HomeMy WebLinkAbout200519 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $4,962.26
LEBANON IN 46052 CHECK NUMBER: 200519
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 LOOOG3 1,053.90 AUTO REPAIR MAINTEN
1120 4351000 LOOOMN 2,121.64 AUTO REPAIR MAINTEN
1120 4351000 LOOOMQ 893.36 AUTO REPAIR MAINTEN
1120 4351000 LOOOMS 893.36 AUTO REPAIR MAINTEN
LEBANON TIRE AUTO SERVICE
1310 W. SOUTH STREET
LEBANON, IN 46052
Store Location Store Phn Date Time
R T Tire /Auto LEB (765) 482 -5027 08/03/11 08:09 AM
Reprint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/0 A/R Acct# Terms Ship Via
Inv: LOOOMQ L002S9 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
REP 317 664 -0958
317 -571 -2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount
2 2 GY756256420 315/80R225 L G291 LP T 406.68 813.36
dot# M6HR12LR1411, M6HR12LR1411
2 2 044263000 DIS /REMOUNT TIRES LABOR 25.00 50.00
2 2 041263000 NEW VALVE STEM 4.75 9.50
2 2 093002000 TIRE DISPOSAL 10.00 20.00
2 2 EPA STATE TIRE FEE (INDIANA) 0.25 0.50
1 1 046100000 VIN #IK9AF42822N058489 0.00 0.00
V /Into: 2000 FIRE ENGINE UNIT E41
Lic# E41 IN Unt# E41 Mil: 69307
Sub -Total
$893.36
IN GOV'T,0.000o
$0.00
Total: $893.36
NewPymt: $0.00
Total Due: $893.36
Received By: SP:Tom Bailey
LEBANON TIRE AUTO SERVICE
1310 W. SOUTH STREET
LEBANON, IN 46052
Store Location Store Phn Date Time
R T Tire /Auto LEB (765) 482 -5027 07/27/11 05:40 PM
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: LOOOG3 L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
REP 317- 664 -0958
317 571 -2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount
1 1 046100000 SERVICE CALL- TO NOBLE 125.00 125.00
2 2 046100000 DIS /REMOUNT TIRES LABOR 25.00 50.00
2 2 GY756256420 315/80R225 L G291 LP T 406.68 813.36
dot# MJ725VAW1211, MJ725VAW1211
2 2 041263000 NEW VALVE STEM 4.75 9.50
2 2 093002000 TIRE DISPOSAL 10.00 20.00
2 2 EPA STATE TIRE FEE (INDIANA) 0.25 0.50
2 2 046200000 EQUAL (BALANCE POWDER 17.77 35.54
V /Info: (N /A) (BLANK) RED
Lic# 12417 IN Unt# E -46 Mil: 91989
Sub -Total
$1053.90
IN GOV'T,0.000%
$0.00
.Total: $1053.90
NewPymt: $0.00
Total Due: $1053.90
Received By: SP:Terry Millikan
LEBANON TIRE AUTO SERVICE
1310 W. SOUTH STREET
LEBANON, IN 46052
Store Location Store Phn Date Time
R T Tire /Auto LED (765) 482 -5027 08/03/11 08:09 AM
RePrint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: LOOOMS L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
REP 317- 664 -0958
317 -571 -2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/0 Item Number Description S/W FET Price Amount
2 2 GY756256420 315/808225 L G291 LP T 406.68 813.36
dot# M6LR12HRI411, M6LR12HR1411
2 2 04.4263000 DIS /REMOUNT TIRES LABOR 25.00 50.00
2 2 041263000 NEW VALVE STEM 4.75 9.50
2 2 093002000 TIRE DISPOSAL 10.00 20.00
2 2 EPA STATE TIRE FEE (INDIANA) 0.25 0.50
1 1 046100000 VIN IK9AF4288TN058336 0.00 0.00
V /Info: 2000 FIRE ENGINE ENG E 44 VIN:IK9AF4288TN058336
Lic# E44 IN Unt# E44 Mil: 90642
Sub -Total
$893.36
IN GOV'T,0.000%
$0.00
Total: $893.36
NewPymt: $0.00
Total Due: $893.36
Received By: SP:Tom Bailey
LEBANON TIRE AUTO SERVICE
1310 W. SOUTH STREET
LEBANON, IN 46052
Store Location Store Phn Date Time
R T Tire /Auto LEB (765) 482 -5027 08/03/11 08:09 AM
Reprint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: LOOOMIN L00259 1 ST 10TH
Sold -TO: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEN, IN 46032
Total 0.00
REP 317- 664 -0958
317 -571 -2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount
1 1 046100000 service call 95.00 95.00
4 4 046100000 dis /remount tires labor 25.00 100.00
4 4 GY138864665 12R225 H G288 MSA T 466.66 1866.64
dot# M6LR12LR2011, M6LR12LR2011, M6LR12LR2011, M6LR12LR2011
4 4 041263000 NEW VALVE STEM 4.75 19.00
4 4 093002000 TIRE DISPOSAL 10.00 40.00
4 4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00
1 1 046100000 VIN #1K9AF42883N058675 0.00 0.00
V /Info: 2000 FIRE ENGINE E45
Lic# E45 IN Unt# E45 Mil: 50497
Sub -Total
$2121.64
IN GOV'T,0.000%
$0.00
Total: $2121.64
NewPymt: $0.00
Total Due: $2121.64
Received By: SP:Tom Bailey
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$4,962.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 LOOOMN 43- 510.00 $2,121.64 1 hereby certify that the attached invoice(s), or
1120 LOOOG3 43- 510.00 $1,053.90 bill(s) is (are) true and correct and that the
1120 I LOOOMQ 43- 510.00 I $893.36 materials or services itemized thereon for
1120 I LOOOMS I 43- 510.00 I $893.36 which charge is made were ordered and
J received except
AUG 15 2011
f Fire Chief
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))
1_000MN E45 $2,121.64
L000G3 $1,053.90
LOOOMQ I E41 $893.36
LOOOMS I E44 $893.36
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