205925 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC CHECK AMOUNT: $5,629.50
CARMEL, INDIANA 46032 1310 W SOUTH ST
LEBANON IN 46052 CHECK NUMBER: 205925
CHECK DATE: 1/31/2012
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 L002J9 1,887.65 AUTO REPAIR MAINTEN
651 5023990 L0030K 44.44 OTHER EXPENSES
651 5023990 L003LL 3,000.00 OTHER EXPENSES
651 5023990 L00484 97.77 OTHER EXPENSES
2201 4232000 L0050Q 599.64 TIRES TUBES
P.1
Feb 01 12 12:23p
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 01/26/12 11:38 AM RePrint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/0 A/R Acct# Terms Ship Via
Inv: L0050Q LC5634 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARTEL STREET DEPT
3400 w 131 ST
WESTFIEuD, IN 46074
Total 0.00
ARC 317 -417 -5053
317 -733 -2001
!R! SCJ;tTNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/O Item Number Description S/ FET Price Amount Init's
1 1 046100000 SHAUN PRIPETT STREETS DEPT 0.00 0.00 206,202
4 4 GY7487471B8 LT245/75R16 WRL SLTARMR PROGRA 149.66 598.64 206,202
dot# m.CMCMCMC3210, MCMCM011C321C, MCMCm.CMC3210, MCMCMC74C3210
4 4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00 X6,202
V /Info: (N /A) (BLANK)
Unto SHOP SHAUN
Sub -Total
$59. 64
T_N GOV'T,0.0003s
$C.00
Total: $599.64
Newpynt: $C.00
Total Due: $599.64
Received By: SP:Tom Bai =ey
IT
A HER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No. 201 (Rev. 1995)
on Tire and Auto Svc
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF CITY OF CARMEL
W. South Street An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
on, IN 46052 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$599.64 Payee
Purchase Order No.
ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Street Department
Date Due
F
t
Invoice Invoice Description Amount
ept. INVOICE NO. ACCT /TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
1 L0050Q 42- 320.00 $599.64 1 hereby certify that the attached invoice(s), or 01/23/12 L0050Q $599.64
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
s Thursday; Janua,y 6, 2012
Street Commissioner
5 treeTiiie °mmissioner
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Jan 26 12 09:46a p.2
L) ORIGINAL
LEBANON TIRE AUTO SERVICE
1310 W. SOUTH STREET
LEBANON, IN 46052
Store Location Store Pln Date Time
R T Tire /Auto LEB (765) 482 -5027 11/30/11 09:01 AM Reprint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/0 A/R Acct# Terms Ship Via
Inv: L003LL 512883 L01844 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL UTILITIES (E09)
760 THIRD AVE SSti
CARMEL, IN 46032
Total 0.00
ARC 317 -571 -2634
317 716 -3905
!R! SCU;UDIIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/0 Item Number Description_ S/W FET Price Amount Init's
1 1 046100000 PC #512883 WASTE WATER 0.00 0.00 206,220
1 1 046100000 10 TIRE /WHEELS $30C EACH 0.00 0.00 206,220
10 10 DU271127773 11R225 H DUNLOP SP431A T 250.00 2500.00 206
dot# M6= RHR1411, M6KL1RHR1411, M6KL1RHR1411, 1
M6KL1RHR14L1, M6KL1RHR1411, 1
10 10 EPA STATE TIRE FEE (INDIANA) 0.25 2.50 206
10 10 046200030 WHEELS 49.75 497.50 206
1 046100000 JEFF COOPER 317 716 -5882 0.00 0.00 206,220
i 1 046100000 po #512983 0.00 0.00 206,220
V /Info: 2CO5 VOLVO D JMP
Lic# NA IN Unt# 10 -I Mil: 777777
Sub -Total
$30(0.00
IN GCV'T,0.000%
$0.00
TC:al: $3000.00
NewPvmt: $0.00
Total Due: $3000.00
Received By: SP: Bailey
Jan 26 12 09:47a p,3
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 12/20/11 09:01 AM Reprint
1310 W. SOUTH STREE^ Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L00484 U01S44 1 ST 10TH
Sold -To: Ship -To: Type Payment
Ce?RMEL UT- LITIES (E09)
760 THIRD FIVE SW S
S
CARMEL, IN 46032
Total 0.00
ARC 317 -571 -2634
317- 716 -3905
!R! SCU;UNIT C;SOX 21,.59,B;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
1 3 046200000 DUAJ EQUALZ CF1405- ST- ABT /MYRS 97.77 97.77 206
1 1 046100000 STREETS DEPT 0.00 0.00 206,202
1 1 046100000 PC truck 10 I per JOE 0.00 0.00 2C6,2C2
V /Info:
Sub -Total
$97.77
ORIGINAL GOVIT, 00as
$O.00
Total: $97.77
NewPymt: $0.00
Total Due: $97.77
Recei� red By: SP:Tom Bailey
Jan 26 12 09:46a p.1
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 11/30/11 09:01 AM RePrint
1.310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/0 A/R Acct# Terms Ship via
inv: L0030K L01844 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL UTILITIES (E09)
760 THIRD AVE SW
CARREL, IN 46032
Total 0.00
ARC 317 -571 -2634
317- 716 -3905
!R! SCU;UNIT C;BOX 21,.59,13;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
1 046100000 CARMEL WASTE WATER 0.00 0.00 6,202
1 046100000 JEFF 317 -571 -2634 0.00 0.00 6,202
2 2 C516429 480 -8 B STUD UTILIT`_' CRT 22.22 44.44 6
V -nfo:
Sub -Total
$44.44
IN GOVIT, 0.00ao
$0.00
Total: $44.44
NewPymt: $0.00
Total flue: $44.44
Received By: SP:
ORIGINAL
16625 WARRANT ALLOWED Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
IN SUM OF CITY OF CARMEL
E AUTO SVC
H ST An invoice or bill to be properly itemized must show, kind of service, where
46052 performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
Wastewater Utility 182450 T OF APPROPRIATION FOR LEBANON TIRE &AUTO SVC Purchase Order No.
1310 W SOUTH ST Terms
LEBANON, IN 46052 Due Date 12/30/2011
1e> Board members
e E
Invoice Invoice Description
ACCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' L003LL $3,000.00
LL 01- 7502 -06 $3,000.00
3c�k
0 1.72b2.C�6
`I$y or.150 2 D� a ?•77
3l�la.�j
Voucher Total .00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
distribution ledger classification if
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
i paid under vehicle highway fund
Date 4 O f 14c er
Jan 27 12 11:12a p.2
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 10/12/11 10 :23 AM RePrint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L002J9 L00259 1 ST 10TH
S
Sold -To: Ship -To: Type Payment
CAR1 FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00 N>
REP 317- 664 -0958
317 571-2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Description S/W FET Price Amount Init's
Qty Shp B/0 Item Number P
Z' 29.39 377.52 1627.64 2
4 4 GY138799665 1iR225 H G282 MSA
dot# MC3TL70V3611, MC3TL70W3811, 1v[C3TL70W3811, MC3TL70W38135 00 140.00 2,17
4 A 046100000 mt- dismount- rotate axle
85.00 85.00 2,17
1 1 service call 16.oC 2,17
04610000 4.50
new valve stems 0.0C 2,17
4 4 046100 0.00
GS# GS0000
1 1 046100000 17.01.
SHOP SUPPLIES
Vf lr1f0: 2005 SPARTAN METRO STAR RED
a•.
Lic# 63478 hI Unttt 42 Mil: 1
Sub -Total
$1867.65'_
IN GOV'T,0.000% max.
$0.00
Total: $1887.65
NewPymt: 50.00
Total Due: $1887.65
xc
SP:
Rec' ived By'
i
r
S
�i
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))
L002J9 E42 $1,887.65
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
VOU CHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$1,887.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
rt-
1120 I L002J9 I 43- 510.00 I $1,887.65 1 hereby certify that the attached invoice(s), or
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
JAN 3 0 2012
u
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund