HomeMy WebLinkAbout198622 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 182450 Page 1 of 1
a c, ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
h 41; CARMEL, INDIANA 46032 1310 w SOUTH Sr CHECK AMOUNT: $261.48
LEBANON IN 46052 CHECK NUMBER: 198622
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 L130184 261.48 OTHER EXPENSES
LEBANON T I R E AUTO S V C
OWNED OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER rIRE &SERVICE,'
1310 W SOUTH STREET rvcrwmx_
LEBANON, IN 46052
(765)482 -5027 GOODj'YEAR
FEDERAL TAX ID4 351145753 >-17ONLOP
=NVO =CE 06/08/11 06/06/11 KELLYKSTIRES
L— 130'184 03:15 PM 04:08 PM
TERR: 7798
PAGE: Ol COPY: 01 NONSIG: 173531
BILL TO: CARMEL WASTE WATER UTILITIES (E -9)
JOHN DUFFY
160 THIRD AVE SW
SUITE4110
CARMEL, IN 46032
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)571 -2443 EXT. VEHICLE MODEL.
DATE REQUESTED 06/08/11 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 1 1
SALESMAN...... 006 006 PRIOR INVOICE. 129127
ACCOUNT COB TC COST# TYPE /STATE
779801844 4 01 01844 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBP. /EXCISE LINE TOTAL
006 020 046 -100 R 1 PO# WASTE WATER JEFF 317 716 -5482 00 .00 .00
006 393 180 -508 -0 R 4 18X850 -8 CARLISLE TURF MASTER 4 ELY 48.88 00 195 52
006 020 041 -263 R 4 NEW VALVE STEM 3 00 00 12 00
006 020 044 -263 R 4 DIS /REMOUNT TIRE LABOR .00 10 00 40 00
006 020 093 -002 R 4 TIRE DISPOSAL 00 3 00 12 00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES' WE THANK YOU FOR YOUR BUSINESS WITH US
PARTS TOTAL 207 5'
LABOR TOTAL 52.00
CHARGED AMOUNT 261 48 MISC SHOP SUPPLIES .96
STATE TIRE FEE 1 00 SUB TOTAL 260.48
X---------------- TAXABLE AMOUNT 00 SALES TAX .00
CUSTOMER AUTHORIZATION FOR TOTAL I N VO I C E TOTAL Z 6 1_ 4 8
BUYING PLAN A OF PAYMENTS 1 PAY SIART DATE 07/10/11 DISCOUNT *NET*
SE1EARN=NGSANl W AR r I NRTRYLM= NFO R M ATION ETY
Please tell our store manager We value your rumor, as mucu as your
business should you need addeonal assistance, call our
CUSTOMER ASSISTANCE LINE 1- 800- 321 -2136
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
182450
LEBANON TIRE AUTO SVC Purchase Order No.
1310 W SOUTH ST Terms
LEBANON, IN 46052 Due Date 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 L130184 $261.48
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 icer
VOUCHER 115235 WARRANT ALLOWED
182450 IN SUM OF
LEBANON TIRE AUTO SVC
1310 W SOUTH ST
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
L130184 01- 7502 -06 $26148
Voucher Total $261.48
Cost distribution ledger classification if
claim paid under vehicle highway fund