HomeMy WebLinkAbout157553 03/19/2008 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: $245.76
LEBANON IN 46052 CHECK NUMBER: 157553
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBE AMOUNT DESCRIPTION
2201 4232000 L104146 245.76 TIRES TUBES
I F IrL4 r"4 d:::°0 vvl _0 11" E ;slu<
13 W SOU'Thl ST,
L Eil 41�.. IN 46f')'52'
A 1,76 49
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P A G lE o 1 NONIE,�1G, 1
PiIL_L TO CARMIEt- STRE.E_ CjEF•I
JEFF STEWART
341.. W 131 ST
WE_RTF1F :LC P 4Gf)'1
PHONIE I �31'714175(` E 'H YEi i F'/MPIf -`E.
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PHONE 031 7 3 3� E- 0 1
Di;TE REGNJEE T'F_J) 0 2 /2 r` 08 k.)EHICL.E Cf_)i_.0R.
TIME REOLfEST'ED L I C ENI S E ETI'I'r E
RETUF,'N PisPTL N 0 01.) m E T P I I•d /0u l.. N A
0 R I N y
C' I 0 1 --lR 4
S A L E'z'3 rl i'-i N (WdE i
ACCOUNT COB TC CUST# TYPE /STATE
77'980504 2 01 0563 4 IN
SLUM TECH PRODUCT CODE SC OTY DESCRIPTION PARTS LBR LINE TOTAL
2 1
002 0 R 2 22,5XE.25 PILOT WHEEL 95-98 .110 191.76
002 1 118 040-141 p 0
I MT!DISMT 1 RIM DIAM t L6R OUTSIDE 100 25.1) 50.00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 3 MILES! WE THANK YOU FOR YOU'r. BUSINESS WITH US.
PARTS TOTAL 191.76
LABOR TOTAL 50.00
MISC SHOP SUPPLIES. 4.00
CHARGED AMOUNT 245.70 SUE TOTAL 245.76
X TAXABLE AMOUNT .00 SALES TAX.......... 00
CUSTOIER AUTIQRIZZATION FOR TOTAL 1 1 11�11-10 4 1.1 1 X C E. 1 4 t5 7 c`
SIEINE FL4N... A OF PAYMENTS. I PAY START DATE 03 0HPIOUNT fNET*
HAVE A QUESTION OR PROBLEM?
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1-800-321-2136
FORM GBMS-027 04/02
OK Maintenance Yes No VIN
Review Work -order Inspection r
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 F N/A
and tire fitment Inspect Headlights A/C P/S A/P
Perform inspection indicated Inspect Bulbs
Record findings /review history Inspect Air Filter(s) Tire Registration #'s (NEW TIRES)
Make recommendations er MAP Inspect Belts
p Inspect Hoses QTY Registration
Uniform Inspection Guidelines Inspect &Test Battery
Return w/o to appropriate individual El Inspect
Tires
Perform service requested 2
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)
Battery
RF Power Steering (road 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
iA
a
ES1 L >3
t
y
ti t
I I tl r
f
1 Vt J (J
G v
1 BFI E
i it 7
U !1 I
l:
E: l
I1
Map Service Categories
F7 Parts System Failure Service /replacement is required now elmproved 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
0
FORM GBMS -027 04/02
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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. WARRANTyNO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
L tk
Board Members
PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s) or
0 ZA6,�f 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
MAR 7 Z 08 20
r
c
Z na
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund