157223 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $480.00
NOBLESVILLE IN 46060 CHECK NUMBER: 157223
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 086768 360.00 AUTO REPAIR MAINTEN
1120 4351000 086858 120.00 AUTO REPAIR MAINTEN
n
21
170 CLOVER ROAD
FEDERAL TAX ID# 3'-Ji1;5
BILL TO: CARMEL FIRE DEPARTMENT
BOB VAN VOORST
CARMEL, IN 46022
PHONE VEHICLE �QDEL.
DATE REDUE C2 '2" '03 YEHICLE COLOR.
TIME REQUESTED LICEP-JSE/STATE.
RETURN PARTS.. NO OIDOMETR IN/OUT NA
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
GS NUMBER. 60730q2c' QTY. 2 NO, YHOBEER0168
THANK YOU FOR CHOGSIN6 R&T TIRE i AUTO NDBLESVILLEE FOR ALL YOUR TIRE i AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUSH FRIDAY 7 AM-6 PM; &4TURDAY 7 AM-4 PM; CLOSED ON SUNDAY
**SHOF' SUPPLY FEES COVER NISC MATERIALS USED IN SERVICING YOUR VEHICLE**
CHARGED AMOUNT 10
BUYI PLAN... A OF PAYMENTS. 1 PAY START DATE 03/10108
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 0
FORM GBMS-027 04/02
r
VaNde Md Manance hspsc�'Pov
OK Maintenance Yes No VIN
Review Work -order Inspection
Record vehicle information F-] Tire Size 2WD 4WD
Tire Rotation Yes No
Install interior protection Trans Type Auto Man.
Test drive (if applicable) Good Recommend
Review maintenance schedule Inspect Wipers ABS Frt E] Rear NIA [7]
and tire fitment Inspect Headlights A/C P/S A/P
Perform inspection indicated Inspect Bulbs
Record findings /review history Inspect Air Filter(s) Tire Registration #'s (NEW TIRES)
Make recommendations per MAP Inspect Belts QTY Registration
Inspect Hoses
Uniform Inspection Guidelines Inspect &Test Battery 1
Return w/o to appropriate individual Inspect Tires 2
Perform service requested Inspect Wheel Bearing
Test drive (if applicable) Looseness 3
Exterior Condition Notes: Inspect Shocks 4
Struts Drum Rotor Specifications
Inspect Suspension LF RF RR LR
Inspect Exhaust
PSI Inspect Brakes Spec.
32ND IN OUT CONDITION Fluids Good Add eecom: Actual
LF Washer(s) t
RF Power Steering Battery Load Test;
RR Coolant/Anti- Freeze Spec
LR Differential
SP Transmission Actual
Brake
SIZE Oil ASSOC.
TYPE Signature
Tech Qty Description Comments Map Service
Cate. gories
1 2 3 4
e p a
w
a u
s f
e r
n c'
u ry
e r
c n e e
n
z;
Map Service Categories
Parts System Failure Service /replacement is required now ❑3 Improved System Performance Service /replacement is suggested
2 Preventative Maintenance Service /replacement is suggested 4 Diagnostic Procedures Determines condition
performance of parts system Service is suggested
AMk
FORM GBMS -027 04102
17 CLOVER ROAD
NOBLESVILLE, IN 46066
FEDERAL TAY ID# '1315
BILL TO: CARMEL FIRE DEPARTMENT
BOB VAN VOORST
2 CIVIC SQUARE
CARMEL. IN 46C132
TIME REDUESTEE LICENSE lZr3TATE.
RETURN PARTS.. NO DDONETR IN /OUT 000000 000000
1 qg 01 01614 3 IN
S1.0 TECH PRODUCT CODE BC 9TY DESCRIPTION
'Lail PARTS LBRIEXC'SE LINE TOTAL
Gel NUMBER. 60720 9TY, NO. Y10BEEP010B
THANK YOU FOR CHOOSING R0 TIRE t AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUGH FRIDAY 7 A
M-6 PM; SATURDAY 7 AM-4 PM- CLOSED ON SUNDAY
**SHOP SUPPLY FEES COVER' MISC MATERIALS USED IN SERVICING YOLP VEHICLE**
CHARGED AMOUNT 360.00 LABOR TOTAL 100
BUYING PU OF PAYMENTS. I PAY START DATE 03110108 DISCOUNT *NETf
HAVE A QUESTION OR PROBLEM?
Pleaseell our store mam,o,. we value ou, opnionas much 0. your
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE
it
OK Maintenance Yes No VIN
Review Work -order Inspection
Record vehicle information Tire Rotation Yes No Engine Size 2WD 4WQ
Install interior protection Trans Type Auto Man.
Test drive (if applicable) Good Recommend
Review maintenance schedule Inspect Wipers ABS Frt Rear N/A
and tire fitment Inspect Headlights A/C P/S A/P
Perform inspection indicated Inspect Bulbs
Record findings /review history Inspect Air Filter(s) Tire Registration #'s (NEW TIRES)
Make recommendations per MAP Inspect Belts
p inspect Hoses QTY Registration
Uniform Inspection Guidelines Inspect Test Battery 1
Return w/o to appropriate individual
Inspect Tires 2
Perform service requested Inspect Wheel Bearing
if applicable) 3
Test drive
pp Looseness
Exterior Condition Notes: Inspect Shocks 4
Struts Drum /Rotor Specifications
Inspect Suspension LF RF RR LR
Inspect Exhaust
PSI Inspect Brakes Spec.
32ND IN OUT CONDITION Fluids Good Add Recom. Actual
LF Washer(s)
RF Power Steering Battery Load Test
RR Coolant/Anti- Freeze Spec'
LR Differential
SP Transmission Actual
Brake
SIZE Oil Assoc.
TYPE Signature
Map Service
Tech Qty Description Comments Categories
1 2 3 4
P P t D
t�
5
e v e L
E
t IVI V U
i C
!TI F•
n a Cr
et i n a
f 0 C I
ti
C
Map Service Categories
1 Parts System Failure Service /replacement is required now MIrnproved System Performance Service /replacement is suggested
B Preventative Maintenance Service /replacement is suggested q Diagnostic Procedures Determines condition
performance of parts system Service is suggested
FORM GBMS -027 04102
VOUCHER NO. WARRANT NO.
R T Tire Auto ALLOWED 20
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$480.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept.# INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
086768 43- 510.00 $360.00 1 hereby certify that the attached invoice(s), or
086858 43- 510.00 $120.00
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
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))
02/23/08 086768 Tires for VIN 8031 Stock $360.00
02/23/08 086858 Tires for Stock $120.00
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
,20
Clerk- Treasurer