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175868 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1 d ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $398.96 NOBLESVILLE IN 46060 o CHECK NUMBER: 175868 CHECK DATE: 8/612009 DEPARTMENT ACCOUNT P O NUMBER IN VOICE NUMBE AMOUNT DE 1120 4351000 099246 396.96 AUTO REPAIR MAINTEN R R T IF aF2E AUTO iVOBL.ESVILLE 17 016 CLOVER ROAD NOBLESVILLE, IN 46060 �A (317) 773 -3130 I40 FEDERAL TAX ID# 351145753 311V V0 C E 07/06/09 07/07/09 67 ROW N 099246 08:24 AM 03:54 PM TERR: 7617 PAGE: 01 NONSIG: 197505 BILL TO: CARMEL FIRE DEPARTMENT (E09) BOB VAN VOORST 2 CIVIC SQUARE CARMEL, IN 46032 PHONE 1....... (317)664 -0958 EXT. VEH YEAR /MAKE. PHONE 2....... VEHICLE MODEL. DATE REQUESTED 07/06/09 VEHICLE COLOR. TIME REQUESTED CALL LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT NA SALESMAN...... 018 018 PRIOR INVOICE. 098281 ACCOUNT COB TC CUST# TYPE /STATE 761701614 4 01 01614 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 018 018 093 -002 R 8 TIRE DISPOSAL .00 1.50 12.00 018 018 040 -100 R 8 DISMOUNT MOUNT GOLF CART TIRES .00 10.00 80.00 018 018 041 -263 R 8 NEW VALVE STEM 00 .00 .00 018 393- 900 -800 -0 R 8 18X850 -8 CARLISLE LINKS 4PLY 37.20 .00 297.60 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 ,�-A� (Age GP s i 'n P' fp' aiA PARTS TOTAL........ 297.60 LABOR TOTAL........ 92.00 CHARGED AMOUNT 398.96 MISC SHOP SUPPLIES. 7.36 STATE TIRE FEE 2.00 SUB TOTAL.......... 396.96 X TAXABLE AMOUNT .00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION FOR TOTAL Z M O C E T C7 T A L X 3 9 8- 9 6 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. 1889019750592465 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 IN 0"'AFETY WARNING SERIOUS Tire failure due to underinflation 1 overloading follow owner's manual or tire placard in vehicle. Explosion of tire f 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 other components in a system that are not covered. AIR CONDITIONING SERVICES EXHAUST COMPONENTS (EXCLUDING MUFFLER) COOLING SYSTEM SERVICES STEERING AND SUSPENSION PARTS (EXCLUDING Parts: '12 months or 12,000 1m .vh chever corr,es first DRIVE TRAIN COMPONENTS) 1, _2)or: 12 momns or 12,000 miles, whichever conies first. Ports 12 inowos (,-ir 'i 2,D00 aniles, comes first. AIR SHOCKS Labor• 12 months or 11 n ilf;s svt €ichc =.ver canes firs'. ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES. ENGINE TUNE UP Parts: Standard: 12 months or 12,0 0 mi:cs, whichever comes first Parts: 12 rno nths or 12,000 miles, whichever co €nes fifst. Parts: Lifetime: Lifetime to the origirKll purc�)aser. Labor: 12 months or 12,000 miles, whichever comes first, ta bor. 12 rnunths or 12,000 miles. vdre rever comes first MUFFLER BELTS AND HOSES (COOLING SYSTEM) Parts: standard: 12 months cr 12,000 miles, vhichever co3imes first Parts: Parts: Lifetime: Lifetime to the criginal purchaser. Labor: 12 montiis or 12,000 riles, whichever comes firs. Labor: 12 Mont +is or miles, whichever corner first. BRAKE CUVERAA_0C(l8RAKE_ 1 ',,A)ARRAN TED LIFETIME) standard: 12 months or 12,000 mils, which ver ow ies first Parts: 24 niont.hs or 24,000 miles. whichever comes first.. Lifetime: Life of the: original tread Labor: 24 months or 24,000 miles_, whichever comes first Lily; of troid warranty good for the life; of the tread of the tire we ba':113rn: ,1e, Brake Overhaul. disc anchor churl performed as a package includes: Not valid it tire is dismounted. Present this invoice for a free tire rotadon onc1 co na €ter hre! hcalance a Die, -disc t,ac. r€:srirface rotors, rt:build or rr:f;Eace �yclrai3!ic rahp2rs, every 0 monft €s Of 6 rni,es, grease seats (it equipped; associated hardware. (Vchries requiring mmrnirnc; or c;s;mor,rt:ng of tires rlue to >pe6aa° vvhot,'s zi Drum -brake shoes, resurface drums; nevr wheel cylinders, grease excluded) seals (if equipped), associated hardware. Any acid all other brake service or repair is covered under the "Brake Service" 'Nc3rraf lty. ALL PARTS ARE NEW UNLESS OTHERWISE DESIGNATED. AUTOMOTIVE REPAIRS AND FARTS, EXCLUDING TIRES. ARE WARRANTED FOR A MINlrvIUM OF 12 MO3NTI-IS OR 12M00 MILES. FOR COMPLETE WARRANTY DETAILS, SEETHE SPECIFIC WARRANTY FOR TIRES AND THE SPECIFIC WARRANTY FOR AUTOMOTIVE REPAIRS AND FARTS." WHO MAKES THIS WARRANTY This warranty is rnade and will be serviced by the Gernini outlet who performed the repairs identified on the (ace of your repair invoice. This warranty will also be honored by any participating Gernini outlet, nationwide:, if you require warranty service 25 or more miles from the location where the original service was performed. This warranty extends only to you, the original purchaser, and the motor vehicle identified on the original repair invoice. It applies only during 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 cost of the original repair. This warranty sloes not apply to vehicie5 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)) 0992.46 $398.96 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 VOUNER NO. WARRANT NO. ALLOWED 20 R T Tire Auto IN SUM OF 17016 Clover Road Noblesville, IN 46060 $398.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 099246 43- 510.00 $398.96 I 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 f, —1 2 1 0 1 H o Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund