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179637 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360477 Page 1 of 1 ONE CIVIC SQUARE DISCOUNT TIRE COMPANY j CARMEL, INDIANA 46032 PO BOX 29851 CHECK AMOUNT: $294.00 PHOENIX AZ 85038 CHECK NUMBER: 179637 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 8951622 294.00 OTHER EXPENSES t s u U m vie 8951622 p g9518L2 ills T I RE Financing Available AMERICA'S LARGEST INDEPENDENT TIRE DEALER see store for details DATES il.- 10-EL4iu9 TIME: 9:3A AM CUSTOMER INFORMATION s- E LOCATIO CARMEL WATER OPERATIONS 2003 CHEVROLET, IsNI O8 ACCT 4008825 PO TRUCK 115 SILVERADO 2500 15151 US 31 NORTH 3450 W 131ST ST ALL CABS 4WD CARMEL IN 4GO32 PHONE: 317­818-0273 WESTFIELD IN 46074 317• -733 -2853 �_)D 042 DEREK D BAILEY TORQUE SPECS. 1%x0 WORK ORDERt# C ODE cc C ITY SIZE DESCRIPTION F. E. T. PRICE AMOUNT 25419 NRM 2 LT245 /75R -IE /El 120S BRDGSTONE V -STEEL RIP 265 .00 147.00 294.00 WARRANTY: SEE REVERSE SIDE FOR WARRANTY DETAILS COMMENT: C014MENT: DRIVER NAME JIM VEHICLE YEAR 2003 VEH1 MAKE CHEVY VEHICLE": MODEL 2500 LICENSE PLATE I LTC PLATE STATE I ND I AREA REMIT PAYMENT TO DISCOUNT TIRE CO. /A CA s S TIRE P.O. BOX 29851 k PHOENIX, A PAYMENT TERMS: NET 15 TH uv a r 4 W 7 A t TAX I D 0031.201550010 WORK ORDER Air Check TpTAE_= 294, 00 LF R F Return Tires Change Snows CHARGE: x:94.00 LR RR Repair TENDERED: 294.00 Rotation Rebalance [:]Wheel Lock Key 1 7V Installed Pretorque Cu tourer Signature Torqued by: Ft. Lbs. Cardholder acknowledges receipt of do and /or services in the amount of the Total shown hereon and agrees to perform the obl( ions set forth in the Cardhofder'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 lax 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 ER T I FI CAT E NEW TIRES WORKMANSHIP AND MATERIALS -This Limited e. Warranty o applies to all owners of the fire 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 fee collected 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. 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 3132 inch shows that a passenger, SUV or light truck tire covered by this warrant}[ has remaining or 3 years from date of purchase, whichever occurs first. At the 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 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 3132 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. i NEW TIRES MILEAGE WARRANTY (if applicable) In addition to the If in our opinion, the fire can be safely repaired, we will do so free of charge. The warranties above, every mileage warranted passenger, SUV or light truck tire is cost of this certificate is set forth on the receipt issued for the purchase of tire(s). warranted 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 fire 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 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 w 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. using it on trailers or ATVs. If our examination shows that a trailer or ATV tire 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 purchase, it will be replaced based on a charge of 33% per year or part of thereof, of the original purchase price. r REPLACEMENT AND CHARGE Any Discount Tire or America's Tire store DISCUUM will honor these warranties and provide a comparably priced replacement tire. Tread wear is pro -rated on the basis that the tire is worn out when the tread is worn down to 3/32 of an inch remaining tread groove depth or to tread wear indicators 1 on tires containing them. Tire replacement cost is determined by multiplying the original cost of the fire by the percentage of tread used and adding F.E.T. and state taxes. A mileage warranted tire is prorated at a set charge per 1,000 miles driven. Additional charge for balancing on replacement tires apply to all limited t 1 warranties above. 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 T IPS TO I M PROV E TI R C MILEAGE (c) return the adjustable Lire and complete customer part of adjustment claim T form. For replacement, fire owners must present their original safes invoice. AND SAFETY 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 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 Tre /America's Tire store for a premature tread wear caused by improper inflation, misalignment, or imbalance tire wear and a smooth ride. tire 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 an willful abuse. A Eire is not adjustable for problems of 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 D once each month When tires are cool. These limited warranties are the exclusive warranties of Discount Tire or MAINTAIN ALIGNMENT America's Tire stores, are'in addition to the warranties or 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 DO NOT USE I company representative may enlarge or alter these warranties. any "Fix -Flat" type products. 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) 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 11/16/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/200! 8951622 $294.00 r� I hereby certify that the attached invoice(s), or bill(s) is (are) true and p correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer r VOUCHER :093597 WARRANT ALLOWED 360477 IN SUM OF DISCOUNT TIRE CO /AMERICA'S A PO BOX 29851 PHOENIX, AZ 85038 -9851 a 0 ,60 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 8951622 01- 6500 -05 $294.00 Voucher Total $294.00 Cost distribution ledger classification if claim paid under vehicle highway fund