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176905 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 4 ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CHECK AMOUNT: $330.62 CARMEL, INDIANA 46032 17016 CLOVER ROAD M do NOBLESVILLE IN 46060 CHECK NUMBER: 176905 CHECK DATE: 9/2/2009 D EPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 099862 167.62 AUTO REPAIR MAINTEN 601 5023990 100516 163.00 OTHER EXPENSES S� F TIRE AUT® lVOE3LESVaLLE 17016 CLOVER ROAD"' NOBLESVILLE, IN 46060 EA (317)773 -3130 �i o FEDERAL TAX ID4 351145753 x V I C E 07/28/09 07/28/09 03:16 PM 03:16 PM�� 7617 015709 099862 TERR: 7617 PAGE: 01 NONSIG: 197505 "N" -BILL TO: CARMEL FIRE DEPARTMENT (EO9) BOB VAN VOORST 2 CIVIC SQUARE CARMEL, IN 46032 PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE. 07 CHEVY TRUCK PHONE 2....... VEHICLE MODEL. TAHOE DATE REQUESTED 07/28/09 VEHICLE COLOR. PEWTER TIME REQUESTED WAIT LICENSE /STATE. 77258 IN RETURN PARTS.. NO ODOMETR IN /OUT 072299 072299 SALESMAN...... 005 005 VEHICLE INFO.. 7J255966 VEHICLE ID 1GNFK13OX7J255966 PRIOR INVOICE. 099246 ACCOUNT COB TC CUST# TYPE /STATE 761701614 4 01 01614 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 005 687 501 -170 -0 G 1 P265/70R17 113T FORTERA SLTARMR SL OWLTL 156.63 .00 156.63 GS NUMBER. G0730929 QTY. 1 NO. PJT665HRO108 005 016 044 -263 R 1 WHEEL BALANCE COMPUTER SPIN .00 7.50 7.50 005 01.6 093 -002 R 1 TIRE DISPOSAL A0 3.00 3.00 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AM -4 PM: CLOSED ON SUNDAY *SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE Old j L I W r T PARTS TOTAL........ 156.63 LABOR TOTAL........ 10.50 c CHARGED AMOUNT 167.62 MISC SHOP SUPPLIES. .24 co 1 STATE TIRE FEE .25 SUB TOTAL........,, 167.37 X--------- TAXABLE AMOUNT 00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION FOR TOTAL IV V® 2 C E _r O T A L 7 b 7 95:2 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 08/10/09 DISCOUNT...... *NET* Ca How Did We Do Today? We Want Your Feedback! 1.866.402.3523 Tell us for a chance to WIN a $500 Gas Card Enter Code: See Official Rules in stores and at www.goodyeartires.com /gascard for details. 2099019750598623 No purchase necessary. Two winners per month. Must call within 7 days. Void where prohibited. HAVE A QUESTION OR PROBLEM? Please tell our store manager, We value your opinion as much as your business. Should you need additional assistance, call our CUSTOMER ASSISTANCE LINE 1 -800- 321 -2136 l `AFETY WARNING %S-o SER IOUS INJURY MAY RESULT FROM Tire failure due to underinflation overloading follow owner's manual or tire placard in vehicle. Explosion of tire I rim assembly due to improper mounting only specially trained persons should mount tires. All custom wheel lug nuts must be re- torqued after 25 miles and checked periodically. GEMINI NATIONWIDE WARRANTY These warranties apply only to parts and labor shown on your invoice there may be ether components in a system that are not covered. AIR CONDITIONING SERVICES EXHAUST COMPONENTS (EXCLUDING MUFFLER) COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS ("EXCLUDING Paarts: 12 months or 12,000 riles. whichever carries first. DRIVE" TRAIN COMPONENTS) Lak.c 12 monvis or €100 tn i!es, whar..taever corrres rr'st. Farts: 12 rnonths or 12.000 rr:iles. vin :.ref co mes ti;st. AIR SHOCKS Labor: 12 month-,, or 12 nmifes, svhichevf�r ccnres firs:. ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES, ENGINE TUNE UP Parts: Stand=ard: 12 months or 12,000 miles, tiwichevor porno s first Parts: 12 rnonfhs or 12,400 relies, whichever corner firs'.. Parts: Lfietime: Ltfetirne to the orig;nal purchaser. Labor: 12 roonth s or 12,000 miles, whichever comes first, t..at)ar° 1'l. rrraratf s ?r 12,( QO ?ilex, s.trir f7ever rx.>nrest firs'.. MUFFLER BELTS AND HOSES (COOLING SYSTEM) Farts: Standards 12 months or 12,040 miles, whichc•ve:r conies first fart,: Lifetime to the original purchaser. Parts: Lifetime; Litetirrrs to tl.e original purchaser. Labor, 12 months or 12,000 !Hiles, wh rhever comes first Labor. 12 muarfhs, w 12,000 n whichever connes first. BRAKE OVERHAUL (BRAKES SHOES AND/OR MSC PADS WHEEL BALANCE (AU70 TIRES ONL WARRANTED LIFETIME) Standard: 12 rnont rs or 12,000 m0es, corr es first Parts: 24 nimlhs or 21,000 miles, vv'ni,. over c©rnos first, Lifetime: L' €ft� of the c�riilinzit lrp;�c: Labor! 2r. months or 24,000 miles. ,vhichhver comics first. Life oftread warranty ,good for the life of the tread of the tire we ba:,ance. Brake Overraul: disc andlor churn performed as a package includes: Not valid if tire is dismounted. Present',his inv- oic;e, f(3r a free tine rc)f� ors and c'.c3r -a :ttr' aftt £cl t,a4ar:..c US(, -disc pads, rr ,,ranee; rotors, rP�WilC or roplace hyclracriic calipers, every Ez morr hs 01- 61 000 miles. ,Ve,hides t;gUi ing m ,ranting or r;rnoc:nl:r of tires dwre to spec when.s yrr;ase scai�> r, i1 ege,rpped associated hard�rar;;. Drurn -brake shoes. resurface drurns: new wheel cylinders, grease excluded,) seals (if equipped), associated hardware. Any and all other Brake service or repair is covered under the "Brake erviC.e" :nrarr<;r€iy. "ALI_ FARTS ARE NON UNLESS OTHERWISE DESIGNATED. AUTOMOTIVE REPAIRS. AND PARTS, EXCLUDING TIRES. ARE WARRANTED FOR A MINIMUM OF 12 MONTHS OR 12.000 MILES. FOR COMPLETE WARRANTY DETAILS, SEE THE SPECIFIC WARRANTY FOq TIRES ARID THE SPECIFIC; WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS." WHO MAKES THIS WARRANTY This warranty is made and vwill be serviced by the Gemini outlet who perforated the repairs identified on the face of your repair invoice. This warranty will also be honored by any participating Gomini outlet, nationwide, if you require warranty service 25 or more miles from the location where the original service was perforated. This warranty extends only to you, the original purchaser, and the motor vehicle identified on the original repair invoice. It applies only daring warranty periods stated above. Warranty authorization must be obtained from the Warranty Administrator.prior to any warranty repair being performed. Phone 1- 800 -426 -0733. Warranty repair costs are covered up to the oast of the original repair. This warranty does not apply to vehicles used commercially. 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)) 099862 $167.62 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. WARRANT NO. ALLOWED 20 R &'r Tire Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $167.62 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept, INVOICE N4. ACCT /TITLE AMOUNT Board Members 1120 099862 43- 510.00 $167.62 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 AUG 3 12009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund T TIRE AUTO NOBLESV=LL_E 17 016 CLOVER ROAD NOBLESVILLE, IN 46060 E� (317) 773 -3130 FEDERAL TAX ID4 351145753 xmVOICE 08/24/09 08/24/09 N 1 1 0 0 5' 1 6 10:22 AM 10:22 AM 7617 015817 100516 TERR: 7617 RAGE: 01 NONSIG: 197505 BILL TO: CARMEL WATER DISTRIBUTION DEPT E09 GREG HOLLANDER 760 3RD AVENUE SW CARMEL, IN 46032 PHONE 1....... (317)571 -2443 EXT. VEH YEAR /MAKE. PHONE 2....... (317)716 -3909 EXT. VEHICLE MODEL. DATE REQUESTED 08/24/09 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT NA SALESMAN...... 005 005 VEHICLE INFO. TRUCK #68 PRIOR INVOICE. 099132 P 0 NUMBER.... TRUCK 468 ACCOUNT COB TC CUST# TYPE /STATE 761704251 4 01 04251 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 005 402 282 -047 -0 G 4 215/70815 98S SL INTEGRITY VSBRPTL 40.50 .00 162.00 GS NUMBER, G0730929 QTY. 4 NO. M634C9HR4608 THANK YOU FOR CHOOSING R &T TIRE AUTO NOBLESVILLE FOR ALL YOUR TIRE AUTO SERVICE NEEDS STORE HOURS: MONDAY THROUGH FRIDAY 7 AM -6 PM: SATURDAY 7 AMA PM: CLOSED ON SUNDAY *SHOP SUPPLY FEES COVER MISC MATERIALS USED IN SERVICING YOUR VEHICLE PARTS TOTAL........ 162,00 CHARGED AMOUNT 163.00 LABOR TOTAL........ .00 ?zi STATE TIRE FEE 1.00 SUB TOTAL.......... 162.00 TAXABLE AMOUNT .00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION TOTAL I N V O Y C E T Q TA L X 1 46 00 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 09/10/09 DISCOUNT...... *NET* Ca How Did We Do Today? We Want Your Feedback! 1.866.402.3523 Tell us for a chance to WIN a $500 Gas Card Enter Code: See Official Rules in stores and at www,goodyeartires.com /gascard for details. 2369019750505167 No purchase necessary, Two winners per month. Must call within 7 days. Void where prohibited. HAVE A QUESTION OR PROBLEM? Please tell our store manager, We value your opinion as much as your business. Should you need additional assistance, call our CUSTOMER ASSISTANCE LINE 1- 800 321 -2136 S"'A SE Ms Tire failure due to underinflation 1 overloading follow owner's (manual or tire placard in vehicle. Explosion of tire 1 rim assembly duo to improper mounting only specially trained persons should mount tires. All custom wheel lug nuts €dust be re- torqued after 25 miles and checked periodically. GEMINI NATIONWIDE WARRANTY These warranties apply only to parts and labor shown on your invoice there may be other components in a system that are not covered, AIR CONDITIONING SERVICES EXHAUST COMPONENTS (EXCLUDING MUF=F=LER' COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS (EXCLUDING Parts_ 12 rrrc pins or 14000 miles, whichever cores Hirst. DRIVE TRAIN COMPONENTS) I ib.,,:r' 12 rnc,n hs m 2,OL10 rm e _s, cotrre 3 first. frwts: 12 niar tl s cr 22,000 ITJ16 trio r per writes ni5t. AID; SHOCKS t_a'nar: 12 ma-ths or 12,000 piles, ,titt!C cv.Tr ccsmr*.s Firs ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES, ENGINE TUNE UP Pmts: Standard: 12 months or 12.000 rn3tcs,,vh €chovor cornea first Parts: 12 _months or 12,000 rniiES. vrhictrever comes firs',. Parts: Lifetime: U el'ime +o the origin purcnaser. Labor: 12 rnonihs or 12,000 miles., wNc'neve! comes first. Lahor: 12 rno nthr, of 12,000 MA,S. Comes first, NT'.JFFt. Er^1 BELTS AND HOSES (COOLING SYSTEM) Pares: Standard: 12 months Cr'2,000 m1es, whichever conies first Prat s: Life; ime t{, the mg'l,nii ,aurchas,(m, Parts: L if'etirrie: Lifetime to ttte onginal purchaser. Lamar: 12 months or 12,000 miles hichevcr conies first. t_xat.)"m '12 months or 12,00 oiilr s, .-vhir,.hever canner `list. BRAKE OVERHAUL (BRAKES SHOES ANDr'OR DISC PADS WHEEL BAUti'`CE (AUTO "r RES 0'4! Yj LIVARRAN °I"ED LIFETIME) Standard: '12 mwlns or '12,C)0J nni'les, ti-vfr €chewer comes first Pitts: 24 morrth or 24,000 miles. whi&o -vor comes Hirst. Lifetime: Liter of the original tread Lamar: 24 rnonths or 24,000 rr, les. whichever conies firs!. Life at tread 'warranty good for the life of the tread of the tiro vve ba arnce, Drake Over€ra €rl: disc andior tfrurn per limned ors o package includes: Not valid if tiro is d €smoontec;. Present this invoice'; for a free tire rotation and car=rputer wheel balance Lavery 6 rnontlrs or Ei 001) nrr;ws. Disc, -disc tatncJs, resurface raters r�t�uild or r� -plarc hydraulic calipers, 4'cttictes rcquiring rno ntinj o' lie mor;ntirg; of tires dole to spe c�ai rr,x; >G seals E ;f aquipt;td}, associated Narc3ware C7ruen -brake shoes, resurface t ruins; near vheeE cyrinclars, grease ex�l!rded.} seals (if equipped associated hardware. Airy ino all other brake service or repoir is Govt red under the "Brake 5rvrrie�" rr<_rrar'rty. "ALL PARTS ARE NEW UNLESS OTHERWISE DESIGNATED, AUTOMOTIVE REPAIRS AND PARTS, EXCLUDING TIRES, ARE WARRANTED FOR A MINII4IUM OF 12 MONTI IS OR 12,000 MILES, FOR COMPLETE WARRANTY DETAILS, SEETHE SPECIFIC WARRANTY FOR TIRES AND THE SPECIFIC; WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS." WHO MAKES THIS WARRANTY This warranty is rnade and will be serviced by the Gemini outlet who performed the repairs identified on the face of your repair invoice. This warranty will also he honored by any participating Gemini Nutlet, nationwide:, if you regtlire warranty service 25 or more miles frorn the location where the Nriginai service was performed. This warranty extends only to you, the original purchaser, and the motor vehicle identified on t he original repair invoice. It applies only during warranty periods stated above. Warranty authorization must he obtained from the Warranty Administrator prior to any warranty repair being performed. Phone 1 -800- 426 -0733_ \Narranty repair costs are covered up to the cost of the original repair. This warranty does not apply to vehicles used commercially. Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER 4. Y 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 350983 R T Tire Auto Purchase Order No. 17016 Clover Rd. Terms Noblesville, IN 46060 Due Date 8/26/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/26/2009 100516 $163.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have auditedd same in accordance with IC 5- 11- 10 -1.6 P x Gfs R Mme�— Date Officer VOUCHER 092822 ,WARRANT ALLOWED 350983 IN SUM OF R'''& T Tire Auto 17016 Clover Rd. ,Noblesville, N IN 46060 a �I fko Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 100516 01- 6500 -05 $163.00 Voucher Total $163.0Q ost distribution ledger classification if claim paid under vehicle highway fund