173799 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360477 Page 1 of 1
ONE CIVIC SQUARE DISCOUNT TIRE COMPANY
CHECK AMOUNT: $64.99
CARMEL, INDIANA 46032 Po eox zsesi
y(roN o� PHOENIX AZ 85038 CHECK NUMBER: 173799
CHECK DATE: 6/24/2009
DEPARTMENT ACCOU PO NUMB INVOICE N UMBER AMO UNT DESCRIPTION
601 5023990 2571544 64.99 TRANSPORTATION EXPENS
L U 59;U 25715
'571544
Tj R Financing Available
AMERICA'S LARGEST INDEPENDENT TIRE DEALER See store for details
DATE: 06 -04 -2009 TIME: 11:22 AM
CUSTOMER INFORMATION VEHICLE INFORMATION STORE LOCATION
CARMEL WATER OPERATIONS INI 06
AiCT 4008825 PO TRUCK #5 15151 US 31 NORTH
3450 W 131ST ST CARMEL IN 46032
PHONE: 317- 818 -0273
WESTFIELD IN 46074
317- 733 -2853 220 ZACHARY D MANWARING
WORK ORDER#
C ODE CC DESCRIPTION AMO
15698 CUS -1 LT235/85RIEEI 120R B PATHFINDER TRAIL A/P .00 88.00 -88.00
15698 NRM 1 LT235/85R16E1 120R S PATHFINDER TRAIL A/P .00 138.00 138.00
WARRANTY: MILEAGE- 50,000 SEE REVERSE SIDE FOR WARRANTY DETAILS
80403 NIM 1 ADJUSTMENT LIFETIME BALANCE VALVE .00 14.99 14.99
DRIVER NAME
VEHICLE YEAR
VEHICLE MAKE
VEHICLE MODEL
LICENSE PLATE
LIC PLATE STATE
REMIT PAYMENT TO R
11 DISCOUNT TIRE CO. /AMERICAg T �'a
P.O. BOX 29 851�
CC
PHOENIX, A Z 8503E3
NY Q
PAYMENT TERMS: NET.2I9S�T `aA.
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8 7 4 7 t
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TAXID: 0031201550010
WORK ORDER
Air Check a TOTAL: 64.99
F L F FRF Return Tires
Change Snows CHARGE: 64.99
LR RR Repair TENDERED: 64.99
FLR Rotation r1
Rebalance
Wheel Lock Key X
Installed Pretorque Customer Signature
der ackn
Torqued by: Ft. Lbs• Cardho owledges receipt of goods and /or services in the amount of the Total shown hereon
and agrees to perform the obligations set forth in the Cardholder's agreement with the issuer.
Bay Coordinator: Upon refund or credit of sales tax, Customer hereby acknowledges such credit or refund.
The additional acknowledge satisfies a technical requirement in the sales tax statutes and/or
Comments: regulations for many jurisdictions that a signed receipt must be obtained upon the refund or credit of sales taxes.
discounttire.com
LIMITED WARRANTIES by Discount Tire
and America's Tire Stores
NEW TIRES WOREMANSHIPAND MATERIALS This Limited Warranty
C RT ®F ®CAT E applies to all owners of the tire using it in non commercial service. If our
FOR REPAIR, REFUND OR REPLACEMENT examination shows that a passenger, SUV or light truck tire covered by this
warranty has become unserviceable (refer to Owner's Duties, Conditions, and
For a fee collected at the time of the original fire purchase or for a fee collected c�, Exclusions) due to workmanship or materials defect during its service down to
to subject other tires to the terms of this certificate, Discount Tire or America's 3/32 of an inch, it will be replaced on a pro -rata tread wear basis. s��I
Tire stores will refund the purchase price and the sales tax, if any, on any tire
NEW TIRES -ROAD HAZARD (if applicable) -The Limited Warranty applies
covered in the event of a failure due to workmanship and materials or a non- to all owners of the tire using it in non commercial service. If our examination
repairable road hazard for the service of the original tread down to 3/32 inch
•:t shows that a passenger, SUV or light truck fire covered by this warranty has
remaining, or 3 years from date of purchase, whichever occurs first. At the
E'= become unserviceable (refer to Owner's Duties, Conditions, and Exclusions) due
election of the purchaser, we will sell a replacement tire to the purchaser at the h to a normal road hazard (i.e. non repairable puncture, cut, snag, bruise, or impact
original price paid for the damaged tire, plus the required sales tax. In the event break) during its service down to 3/32 of an inch, it will be replaced on a pro -rata
the covered tire is discontinued or unavailable, a tire of similar value will be tread wear basis.
substituted._';,
x NEW TIRES MILEAGE WARRANTY (if applicable) In addition to the
If in our opinion, the tire can be safely repaired, we will do so free of charge. The warranties above, every mileage warranted passenger, SUV or light truck tire is
h
cost of this certificate is set forth on the receipt issued for the purchase of tire(s). R wan to the original purchaser only for the specified number of miles of tread
wear and against the listed normal road hazard, for the same mileage (if applicable).
This certificate will be honored at any Discount Tire or America's Tire stores. If our examination shows that the tire covered by this warranty wore down to its tread
This certificate does not cover damage caused by collision, vandalism, chain indicators before giving the specified number of miles of non- commercial service to
s "s♦
damage, mechanical defects of the vehicle or willful abuse. No other property the original purchaser on the passenger, SUV or light truck vehicle on which
damage or consequential damage of any kind is covered by this certificate. originally installed, it will be replaced on a pro-rata mileage basis (refer to Owner's
Duties, Conditions, and Exclusions).
There will be additional charges to purchase a new certificate for a replacement ATV/TRAILER TIRES The Limited Warranty applies to all owners of the tires
tire and to balance a replacement tire. _x
s using it on trailers or ATVs. If our examination shows that a [railer or ATV tire
y covered by this warranty has become unserviceable (other than by road hazard or
the exclusions listed below) during the three year period following its date of
p e purchase, it will be replaced based on a charge of 33% per year or part of thereof,
z of the original purchase price.
ti
e ab e r w
UA REPLACEMENT AND CHARGE Any Discount Tire or America's Tire store
will honor these warranties and provide a comparably priced replacement tire.
to
Tread wear is pro rated on the basis that the tire is worn out when the tread is worn
c down to 3/32 of an inch remaining tread groove depth or to tread wear indicators
on tires containing them. Tire replacement cost is determined by multiplying the
(Ti R E) original cost of the tire by the percentage of tread used and adding F.E.T. and state
i taxes. A mileage warranted tine is prorated at a set charge per 1,000 miles driven.
Z Additional charge for balancing on replacement tires apply to all limited
warranties above.
=s OWNER'S DUTIES It is the owner's responsibility to (a) see that your tires are
operated at proper inflation pressures and loads, (b) pay applicable taxes and
dealer services such as mounting and balancing, which you may authorize, and
M pS TO O M PNOV E 'TORE 0 N AGE (c) return e adjustable fire and complete customer part adjustment claim
form. For replacement, rice owners must present their original sales invoice.
AP4 AF CONDITIONS AND EXCLUSIONS =Non-commercial service includes use by
the owner in his/her regular trade or business but excludes commercial truck,
racing, off the highway, taxi, limousine, or similar service. Passenger, SUV or
I ROTATE TIRES REPLACE light truck tire road hazard warranty (if applicable) does not apply to tires used on
every 6,000 to 8,000 miles or when necessary worn -out tires when built -in wear bars appear commercial trucks, recreational vehicles or off- the highway service. Mileage
to equalize treadwear. across the tread surface. warranty (if applicable) applies only to tire's original purchaser on the car, SUV
or light truck on which originally installed. These warranties do not cover tire
REBALANCE REMEMBER TO RETURN damage, destruction or failure from fire, vandalism, or accident, irregular or
every other rotation to promote even to any Discount Tire /America's Tire store for a premature tread wear caused by improper inflation, misalignment, or imbalance
the wear and a smooth ride, the Inspection. of wheels, worn out shock absorbers or brakes, damage or failure due to other
non -tire causes such as being run flat, mechanical condition of vehicle, cut from
MAINTAIN AIR PRESSURE rim or chains, or any willful abuse. A tire is not adjustable for problems of
�J appearance after the first 10% of wear. All warranties expire three (3) years from
as recommended by the vehicle or tire the date of purchase. Terms of manufacturers' warranties may differ.
manufacturer. Check your air pressure at least
once each month when tires are cool. These limited warranties are the exclusive warranties of Discount Tire or
MAINTAIN ALIGNMENT Ameri ca's Tire stores, are in addition to the warranties of the manufacturer,
and set forth the exclusive remedies available to the tire user. Discount Tire
(Front Rear) replace worn suspension parts. or America's Tire stores shall not be liable for any consequential, special or
contingent damages or expenses arising directly or indirectly and no
PLEASE ®0 NOT USE company representative may enlarge or alter these warranties.
�L1vLJ� any "Fix -a -Flat" type products. 1
I
INSPECT
tires occasionally for excessive wear, tread
or sidewall cuts, or other damage.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
e.
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
360477
DISCOUNT TIRE CO /AMERICA'S TIRE CO Purchase Order No.
PO BOX 29851 Terms
PHOENIX, AZ 85038 -9851 Due Date 6/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2009 2571544 $64.99
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
Date Officer
VOUCHER 092042, WARRANT ALLOWED
300477 IN SUM OF
DISCOUNT TIRE CO /AMERICA'E
PO BOX 29851 v
PHOENIX, AZ 85038 -9851 En
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2571544 01- 6500 -05 $64.99
Voucher Total $64.99
Cost distribution ledger classification if
claim paid under vehicle highway fund