HomeMy WebLinkAbout206331 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
4 i CHECK AMOUNT: $2,389.32
CARMEL, INDIANA 46032 1310 W SOUTH ST
LEBANON IN 46052 CHECK NUMBER: 206331
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 L004YE 2,279.32 AUTO REPAIR MAINTEN
1120 4351000 L004YL 110.00 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 01/20/12 10:56 AM Reprint
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L004YE L00259 1 ST 10TH
Sold -To: Ship -To: Type Payment
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
Total 0.00
REP 317- 664 -0958
317 571 -2615
!R! SCU;UNIT C;BOX 21,.59,B;RPU;EXIT;
Qty Shp B/0 Item Number Description S/W FET Price Amount Init's
4 4 GY138864665 12R225 H G288 MSA T 513.33 2053.32 202,217
4 4 EPA STATE TIRE FEE (INDIANA) 0.25 1.00 202,217
1 1 046120000 ROAD SERVICE PER HR /PER MAN (R 85.00 85.00 202,217
4 4 093002000 TIRE DISPOSAL 10.00 40.00 202,217
4 4 046100000 MT- DISMOUNT 25.00 100.00 202,217
1 1 046100000 G00001644 APROVAL 0.00 0.00 202,217
V /Info:
Sub -Total
$2279.32
IN GOV'T,0.000i
$0.00
Total: $2279.32
NewPymt: $0.00
Total Due: $2279.32
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 01/20/12 08:06 AM
1310 W. SOUTH STREET Page 1
LEBANON, IN 46052
Your P/O A/R Acct# Terms Ship Via
Inv: L004YL 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 046100000 SERVICE CALL 85.00 85.00 206,217
1 1 046100000 TIRE REPAIR R /R /I 25.00 25.00 206,217
1 1 046100000 ENGINE L41 0.00 0.00 206,217
V /Info:
Sub -Total
$110.00
IN GOV'T,0.000%
$0.00
Total: $110.00
NewPymt: $0.00
Total Due: $110.00
Received By: SP:Tom Bailey
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))
L004YE $2,279.32
L004YL $110.00
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. WARRAN NO.
ALLOWED 20
Lebanon Tire
IN SUM OF
1310 West South Street
Lebanon, IN 46052
$2,389.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
T
1120 L004YE 43- 510.00 $2,279.32 1 hereby certify that the attached invoice(s), or
1120 L004YL 43- 510.00 $110.00 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
FEB 13 n12
y' •r
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund