HomeMy WebLinkAbout160951 06/25/2008 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: $327.43
LEBANON IN 46052
•a CHECK NUMBER: 160951
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
;551 5023990 L106595 327.43 OTHER EXPENSES
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FEDERAL TAX ID# 35114z5
-5 Gemini
7795 -C) 1 }35- 1065?5 TERRN 7798
PAGE: 01 NONSIG: '17,3531
BILL TO: CITY OF CARMEL 'E05)
I CIVIC SQUARE
CARMEL, IN 4603E
PHONE I 2 17 57 r 54, VEH YEAR 0232 /MAP"E
PHONE 2 (317)71,--1 VEHICLE �10DE'.`L.
DATE REQUESTED 06 /06 /C)8 VEHICL-E COL.OR.
TIME REQUESTED LICENSE/STATE.
RETURN PARTS.. NO ODOMETR IN/OUT NA
3 R 5( 69
SAL.ESmAN 006 2 PR 1! INVOICE. 10
ACCOUNT COB TE CUST# TYPEISTATE
779900168 4 01 00168 4 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR/EXCISE LINE TOTAL
006 017 046-100 R I WASTE DEPT 9609 HAZELDALE .00 .00 loo
006 017 046-100 P. 1 JOE FAUCETT 317-571 -2634 X1216 CND 100 .00 .00
006 017 03-002 R I TIRE DISPOSAL .00 6.00 6.00
006 138-376-454-0 6 1 1000820 G 6164 RTD TT 266,92 .00 266.92
GS NUMBER. 80730929 OTY, I NO. MC2JEDHR2208
006 197-444-208-0 R I 100OR20 12/8020 R TR TUBE TR444 29.26 .00 29.26
006 017 040-141 R I MT/DISMT 17.5" RIM DIAM LGR OUTSIDE '00 25.00 25.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
RECT J U N 1 2 Z009
PARTS TOTAL 296.10
CHARGED AMOUNT 327.43 LABOR TOTAL 31.00
STATE TIRE FEE 25 SUB TOTAL 927.18
x TAXABLE AMOUNT ,00 SALES TAX .00
CUSTOMER AUTHORIZATION FOR TOTAL 1 0 .0 1 C:, F-- 'F FE- 7 n- L- -fi 3
BUYING PLAN... A OF PAYMENTS. I PAY START DA 07/10108 DISCOUNT...... fNET*
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1-800-321-2136
FORM GBMS-027 04102
vsh0da MM'Manance Anspactbon R
OK Maintenance Yes No VIN
Review Work -order Inspection
Record vehicle information No Engine Size 2WD 4WD
Tire Rotation Yes
Install interior protection Trans Type Auto Man.
Test drive (if applicable) F! 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
Tire Registration #s NEW TIRES
Record findings /review history F Inspect Air Filter(s) #'s
Make recommendations er 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
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 Recom. Actual
LF Washer(s)
RF Power Steering Battery Load Test
RR Coolant/Anti Spec.
LR Differential-
Sp Transmission Actual
Brake
SIZE O Assoc.
TYPE Signature
Tech Qty Description Comments Map Service
Categories
1 2 3 4
F a p
r e
ry u
C
m e
I u
C
€I u
Il
23
Map Service Categories
1❑ 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
FORM GBMS -027 04102
VOUCHER 085725 WARRANT ALLOWED
1`32450 IN SUM OF
LEBANON TIRE AUTO SVC
1310 W SOUTH ST
LEBANON, IN 46052.
:s
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
L106595 01- 7502 -06 $327.43
Voucher Total $327.43
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
182450
LEBANON TIRE AUTO SVC Purchase Order No.
1310 W SOUTH ST Terms
LEBANON, IN 46052 Due Date 6/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2008 L106595 $327.43
fi
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer