191636 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00351221 Page 1 of 1
t. ONE CIVIC SQUARE FISHERS TIRE SERVICE
CARMEL, INDIANA 46032 7285 E 116TH ST CHECK AMOUNT: $fi00.90
FISHERS IN 46038
CHECK NUMBER: 191636
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 171191 600.90 TRANSPORTATION EXPENS
FISHERS T Y R E SV C I N C
7285 EAST 116TH ST y A p
FISHERS, IN 46038
(317) 577 -0111 6000
10/22/10 10/22/10;, y
'1
10:23 AM 01:07 PM a
5625 026453 171191 TERR: 5625
PAGE: 01 NONSIG: 905625
$ILL TO: CARMEL WASTE WATER TREATMENT
760 THIRD AVE SW
SUITE 110
CARMEL, IN 46032
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE. 03 FORD TRUCK
PHONE 2....... VEHICLE MODEL. F350 1 TON SUPER DUT
DATE REQUESTED 10/22/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE. 64530 IN
RETURN PARTS.. NO ODOMETR IN /OUT 066384 66384
SALESMAN...... 025 025 VEHICLE INFO.. UNIT #116
VEHICLE ID 1FTSW31P43EC28241 PRIOR INVOICE. 169866
P 0 NUMBER.... 512311
ACCOUNT COB TC CUST# TYPE /STATE
562502567 1 01 02567 1 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
r:
006 312- 004 -027 -0 G 4 LT265/75R16 E 123/120Q WRL DURATRAC TL 137.50 AID 550.00
GS NUMBER. G1030929
006 089 040 -103 R 4. TIRE INSTALLATION WITH RURCH IN•STORE y .00 .00 .00
06 6 025 040 -223 R 4 TIRE DISPOSAL CHARGE 1.50 .00 6.00
006 089 041 -263 R 4 NEW VALVE STEM 2.50 .00 10.00
006 089 044 -263, R 4 WHEEL BALANCE COMPUTER,SPIN 1.50 7.00 34.00
006 025 093 -502 R 1 HAZARDOUS WASTE DISPOSAL. 66 .00 66
VISIT OUR WEB SITE: WWW.TIRECENTRALANDSERVICE.COM/ MANAGER:HENRY TI.LFORD .ASSISTANT MANAGER: TONY NOLTE
COME IN AND MEET:YOUR NEW MANAGEMENT TEAM, HENRY AND TONY, -;WE= ARFI: YOU. HAVE A GOOD DAY.
s COME IN AND MEET YOUR NEW TEAM;HENRY AND TONY WE;ARE HAPPY TOa SE HAVE A GOOD DAY.
MMISC S TOTAL........ 572.66
R TOTAL........ 28.00
SHOP SUPPLIES. .24
CHARGED AMOUNT t. 600.90 SUB TOTAL.......... 600.90
TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL I N N/O X C E T O T A L �SEa 0 O 9
TREAD L /F..... 11/32 TREAD R /F..... 11/32 TREAD R /R....: 11/32 TREAD L /R..... 11/32
.BUYING PLAN... A OF- PAYMENTS. l.. PAY START DATE .12110110 DISCOUNT...... *NET*
SEE REVERSE S D PC4E2TANT SAFETY
InIARN.= N G 0 Q Pleas rs 7e'lla a lu yoas �s.F QR�1AT a ON
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE 1 -800- 321 -2136
i
SAFETY WARNING
SERIOUS INJURYWAY RESUL
Tire failure due to underinflaticin oveeloading llow owner's manual or tire; placard in vehicle,
Explosion of tire 1 ring assembly dui to ihiprope'r rrlounting only specially trained 0rsons should mount tires.
All custom wheel lug nuts must lie..re, ;torqued after 25 miles and checked periodically.
GEMINI NATIONWIDE WARRANTY
These warranties apply only to parts. and labor
shit�v(n `on you'r`invoice there may be other
components in,a system that are covered.
AIR CONDITIONING SERVICES EXHAUST COMPONENTS {EXCLUDING MUFFLER)
COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS 'EXCLUDING
Purls: '12 rr:c or 12,000 miles, whicheve3 Gooses Trst. DRIVE TRAIN COMPONENTS)
a }or: 12 months or 12.000 miles, whichever comes first. Parts: 12 months or 12 10D .ties. whichever comes first.
AIR SHOCKS Labor: 12 inonths or 12,OOli r'rill(3f :Ii It ;r1f ;VE ;r CE31 E:5 irS
ALIGNMENT MACPHE.RSON STRUTS CARTRIDGES, SFIOCKS AND
BRAKE SERVICES (EXCLUDING OVERHA(JL} A SSI4IVIPLIES,
ENGINE TUNE UP Parts: Standard: 12 mOntlis or 12,000 miles, whichever comes firs
Pfarts: '12 n3onths or 12,000 milcas, whichever corner fiat Parts: Lifelirne: Lifeline to the original purchaser,
Labor: 12 rrranths or 12,ODt1 mile s. whichever domes first. Labor: 12 months or 12,000 miles, comes first.
MUFFLER
BELTS AND DOSES (COOLING SYSTEM) Parts: Standard: 12 months c,r 1 2.000 rniles, °ahiche v0 firs
r cc ;mc
.3rfs: Lifetime to 0* original pur&iaser, Parts: Lifetime Lifetime tE3the ar =c lnra3 purchaser.
_ahor: 12 months or 12.0:90 miles, s-hichever conies first. Labor: 12 months or 12.000 miles, h;&,over come, first.
BRAKE OVERHAUL (BRAKES SHOES'ANDJOk:iDISC PADS `Jt+HEEL BALANCE (AUTb tIRE<3 ONLY)
WARRANTED LIFETIME) St;.3riaard: 12 month oe 1 rniles, 'whicfraver Come's fi
la rts: 2� -=3 onths or 24,000 mites, whichever comes first, Lifetime: Life of the original tread
at)Gr: 2$ months S rar 24,000 r11IieS .vItIC 1e,YP,r CQr11eS first:l' Lire of tread warran good for the life of M47 trp'ad of t'1e tire i've ho
:bake Overhaul: disc and/or drum perfomaed as a package Includes: Not valid if tire is disrrlcrunled,
Present this Invoice `or a free tare rotation and comps: ?er v heel balance
Elisc -disc pads, resurface rotors: rebuild or replace hydreufic, calipers: evory 6 months or 6.0100 miles.
grease se Of N!�ilippeEi), i1:i5 c:I :aiE:S� t?%d! "t�4V�irP..
(Vehicles requiring moun!ing w demounfrig of tires Eiue to special viheek
(Drum -brake shoes, resurface dr [firs; new wheel cylinders, grease excluded,]
seals (if equipped), associated= hardware-
Any and ati other hrake service or repair is covered under the "C=rake
"At_L PARTS ARE NIDN UNLESS OTHERWISE DESIGNATED. AUTOMOTIVE REPAIRS
AND PARTS. EXCI...UDING TIRES, ARE WARRANTED FOR A MINIMUM OF 12 t�- 40NITI-iS
OR 12,000 MILES. FOR COMPLETE WARRANTY DETAILS, SEE" THE SPECIFIC WARRANTY
FOR TIRES AND THE' SPECIFIC; WARRANTY FOR AU TOMOTIVE REPAIRS AND PARI'S."
WHO MAKES THIS WARRANTY
This warranty is made: and will be serviced by the Gemi 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 milers from the location where the original service was performed,
This warranty extends only to you, the original purchaser, and the motor v'e;hicie ide=ntifie=d on the
o6ginat repair invoice. It applies only during warranty periods state=d above.
Warranty authorization must be obtained from the Warranty Administrator prier to any w<rranty repair
being pe=rformed. Phone 'I -800- 426 -0733.
Warranty repair costs are covered up to the cost of the original repair,
This warranty (toes not apply to vehicles used commercially.
f,
VOUCHER 106490 WARRANT ALLOWED
351221 IN SUM OF
FISHERS TIRE SERVICE
7285 E. 116th Street
Fishers, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
171191 01- 7502 -06 $600.90
Voucher Total $600.90
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
35.1221
FISHERS TIRE SERVICE Purchase Order No.
7285 E. 116th Street Terms
Fishers, IN 46038 Due Date 11/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 171191 $600.90
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