -200 -0 G 2 425/65R225 165K L G286A SS OX 534.59 .00 1069.18
GS NUMBER. G1030929 QTY. 2 NO. M69M5XHR2110
002 C06 041 -253 R 2 NEW VALUE STEM 4.50 .00 9.00
002 006 093 -002 R 2 TIRE DISPOSAL 00 6.00 12.00
002 006 046 -132 R 2 MT- DISMOUNT .00 30.00 60.00
002 006 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) 00 85.00 85.00
002 006 046 -100 R 1 UNIT E42 .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US,
PARTS TOTAL........ 1078.18
CHARGED AMOUNT 1235.68 LABOR TOTAL........ 157.00
STATE TIRE FEE 50 SUB TOTAL.......... 1235.18
TAXABLE AMOUNT 00 SALES TAX.......... 00
CUSTOMER AUTHORIZATION FOR TOTAL 31 "X/C3 31 C E r G -'A L !S 2!:31 45 S
TREAD L /F..... 14/32 TREAD R /F..... 14132 TREAD R /R..... 14/32 TREAD L /R..... 14/32
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 10/10/10 DISCOUNT...... *NET*
SEE F2E\/E9ZSE S gE> E= F®F2 11 MFP ®12TANT SAFETY
WAF2NT�NG AND WµA Acj3AiONORPROOLEM ?�NFOF'MAT =ON
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
SAF �NARNING
SERIOUS 11INjURY MAY RESULT FROM.
T ire failure glue to underinflation f overloading follow owner's manual or tire placard in vehicle.
Explosion of tire rim assembly due to improper mounting only specially trained persons should moons tires.
e All custon) wheel luq nuts must be re- torqued after 25 miles and checked periodically.
GEMINI NATIONWIDE WARRANTY
These warranties apply only to p 0s and l Tor
shob.vn on Your invoice there may be other
components in a system that are riot covered,
A!R C ONDiT' ONING SEiWICES EXHAUST COMPONENTS (EXCLUDING MUFFLER)
COCLING SYSTEty1 SERVICES STEERING AND SUSPENSION PARTS IEXCL(JDiI
f~ay 72 munTs or Q000 Abs, w h0ever corms HM DRIVE TRAIN COMPONENTS)
1
'r l wm% Mon .Cs: 'i l n't..rtdrs x '1 MO m t e.� wrN .5t; c:r s Is t,
AiR SHOCKS La m 12 at 1 TWO -Am sv1 em m In,
ALIGNM,LN7 NIACPI-IERSON STRU TS CA fl- RIDGES, SHO(,KS AND
BRAKE SERVICES (E)IC >L_UDING OVERHAUL) ASSEMBLIES.
ENGINE TUNE UP Parts. Slawhrc. 12 ninths or 12.L: T ANs, ohr a wof €i
rRmy 12 m o ins ar "?,009.r!:, u, whktiever u nes ors,
pGrls. .Ld:n'dG to the 1Er�`i£aar.
Labor 12 mt?r1 5 w 12,0[10 r, ates.. eve hov r w f €rat. Labor 12 aio a% ar 1 4NO m A& E> M ,mw (=my 10,
t FFL1=R
BE,1...TS AND HOSES (COOLING SYSTEM) Pails: WNW 12 months or '.2,C! n ,�.�Irs, vrr�ic :;�r.:o lic -r;
P ,rt:,: gtr;ir to t91e ,ir:.al >�a, c,�.a1�',nr. Per :e ti reLn ?e to i nr�na.i sty« er.
Labw 1 f11on or MOO Ales. w h mover comes Era, Labor 12 awAhs or `:2 DO M& xh i twa cm s Irst.
RRAKE OVERHAUL (BRAKES SHOES ANDiOR DISC PADS OH EEL L 0ALPNC`.r (;Ate70 T IRew ONLY)
1NARRANTED LIFETIME) SAridarl 12 mwWs azr 12,0 ,i9 mAn wNr:hwx crym s Nyt
Pail 24 n,=ln m 2'r<NI mhT ASt. MOM: is crf Me o ~giMN trey d
Wm movils w 21,000 first. Lif e of tr.tmd warranty good for .h.e Hle of 'tile t :,ad of 6re
S ;ao Un iz Mm SAW ar t er a;m,„ d as to yackage Includes: Nat vtalid I tyre s disriru.i €rter;,
r'mwo to i €voice or a frm t re mN ter- Ear €Ci s maw mom w ilc_. S
D Ac Sept £s r
_if rr€ e F3€,€ �fic s E k~a�� �c rn I�C� n �raolic �aGp���,r_s�
r r y
h c;mcr M€dwor^
(V `l €c es roq A41 €€om j m :c;rrityi r €.i l of Ws As c;.,:ri
c r)r£'rr! -Me shoes, rcrsur a I a! rov wflee! <yi11(1ers roase
r xdude t.
Sauk tit equopecy assn wd hard'..4:rre.
Nn w o 54M s"M 1Jr"e 8er i or re ai cove) ed und ttie "I3rakP
^Yrvice" °��arr<ar.ty.
"A L kiS ARE N'eAl UNLESS (JTI-IER4\a ISE DESIGNATED, AJTONICOTIVE REPAIRS
AND PARTS. !..7Xi1LL.DING TIRES, ARE V`JARRAWEWID FOR A is
OR 12.000 VIL.ES. FOR COr0PLETE'V',ARRANEYDETAILS, SEE THE SPECIFIC `,r ,'A,R> AJNTY
FOR _nRE.S AND T'-IE SPECIFIC'\ A'sRRANTY FOR AUTOMOTIVE PEP"AI 5'S AND PAR i S."
W'HO MAKES THIS WARRANTY
ThN Warr Ml is node and W be seniced by the Gemini outlet who perfouned the repairs identi led an Vie
1c "1f;e Of yQLjr repair invoIGe.
Th s viarrertty will also be honmed by any part dpatinq Gemini outlet, nationwide, if you, rcjgf l'irc: ��arr�,ity
seNke 25 or mom miles from the location where the original service was performed.
l "leis warranty extends only to you. Me original pUrc;haser, and the motor vet cle identified on itte
riginal repa ir invoice. It aplNies only during warranty peJodls stated above.
t''Arraant°y c i horl"Z.<'abon must be obtained frmii the Warranty Adnit istr3to? prior to any t`. =nr;'anly= r£:'paw
being p erfornned. Phone 1 -800 426- 073I3.
Wraaan y reptlG coMs sire £covered up to the Esc }st of the original repair.
ThiSY v does not apply to vehicla5 rased commercially.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
a
1310 West South Street
Lebanon, IN 46052
$2,942.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE N0. ACCT #!TITLE AMOUNT Board Members
1120 124455 43- 510.00 $932.52 1 hereby certify that the attached invoice(s), or
1120 125067 43- 510.00 $699.57 bill(s) is (are) true and correct and that the
1120 125068 43- 510.00 $1,235.6p materials or services itemized thereon for
1120 124456 43- 510.00 $75.00
which charge is made were ordered and
received except
Ij
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))
124455 0474 $932.52
125067 Misc. Tires $699.57
125068 E42 $1,235.69
124456 Tire Repair 0474 $75.00
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
2D
Clerk- Treasurer