198970 07/06/2011 CITY CIF CARMEL, INDIANA VENDOR: 360477 Page 1 of 1
ONE CIVIC SQUARE DISCOUNT TIRE COMPANY CHECK AMOUNT: $576.00
CARMEL, INDIANA 46032 PO BOX 29851
PHOENIX AZ 85038 CHECK NUMBER: 198970
CHECK DATE: 7/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8059257 576.00 OTHER EXPENSES
F0 711 -1 1 A0-
7 L Z I R E 805957
DATE: 06 -28 -2011 TIME: 9:11 AM
CUSTOMER INFORMATION VEHICLE INFORMATION STORE LOCATION
CARMEL WATER OPERATIONS 2001 1 INI 06
ACCT 4008825 PO TRUCK 130 1 15151 US 31 NORTH
3450 W 131ST ST 1 CARMEL IN 46032
PHONE: 317 818 -0273
WESTFIELD IN 46074
317- 733 -2853 CARRY OUT 200 STEVEN J NURRE
WORK ORDER#
C ODE cc O TY SIZE DESCRIPTIO F.E.T. PRICE AMOUNT 1
44730 NRM 4 P235/70R -17 1085 XL YOK GEOLANDAR HTS .00 144.00 576.00
WARRANTY: MILEAGE- 60,000 SEE REVERSE SIDE FOR WARRANTY DETAILS
80402 NRM 4 VALVES, ROTATIONS LIFETIME REPAIRS INCLUDED .00 .00 .00
DRIVER NAME JIM HAAG
VEHICLE YEAR 1
VEHICLE MAKE 1
VEHICLE MODEL 1
j LICENSE PLATE 1
LIC PLATE STATE 1
REMIT PAYMENT TO:
DISCOUNT TIRE CO./AMERICA'S TIRE CO
P.O. PDX 29851
PHOENIX, AZ 85038 -9851
PAYMENT TERMS: NET 15TH OF FOLLOWING MONTH
TAXID: 0031201550010
TOTAL: 576.00
CHARGE: 576.00
TENDERED: 576.00
j
Signature on file
I
R�CLgBLE
DISCOUNTTIRE.COM 1 iErR'
LIMITED WARRANTIES
>f +`u�'a'�� •w.. ri +t!`'••r•.• i'•"`+�q a•: :•tie,. o.• t� u "i
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1,,,•, s„ !t „rtvt� °t. ,'y!'trfrr; Discount Tire and America's Tire Stores l t, t�3 "ts'; n 4::''
,�,n, „r „t„ „r,• i,N ,t,r,
ELIGIBILITY r 1- united Warranties apply all owners of the Lire using r;' c'.•'�.•h it in
on-commercial service, except for or the Jfileag \V
e arrtnq• which is limned
s :•;t
's,;;r :t _a -•,•y to the original purchaser.
CE RTIFICATE
FOR REPAIR REFUND OR REPLACEMENT %a?
TO MAKE A CLAIM Present your tire invoice s) and original sales ioice [o any
-xk n. y
Discount Tire or America's Tire Store. To locate a store roil map call 1 {888) 774-
t r Ivor a fee collected at the time of the original tire purchase or for it fee collected to subject 6360 or visit the Discount Tire web site at wxx wAiscounttire.com The vehicle
other tires to the terms of this certificate, Discount Tire or America's Tire stores will on ;which the tire was used must be available for inspection. You will be asked
f' refund the purchase price and the sales tax, if an)', on :in) tire covered in the event of a [o complete the customer portion of the adjustment claim form.
Ica failure due to workmanship and materials or anon- repairable road hazard for the service
of the original tread down to 3/3_ inch remaining or 3 years from date of purchase F •i
WARRANTY COVERAGE
,t
whichever occurs first. Upon refund or credit of sales tax, customer hereby acknowledges New Tires Workmanship and Materials If our examination shows
by actual signature or electronic signature capture such credit or refund. This additional [hat a passenger, SU or light truck tire covered by this warranty has become
acknowledgement satisfies a technical requirement in the sales tax statutes and /or ..'V�+, unseniceable due to it workmanship or materials defect during the service
regulations for many jurisdictions that a signed receipt must be obtained upon the refund >E,�
it t> 3%32 of an inch, i[ will be replaced on a pro rata tread wear basis.
A•;.,
or credit of sales taxes. At the election of the purchaser, we will sell a replacement tire :%L'•,'}
to the purchaser at the original rtes p lid for the damaged tire, plus the ref uired sales New Tires Road Hazard (if applicable) If our examination shows that
r P price I b 1 I ;a rM a passenger, SUV, or light track lire covered by this warranty has become
tax. In the event the covered tire is discontinued or unavailable, a tire of similar value will ?yu
unserviceable due to a normal road hazard (i.e., non repairable puncture, cut.
substituted. snag, bruise, or impact break) during the service down to 3/32 of an inch, it
s!• y
'';•j.. If in our opinion, the lire can be safely safely repaired, we will do so free of charge. 'lane cost of will be replaced on a pro -rata tread wear basis. y
this certificate is set forth on the receipt issued for the purchase of tire(s) -C• New Tires Mileage Warranty (if applicable) In addition to the
N'• :mil pvamuhlies above. rye mileage warranted pas SlJ\' or light truck
certificate will be honored at anv D m
iscount'fire or Tire stores This certificate _Z :i 7+ n f• P -b
`•i tire is warranted to the original purchaser for the specified number of miles
clues not cover damage caused by collision, vandalism, chain damage, mechanical defects
of tread swear and against normal road hazards for the san[c mileage (i(
of the vehicle or willful abuse. No other property damage or consequential damage of :w)' t Itc tble)..If Our examination shows that the tire covered -by this warranty
kind is covered by this-certificate. 1,h has ;worn down r
to its head indicators before giving the specified numbe
r :t 'o y,
_k of miles of non commercial service on the passenger, SUV or light truck on
'There will be additional charges to purchase a new certificate for a replacement tire :mil
which it was installed, it will he replaced on a pro -race mileage basis.
to balance a replacement tire.
ATV /Trailer Tires If our examination shows that it trailer or ATV tire
fly redeeming this certificate, the customer relinquishes the right to any manufacturer's covered b this warranty has become unserviceable, other than by a road
warramv that may apply. and Discount "fire or America's Tire man' claim for its own benefit
any such manufacturer's Nvar }•i hazard. during three near period following its date of purchase, it will
4= b P 1
r mn be replaced based on a charge of 334'- per year or part thereof of the original
11 g— tin,
,•.}y,, purchase price.
VALID ONLY WITI+PURCHASE AND PRESENTATION OF CERTIFICATE
1::I; CALCULATION OF REPLACEMENT CHARGES Tires are replacc[I
under these limited warranties with a comparably priced new [ire at a pro-rata
cost to the customer. 'Tread wear is pro
rated on the basis that the tiro is worn
�C� :;i„� out when the treat) is sworn down l0 3/32 of inch remaining tread groove
or to the tread wear indicators on tires containing them. Tire replacement
vR cost is determined by multiplying the original cost of the tire by the p ercentag e
I 1, P g
y�i of tread used For example, if the original tread was 11/32 of an inch, and the
tiro has 3/32 of an inch of tread remainin at the time of replacement, the
s X�, b I
replacement cost will be 73% of the original cost ((11/32- 3/32)/(11/32 -3/32)
x 100). The replacement cost for mileage warranted tires is prorated at it set
charge per 1,000 miles driven. F.E.T. and state taxes are added to the replacement
cost. Additional charges for mounting and batancingappl
%`=-ir i t a r o; .,titlltt„',, tut u :s,, l i t i ".,1i ^(,oi b„StimrR,otitt�Yj
tit, ,t G ,,��,•r .4�� ,1, at ..j :rs +'t..,t,,, 4 ;;v. ;r,
J' 4i`YA' xl,4�J�\,Olp� t .t. r� i ,t 1 yt �.,i t;�tl A r�•
.1i.4.•" V.•yy?.- J r4.•. V:A _Jy�:• t. h .4• ti. •.h.. J✓:•,. Y• {.;f4V.. 't�l
-t -mss` :`''•3l.-E` :4i?'= ITEMS NOT COVERED -These warranties tlo not cover:
The cost of any tire includes any wheel weights used in the balancing of the tire. Use in commercial service such as commercial truck racing, street
sweepers, off- the highway taxi, limousine, or similar service (however
commercial service does not include use by the owner as transportation in
his /her regular trade or business):
U TO I M n O `t� E T E Damage, prem r failure due a accident, tire, vandalism:
Irregular or ur premature tread wear caused by improper r inflat
MILEAGE AND SAFETY misalignment, imbalance of hvhccls, or won out shock absorbers or brakes;
Damage or failure due to non -tire causes such as bring nm flat, mechanical
condition of the vehicle, cuts from rims or chains, or any willful abuse;
Problems related to the appearance of the tire after the first 10% of wear.
ROTATE TIRES REPLACE
every 6,000 to 8,000 miles or when worn -out tires when built -in wear bars OWNER'S DUTIES It is the owner's responsibility w:
necessary to equalize treadwear. appear across the tread surface. see that the tires are operated at proper inflation, pressure and loads;
REBALANCE REMEMBER TO RETURN Pay applicable taxes and dealer services such as mounting and balancing;
every other rotation to promote even to any Discount Tire America's Tire store Return the adjustable tiro and complete the customer portion of the
fire wear and a smooth ride. for a fire inspection. adjustment claim form.
DURATION OF COVERAGE 'These warranties expire three (3) years from
MAINTAIN AIR PRESSURE tine date of purchase.
as recommended by the vehicle or tire CONDITIONS AND EXCLUSIONS These limited warranties are tine
manufacturer. Check our air pressure at least
Y p exclusive warranties of Discount "fire or Americas "fire stores, are in lieu of the
once each month when tires are cool. warranties of the manufacturer, and set forth the exclusive remedies available to
the tire user. In the event that the terms of an applicable manufacturer's warranty
MAINTAIN ALIGNMENT exceed the protection given under these warranties. Discount Tire or America s
'fire stores will honor those terms. Discount 'fire or Americas "fire may claim
(Front Rear) replace worn suspension parts. I �ECK511 for its own benefit any such manufacturer's warranty. "these limited warranties
P do not provide compensation for :in% consequential, special. incidental or
PLEASE DO NOT USE �11� 4 C t contingent danhages. Some Slates du not allow the exclusion or limitation of
u incidental or consequential damages, so the above limitation or exclusion may
any "Fix -a- Flat type products. I not apply to you. Tires presented for a claim remain the properiv of Discount
or Anhrrica's Tirr Storrs. No representative or ernployre of Discount Tire or
INSPECT America's Tire Stores may enlarge or alter these warranties.
tires occasionally for excessive wear, tread CONSUMER RIGHTS These limited warranties give vuu specific legal
or sidewall cuts, or other damage. rights. and you may also have other rights which vary front St:nc to sane.
I
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
360477
DISCOUNT TIRE CO /AMERICA'S TIRE CO Purchase Order No.
PO BOX 29851 Terms
PHOENIX, AZ 85038 -9851 Due Date 6/29/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2011 8059257 $576.00
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
G 1z I/, i C.""4 -f
Date Officer
VOUCHER 111653 WARRANT ALLOWED
360477 IN SUM OF
DISCOUNT TIRE CO /AMERICA'S TIRE
PO BOX 29851
PHOENIX, AZ 85038 -9851 Opeq T zz4Ns
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8059257 01- 6500 -05 $576.00
Voucher Total $576.00
Cost distribution ledger classification if
claim paid under vehicle highway fund