HomeMy WebLinkAbout204294 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC CHECK AMOUNT: $2,936.02
ro CARMEL, INDIANA 46032 1310 W SOUTH ST
LEBANON IN 46052 CHECK NUMBER: 204294
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 L00305 1,079.02 AUTO REPAIR MAINTEN
1120 4351000 L003QV 1,797.00 AUTO REPAIR MAINTEN
1120 4351000 L003RH 60.00 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 10/31/11 01:40 PM
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L00305 L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
317 -G64 -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 Init's
2 2 GY756256420 315/80R225 L G291 LP T 52.83 406.68 919.02 2
dot# MCLR37HR1511, MCLR37HR1511
1 1 046120000 ROAD SERVICE PER HR /PER MAN (R 85.00 85.00 2,17
2 2 046100000 MT- DISMOUNT 25.00 50.00 2,17
2 2 041263000 NEW VALVE STEM 4.50 9.00 2
2 2 093002000 TIRE DISPOSAL 8.00 16.00 2,17
1 1 046100000 ATT: BOB 0.00 0.00 2,17
1 1 046100000 UNIT -43 STEERS 0.00 0.00 2,17
V /Info: (N /A) (BLANK)
Unt# UNIT -43
Sub -Total
$1079.02
IN GOV'T,0.000%
$0.00
Total: $1079.02
NewPymt: $0.00
Total Due: $1079.02
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 LEB (765) 482 -5027 11/28/11 03:55 PM
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L003QV L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 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 Init's
1 1 046120000 ROAD SERVICE PER HR /PER MAN (R 85.00 85.00 202,217
2 2 MIC76184 3158OR225 XZA2 L /20 822.00 1644.00 202
dot# MKMKMKMKO111, MKMKMKMKO111
2 2 047100000 INSTALL TIRES 30.00 60.00 202,217
2 2 047200000 VALVE STEM 4.00 8.00 202
1 1 047100000 LADDER# 40 0.00 0.00 202,217
V /Info:
Sub -Total
$1797.00
IN GOV'T,0.000'
$0.00
Total: $1797.00
NewPymt: $0.cc)
Total Due: $1797.00
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 LEB (765) 482 -5027 11/28/11 03:53 PM
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L003RH L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
ARC 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 Init's
1 1 047100000 LADDER# 41 0.00 0.00 221,217
1 1 047100000 TIGHTEN VALVE STEM 0.00 0.00 221,217
1 1 047100000 SERVICE CALL 60.00 60.00 221,217
V /Info:
Sub -Total
$60.00
IN GOV'T,0.000%
$0.00
Total: $60.00
NewPymt: $0.00
Total Due: $60.00
Received By: SP:Nick Hopkins
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))
L003RH $60.00
L003QV $1,797.00
L00305 I I $1,079.02
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
VOUCHER NO. WARRANT N
ALLOWED 20
IN SUM OF
$2,936.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 L00305 43- 510.00 j $1,079.02 1 hereby certify that the attached invoice(s), or
1120 L003RH 43- 510.00 $60.00 bill(s) is (are) true and correct and that the
1120 I L003QV I 43- 510.00 I $1,797.00 materials or services itemized thereon for
which charge is made were ordered and
received except
DEC 5 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund