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Home My WebLink About199562 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1 ONE CIVIC SQUARE LEBANON TIRE AUTO SVC t�a CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $959.98 LEBANON IN 46052 CHECK NUMBER: 199562 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 130055 809.98 AUTO REPAIR MAINTEN 651 5023990 L128828 150.00 TRANSPORTATION EXPENS L_EBANC>M T$F2E ^U SVC OWNED OPERATED BY A PROUD GOODYEAR INDEPENDENT DEALER 1310 W SOUTH STREET j SERVIICE v LEBANON, IN 46052 ntnvo�K (765)482 -5027 GOODS YEAR FEDERAL TAX ID4 351145753 J7Li 7 gN\/C)=CE 06/03/11 06/03/11 KELLY STIRES L_ 1 3005 5 08:52 AM 08:52 AM 7798 017652 130055 TERR: 7798 PAGE: 01 COPY: 01 NONSIG: 173531 BILL TO: CARMEL FIRE DEPT BOB VANVOORST 2 CIVIC SQUARE CARMEL, IN 46032 PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE. PHONE 2....... (317)571 -2615 EXT. FAX VEHICLE MODEL. DATE REQUESTED 05/27/11 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PAR TS.-7 NO ODOMETR IN /-OUT NA SALESMAN 002 002 GS /AN NUMBER G0000733 PRIOR INVOICE. 127780 P O NUMBER.... HAZMAT45 ACCOUNT COB TC CUST# TYPE /STATE. 779800259 2 01 00259 4 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 002 756 -817 -337 -0 G 2 295/75R225 144/141L G G661 HSA TL 342.24 .00 684.48 QTY. 2 NO. MC37E5HR1211 062 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN {REG TIME) .00 75.00 75.00 002 017 046 -100 R 2 MT- DISMOUNT STEER TIRES 00 25.00 50.00 002 017 046 -100 R 1 HAZMAT 45 .00 .00 .00 REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US. PARTS TOTAL........ 684.48 CHARGED AMOUNT 809.98 LABOR TOTAL- 125.00 STATE TIRE FEE .50 SUB TOTAL.......... 809.48 TAXABLE AMOUNT 00 SALES TAX- .00 CUSTOMER AUTHORIZATION FOR TOTAL 2 N V O X C E T O T A L. 0 9_ g g BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 07110111 DISCOUNT...... *NET* SEE F2EVEF2SE SI ®E FOR 11 MF SJ%FETY W^F2NXNC3 ^"U W^F2RE^M_ Y =NFC]F2M^ FXaN 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 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 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)) 130055 HM 45 $809.98 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 VOUCHER NO. WARRANT NO, Lebanon Tire ALLOWED 20 IN SUM OF 1310 West South Street Lebanon, IN 46052 $809.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 I 130055 I 43- 510.00 I $809.98 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 jUL Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Jul 14 11 09:34a Jeff Cooper 317 571 -2638 p.l Jul 1411 08:03a LE:BA14CN TIRE AUTO SVC h 1310 W SOUTH STREET LEBANON. IN 46052 {765)482 -502 FEDERAL T 5753y— AX ID +04/06/11 04f06 II3V 09:59 AMN 09:59 A ^i I,- TERR: '7798 NO?IS 173531 AGE: 01 HILL TO: 7 TF1 DIAVEIES RC9 CARNEI., TN 95�J32 L) ORIGINAL 6 -3905 EX Vim: YFAIR WOCE. (31 '1571 2634 EXT. VEHICLE MODEL PHONE 2. VEHICLE COLOR_ DAT3 REQUESTSD 04/06/11 LICESNSE /STATE• TIME. REQUF.STPM ODOMETK 11VOCT 000000 000000 RETURtl PARTS.. NO PRIOk INVOICE. 12B637 SRLESMAN...... 002 002 Ai.COUN x COB TV CTFST# T[PEPITAM 7790D:044 4 02 D1Bi4. 3 p& --4T3 _!3V3jC[SB LULL TOTAL PRODUCT CCU' 9C 1^L D6sCQ1M =0Cf SLSM TECJI 75,00 .00 -0.00 q4] D02 055 -20C R 3 CFZ�TE. LyFLATION DOAC5S .40 .00 00 002 00: 046 -IM R i MR FAUC:STT FEltW!{ Tp SE.TVICQ POOR TRM5!!TSSIQ9 R73_,LT 15000 7'J 30000 MIL13S: 13 THANX TD"J F02 YOUR 9175TKESS WrTH JS, 2 PnP_TS TJtS.L..._.... 157 .00 AXOL= 15C.00 SOS 74x- Ls0.00 TAXABLE AXO" 4R -0o S)"99 7N:.... .00 x--------------------- 150.00 c: sTO a�- ,ntcair�,•rlon FOR 71=A" INVOICE TOTAL OUYI�D O:.Fdti... a OF PAYHEKT3- L ,AY 5TAR7 O.L^_S 05/10/11 OIaODL" l...... WET' SE W�INNG $E AND I W F ARRANTY INFORRMMATIONETY _LOWED Prescribed by State Board of Accounts ACCOUNTS PAYABLE IN SUM OF CITY OF CARN An invoice or bill to be properly itemized must show, kind performed, dates of service rendered, by whom, rates pe price per unit, etc. Payee 182450 LEBANON TIRE AUTO SVC Pu 1310 W SOUTH ST Te LEBANON, IN 46052 Du Board members Invoice Invoice Descripi dit Trail Code Date Number (or note attached invoic 7/15/2011 L128828 I hereby certify that the attached invoice(s), or bill(s) is (are) tr correct and I have audited same in accordance with IC 5 -11 -1 7 ell C'- W(h" Date VOUCHER 115484 WARRANT P 182450 LEBANON TIRE AUTO SVC 1310 W SOUTH ST LEBANON, IN 46052 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR PO INV ACCT AMOUNT A L128828 01- 7502 -06 $150.00 Voucher Total $150.00 Cost distribution ledger classification if claim paid under vehicle highway fund