HomeMy WebLinkAbout192869 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC CHECK AMOUNT: $358.34
CARMEL, INDIANA 46032 1310 SOUTH ST
M, LEBANON IN 46052 CHECK NUMBER: 192869
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 L- 126538 358.34 TIRES TUBES
LEBANON -rXFZE AUTO SVC
1310 W SOUTH STREET
LEBANON IN 46052 T //!E &5ER1/iCE'
(765)482-5027
FEDERAL TAX ID# 351145753 GOODrYEAR
2NX/O I C E 12/08/10 12/08/10 "Lrj'LVp
L 11 2! 955 :Tx a 01:53 PM 01:53 PM KELLYII(STIRES
7798 017069 126538 TERR: 7798
PAGE: 01 COPY: 01 NONSIG: 173531
BILL TO: CITY OF CARMEL (E05)
760 THIRD AVENUE SW
CARMEL, IN 46032
PHONE 1....... (317)571 -2634 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)710 -2321 EXT. VEHICLE MODEL.
DATE REQUESTED 12/08/10 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 1 1
SALESMAN...... 006 006 GS /AN NUMBER G0000108
PRIOR INVOICE. 125236
ACCOUNT COB TC CUST# TYPE /STATE
779800168 4 01 00168 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
006 001 046 -100 R 1 STREET DEPT .00 .00 .00
006 138 953 337 -0 G 1 11R225 144/142L G G661 HSA TL 358.09 .00 358.09
QTY. 1 NO. M63T88LR2810
006 046 -223 R 1 MISCELLANEOUS SHOP SUPPLIES .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
f
PARTS TOTAL........ 358.09
CHARGED AMOUNT 358.34 LABOR TOTAL........ 00
STATE TIRE FEE .25 SUB TOTAL.......... 358.09
TAXABLE AMOUNT .00 SALES TAX..,....... .00
CUSTOM HORIZATION FOR TOTAL I MN/0 I C E T O TA L 3 5 8_ 3 4
BUYING PLA A OF PAYMENTS. 1 PAY START DATE 01/10/11 DISCOUNT...... *NET*
SEE i2EO/ERSE S]E ®E FOR IL MPORTANT SAFETY
WARN 2 N G A N® WARRANTY a N F OFZMA T= O N
HAVE A QUESTION OR PROBLEM?
Please tell our store manager. We value your opinion as much as your
business. Should you need addiGcnal assistance, call our
CUSTOMER ASSISTANCE LINE 1- 800 -321 -2136
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire and Auto Svc
IN SUM OF
1310 W. South Street
Lebanon, IN 40052
$358.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 L- 126538 42- 320.00 $358.34 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
Friday December 10, 2010
Street Commiso er
U:.OI =I "l.+lllEl iip�iV:GI
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))
12/08/10 L- 126538 $358.34
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