HomeMy WebLinkAbout156781 02/21/2008 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: $600.56
NOBLESVILLE IN 46060
CHECK NUMBER: 156781
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
1115 4232000 N- 086386 600.56 TIRES TUBES
2
IF I F-C Ez 41-21-z ir U 1 0 IN4 0 ID L- a 'C'3 V I L- I E-:
17016 CLOVER ROAL
NOBLESVILLE, IN 46060
(317'. 773--313('
FEDERAL W iD# 351
E3 es aic-3 e 1 1 1'.5c AM 1 I -52
761 1 "3 4 E-' 3 0:3 63 8 6, TE R R: 76 1 Gemini
F.' fi 6 E C 1.
NONS I G. I
BILL 1 10: CARMEL POLICE DEPARTMENT
JASON OGLE
3 C11 v 'IC SQUARE
CARMEL, IN 46032
PHONE I "'EH YEAR
PHONE 2 13 17 E I 2 6 4 4 VEHICLE f�66E""L.
DATE REQUESTED 02i'o4/oB VEHICILE COLOR.
TIME REQUESTED L. I CENSE I'STATE.
RETURN F NO ODONETR IN/OUT NA
SALESMAN o 1 2 009 PRIOR INVOICE. 08624r,
P 0 NUMBER CC2
ACCOUNT COB TC CUST# TYPE/STATE
761705743 4 01 05 3 I
SLSM TECH PRODUCT CODE BC @TY DESCRIPTION PARTS LBA/EXCISE LINE TOTAL
009 748- G 4 LT245i WRL SLTARMR PROGRAD E BSLTL 149.8 100 599.56
ES NUMBER. G073092 @TY.4 NO, MK11Y5WR3207
THANK YOU FOR CHOOSING R&T T IRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS
STORE HOURS: MONDAY THROUGH FRIDAY 7 AM-6 PH; SATURDAY 7 AN-4 PM; CLOSED ON SUNDAY
SUPPLY FEES COVER MISC MATERIALS USED I'll SERVICING YOUR VEHICLE**
PARTS TOTAL 5
CHARGED AMOUNT 600.56 LABOR TOTAL .00
STATE TIRE FEE 1.00 SUB TOTAL 9
x TAXABLE AMOUNT .00 SALES TAX .OA
CUSTOMER AUTHORIZATION FOR TOTAL 10'%A V C3 1 (.7,' F= r C3 r 4% L- !Z e-n C-31 4: E; 6:;.
BUYIiNGPLAN... A PAYMENTS. I PAY START DATE 03i10iOB DISCOUNT *NET*
HAVE A QUESTION OR PROBLEM?
a Please tell our store manager. We value your opinion as much as your
business. Should you need additional assistance, call our
CUSTOMER ASSISTANCE LINE
1
FORM GBMS 04102
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V ah'��
OK Maintenance
Review Work -order
Inspection Yes No VIN
Record vehicle information Tire Rotation Yes No Engine Size .2WD 4WD
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
Inspect Air Filter(s)
Tire Registration #s NEW TIRES
Record findings /review history F Inspect
Make recommendations er MAP Inspect Belts
p Inspect Hoses QTY Registration
Uniform Inspection Guidelines Inspect &Test Battery f 1
Return w/o to appropriate individual El Inspect
Tires
Perform service requested 2
Inspect Wheel Bearing 3
Test drive (if applicable) Looseness
Exterior Condition Notes: Inspect Shocks 0 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
Tech Qty Description Comments Map Service
Categories
1 2 3 4
P P i
e P a
U
Map Service Categories
1 Parts System Failure Service /replacement is required now 3 Improved System Performance Service /replacement is suggested
2 1 Preventative Maintenance Service /replacement is suggested 4 Diagnostic Procedures Determines condition
performance of parts system Service is suggested
FORM GBMS -027 04/02
P LUC_HER NO. WARRANT NO.
ALLOWED 20
P T Tire and Auto
IN SUM OF
17016 Clover Road
Noblesville, IN 46060
$600.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept.# INVOICE NO. ACCT #/TITLE AMOUNT Board Members
N- 086386 42- 320.00 $600.56 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
Tuesday, February 12, 2008
Director
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))
02/04/08 I N- 086386 I I $600.56
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
,20
Clerk- Treasurer