166288 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC CHECK AMOUNT: $6,176.52
CARMEL, INDIANA 46032 1310 W SOUTH ST
i 'ti•�� LEBANON IN 46052
CHECK NUMBER: 166288
CHECK DATE: 11124/2008
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 108688 2,561.12 REPAIR MAINTEN
1120 4351000 109194 859.42 AUTO REPAIR MAINTEN
1120 4351000 110194 2,647.98 AUTO REPAIR MAINTEN
1120 4351000 110205 108:..00 AUTO REPAIR MAINTEN
LEBANON T%F2E AUTO SVC
1310 W SOUTH STREET
LEBANON, IN 46052
(765)482 -5027
FEDERAL TAX ID4 351145753
INVOICE 09/26/08 09/26/08
L 7 ®9'T 94 12:54 PM 03:01 PM
7798 014536 109194 TERR: 7798
PAGE: 01 NONSIG: 173531
BILL TO: CITY OF CARMEL (E05)
1 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)571 -2634 VEH YEAR /MAKE.
PHONE 2....... (317)710 -2321 VEHICLE MODEL.
DATE REQUESTED 09/26/08 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 000000 000000
SALESMAN...... 002 002 PRIOR INVOICE. 108794
OTHER INFO.... 106TH COLLEGE 45 BOBBY
ACCOUNT COB TC CUST# TYPE /STATE
779800168 4 01 00168 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 756 -256 -420 -0 G 2 315/80R225 L G291 LP TL 357.46 .00 714.92
GS NUMBER. G0730929 QTY. 2 NO. MC725VHR2808
002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 85.00 85.00
002 017 040 -132 R 2 MT- DISMOUNT STEER COMM TIRES .00 25.00 50.00
002 017 041 -263 R 2 NEW VALVE STEM 4.50 .00 9.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL........ 723.92
CHARGED AMOUNT 859.42 LABOR TOTAL........ 135.00
STATE TIRE FEE .50 SUB TOTAL.......... 858.92
X-------------------- TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL I" V O I C E T O TA L 3;$ S 9- 4-;2
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 10/10/08 DISCOUNT...... *NET*
SEE F2EVEFZSE S =QE FOR IMPORTANT SAFETY
WARtM X"G AN0 WARFZAN TTY IN F ORMAT ION
LEBANON T=F2E AUTO _`;VC
1310 W SOUTH STREET
LEBANON, IN 46052
(765)482 -5027
FEDERAL TAX ID# 351145753
T_ N VO T_ C E 09/03/08 09/03/08
L__ I ®86 S s 05:51 PM 05:51 PM
7798 014453- 108688 TERR: 7798
PAGE: 01 NONSIG: 173531
BILL TO: CITY OF CARMEL (EO5)
1 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (3 17) 571 -2 634 VEH YEAR /MAKE.
PHONE 2....... (317) 710 2321 VEHICLE MODEL.
DATE REQUESTED 09/03/08 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 000000 000000
SALESMAN...... 002 002 PRIOR INVOICE. 106595
P 0 NUMBER.... BOB E40
ACCOUNT COB TC CUST# TYPE /STATE
779800168 4 01 00168 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 138- 864 -186 -0 G 2 12R225 H G149 RSA TL 336.63 .00 673.26
GS NUMBER. G0730929 QTY. 2 NO. MC3XKPHR2808
002 138 -864 -245 -0 G 4 12R225 H G287 MSA DURASEAL TL 406.09 .00 1624.36
GS NUMBER. G0730929 QTY. 4 NO. MC3XAXHR1808
002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 85.00 85.00
002 017 040 -141 R 6 MT /DISMT 17.5" RIM DIAM LGR OUTSIDE 00 25.00 150.00
002 017 041 -101 R 6 NEW VALVE INSTALLED -LOOSE .00 4.50 27.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000.MILES! WE ,THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL........ 2297.62
CHARGED AMOUNT 2561.12 LABOR TOTAL........ 262.00
STATE TIRE FEE 1.50 SUB TOTAL 2559.62
X--------------------------- TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL I r8 V O Y C E T O TA L 4 f'. Z "1 5 6 1 '1 2?
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 10/10/08 DISCOUNT...._ *NET*
SEE REVERSE SaaE FOR aMPOFZTAMT SAFE rY
WARM=MG ^"0 W^RRAINTY XMFOF2M^ -FMaM
[�pE�ANQ�V T a R /i..ATO VC
1310 W SOUTH STREET ArA
LEBANON, IN 46052 O
(765)482 -5027
FEDBRAL TAX ID# 3511455753
11/10/08 11/10/ 8'
02:4e PM 05:11 I
TERR: 77
PAGE: 01 COPY: 01 NONSIG: 1735'l
BILL T0: CITY OF CARMEL (E05)
I CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317 571 -2634 VEH YEAR /MAKE.
PHONE 2....... (317 710 -2321 VEHICLE MODEL.
DATE REQUESTED 11 /10/08 VEHICLE COLOR.
TIME REQUTISTI D LICENSE /STATE.
RE'T'URN PARTS.- NO ODOM1 TR IN/OUT
SALESMAN...... 002 002 PRIOR INVOICE. 1101')4
ACCOUNT COB TC CUST# TYPE /STATE
779800168 4 01 00168 3 IN
SLSM TECH PRODUCT CODE BC TCTYY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (RIG TIME) 00 75.00 75.00
002 017 046 -100 R 1 REPLACE VALVE STEM LEAK .00 25.00 25.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
�t
PARTS TOTAL........ 00
LABOR TOTAL........ 100.00
MISC SHOP SUPPLIES. 8.00
CHARGED AMOUNT 108.00 SUB-TOTAL.- 108.00
TAXABLE AMOUNT .00 SALE T X.... og_ 00
.00
X
CUSTOMER AUTHORIZATION FOR TOTAL S TA
BUYING PLAN... A OF PAYMENTS. 1 PAY START OAT 12110/08 DISCOUNT...... *NET*
SEE RfiVrqR2 -vE S I a F IM JIM !C)RMA'T XON
WA X 4S APhI A M4
Ple"s A our atop war. Wo %Ilu. rou/ opinion nn mush u yau!
buiimtu. Should you nose addftgl%l ani-tenca, call our
CUSTOMER ASSISTANCE LINE 1.840 -321 -2
TO 39dd n (INV 3HI1 -LNOA INt72Jd BBLbe88099L OV :VT B00Z /(2T /TT
i
EBt®1N01� "T RE a Au S
1310 W SOUTH STREET
LEBANON, IN 46052 ���Aw
(7F5)482Y5427/ Q
FEDEPJ?L TAX ID# 351145753
Ley 11/10/08 11/
10:15 AM 10:15
7798- 014586 110194 TERR:.77 9 8
PAGE: 01 NONSIG: 1735'
BILL TO: CITY OF CARMEL (EO5)
1 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317) 571 -2634 VEH YEAR /MAKE-
PHONE 2....... (317)710 °2321 VEHICLE MODEL.
DATE REQUESTED 10/28/08 VEHICLE COLOR•
TIME REQUESTED DICENSE f STATE
RETURN PARTS NO pDOMETR IN /OUT
SALESMAN...... 002 00.E PRIOR INVOICE. 1091 4�
ACCOUNT COB TC GUST# TYPE /STATE
719800168 4 01 00168 3 I N
SLSM TECH PRODUCT CODE, BC QTY DESCRIPTION PARTS AR /EXCISE LIN E T OTAL
pp2 138-799-665-0 G 4 11R225 H G288 MSA TL 1597.28
399.32 .00
GS NUMBER. G0730929 QTY. 4 NO MC3TBAHR3808 1
f
002 017 041 -263 R 6 NEW VALVE STEM 4.50 .00 2700 r
002 756- 256 -420 0 G 2 31580�22 G29 LP
r 398.60 .00 797.20
GS NUMBER. G0730929 Q
.00 75.00 75.00
R 1 ROAD SERVICE PER HR /PER MAN (REG TIME)
002 oil 046 -12a i
002 017 040 -141 R 6 MT /DISMT 17.5" RIM DIAM R LGR OUTSIDE .00 25.00 150.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YdU FOR YOUR BUSINESS WITH US.
I
PARTS TOTAL 2421.48
CHARGED AMOUNT 2647.98 LABOR TOTAL,......, 225.00
STATE. TIRE FEE 1.50 SUB TOTAL.......... 26
TAXAB E 0 NT .00 LES�
CUSTOMER AUTHORIZATION FOR TOTAL iL N V C3 X C E
BUYING PLAN... A OF PAYMENTS. 1
PAY START DA 2/10/08 DISCOUNT...,.- *NET*
s \6 RS �1r] RAPY'T 1V F Mme►- i' .Y
�3 aG
HAVE A QUESTION OR PROOLE16?
Pknw huN�v■■. 3h0u m a vat nd ea pInion much you
CUSTOMER ASSISTANCE LINE 14 SOM21.2136
Z0 30vi QNd ANii iNo-� waA OBLVOCBV99L 5T :60 8002/0T/TT
VOUCHE N O. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$6,176.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 110194 43- 510.00 $2,647.98 1 hereby certify that the attached invoice(s), or
1120 110205 43- 510.00 $108.00 bill(s) is (are) true and correct and that the
1120 108688 43- 510.00 $2,561.12
materials or services itemized thereon for
1120 109194 43 510.00 $859.42
which charge is made were ordered and
received except
j 0 V n�
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))
110194 E42 E41 $2,647.98
110205 L41 $108.00
108688 E40 $2,561.12
109194 E45 $859.42
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