175091 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350983 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO NOBLESVILLE
CARMEL, INDIANA 46032 17016 CLOVER ROAD CHECK AMOUNT: $895.64
NOBLESVILLE IN 46060
c CHECK NUMBER: 175091
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION T
601 5023990 099132 241.20 OTHER EXPENSES
1110 4232000 99292 654.44 TIRES TUBES
r
i
-4.
F2 r TYFZa AUTO NOE3L-ESV aL-L-E
17016 CLOVER ROAD
NOBLESVILLE, IN 46060 E�
(317)773 -3130 Coll O
FEDERAL TAX ID# 351145753
1 NVO Z C E 07/07/09 07/07/09
N 0 992! 92 1 1:27 AM 12:43 PM
7617 015630 099292 TERR: 7617
PAGE: Ol NONSIG: 197505
BILL TO: CARMEL POLICE DEPARTMENT
JASON OGLE
3 CIVIC SQUARE
CARMEL, IN 46032
PHONE 1....... (317)733 -4600 EXT. VEH YEAR /MAKE. 07 CHEVY TRUCK
PHONE 2....... (317)571 -2644 EXT. VEHICLE MODEL. TAHOE
DATE REQUESTED 07/.07/09 VEHICLE COLOR. BLUE
TIME REQUESTED WAIT LICENSE /STATE. 63210 IN
RETURN PARTS.. NO ODOMETR IN /OUT 016546 16546
SALESMAN...... 005 005 VEHICLE INFO.. 7J333556
VEHICLE ID 1GNFK13097J333556 PRIOR INVOICE. 098237
ACCOUNT COB TC CUST# TYPE /STATE
761705743 4 01 05743 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
005 758 501 -189 -0 G 4 P265/70R17 113T WRL SLTARMR SL OWL TL 155.05 .00 620.20
GS NUMBER. G0730929 QTY. 4 NO. MDT63PHR4808
005 028 005 018 044 -263 R 4 WHEEL BALANCE COMPUTER SPIN .00 7.50 30.00
005 028 005 018 093 -002 R 1 TIRE DISPOSAL .00 3.00 3.00
005 028 005 018 052 -000 R 1 CHECK BRAKE SYSTEM .00 .00 .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
PARTS TOTAL........ 620.20
LABOR TOTAL........ 33.00
CHARGED AMOUNT 654,44 MISC SHOP SUPPLIES. .24
STATE TIRE FEE 1.00 SUB TOTAL.......... 653.44
X--------------------------- TAXABLE AMOUNT .00 SALES TAX.......... .D0
CUSTOMER AUTHORIZATION FOR TOTAL 31 N O Z C E T O T A L b 5 4- 4 4
TREAD L /F..... 13/32 TREAD R /F..... 13/32 TREAD R /R..... 13/32 TREAD L /R..... 13/32
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.corr /gascard for details. 1889019750592929
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
SAFETY WARNING
SERIOUS INJURY MAY LT
Tire failure due to underinflation overloading follow owner's manual or tire placard in vehicle.
Explosion of tire 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, r
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 rnonths or '12.000 miles, whichever cornes first, DRIVE TRAIN COMPONENTS)
i...ntrar_'12 mcnihis or 12,000 miles, whichever douses first. Pcrtr; 12 €oonths cr 17. miles.. wrrichever comas first_
AIR SHOCKS Labor: 12 months or 12,000 miles, whichev {-:r can es firs?,
ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND
BRAKE. SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES.
ENGINE TUNE UP Pails: Standard;: 12 mo th s or 12,000 mile= comes firm
Part 12 rraonths or 12,000 miles, cornes first, Parts: L.ifet;me: LifeUrne to the origiritrt purchaser.
Labor: 12 months or 12,000 miles, whichever cornes first, Labor: 12 months of 12.000 miteF,, whichever cornes first.
NILIFFLER
BELTS AND HOSES (COOLING SYSTEM) EM) Parts standard: 12 months or 12,000 -:1es, whichever cornes first.
Parts: Lifetime to the arigiral purchaser', Parts: Lifetime: Lifetime to the original purchaser.
Labor: 12 months or 12.000 miles, tivhichovor comas first Labor: 12 months or 12,0'10 nr7iles, whichever comes first.
BRAKE OVERHAUL (BRAKES SHOES AND /OR DISC PADS WHEEL SAUkNCE (AUTO TIRES ONLY,
WARRANTED LIFETIME) :standard;: 12 rho €athca tar' 12,0 �(l rrii!es, whichever c=o(((os first
Parts: 24 months or 24,000 mikes, whichever cornes first. Lifetime: ifs; of the original treat.
Labor: 24 months or 24,000 mile=s._ whichever comes first. life of tread warranty good for the lily; of the tr=iad o f t`re tire, vx ba'arce.
Brake Overiaauk disc awior churn performed as a package includes: Not valid it tire is disnaotinted.
Present this invoice for a free tire rotatiorr arid he =lance
Disc -disc pads, re urfac rofors, rebuild+ or replace hydraulic calipers, every 6
mow ,7r Ei rniies_
„rea, e seals r.if equippod1, associated hor ware.
(Ve requiring mauntinr car' dOMOtlriti ;l Of tares d ae ?o spr cira �vhr ;c,tr,
C
excluded.)
Drum brake shoes, resurface drrrrIM new Wheel ey!irutei °s, grease
su
seals (it equipped), associated hard:4
Any and all o''her brake service or repairs covered under the "Brake
Servirze” warranty.
"ALL PARTS ARE NB/V UNLESS OTHERWISE DESIGNATED, AUToN. 0TIVE REPAIRS
AND PARTS, EXCLUDING TIRES. ARE WARRANTED FOR A MINIMUM OF 12 MONTI IS
OR 12,000 MILES. FOR COMPLETE WARRANTY DETAILS, SEE THE SPECIFIC WARRANTY
FOR TIRES ARID THE SPECIFIC WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS.
WHO MAKES THIS WARRANTY
This warranty is made and will be serviced by the Gernini outlet who performed the repairs identified on the
face of your repair invoice.
This warranty will also be honored by any participating Gemini outlet, nationwidc;, 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 does not apply to vehicles used commercially.
Pre scribed 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
R T Tire and Auto Purchase Order No.
17016 Clover Road Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/7/09 99292 payment for tires for Todd Luckoski 654.44
Total
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
VOJJCHI`R NO, WARRANT NO.
ALLOWED 20
R T Tire and Auto IN SUM OF
17016 Clover Road
Noblesville, IN 46060
654.44
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 99292 320 654.44 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
July 15 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
°r i
Fa T TIRE AUTO NOBLESV=LLE
17016 CLOVER ROAD
NOBLESVILLE, IN 46060 EA Q
(317)773 -3130 G 0 0
FEDERAL TAX ID# 351145753
XIMN/O =CE 06/30/09 07/01/09
N 099'1 3Z 02:06 PM 12:13 PM
7617- 015610- 099132 TERR: 7617
PI�GE: 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 06/30/09 VEHICLE COLOR.
TIME REQUESTED CALL LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 018 018 PRIOR INVOICE. 084340
P O NUMBER.... CAR #3
ACCOUNT COB TC CUST# TYPE /STATE
761704251 4 01 04251 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
018 402 314 -073 -0 G 4 P225/60R16 97S S1 INTEGRITY B03RPTL 60.05 .00 240.20
GS NUMBER. G0730929 QTY. 4 NO. M6XOE6DR0109
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........ 240.20
CHARGED AMOUNT 241.20 LABOR TOTAL........ .00
�f STATE TIRE FEE 1.00 SUB TOTAL.......... 240.20
�TAL TAXABLE AMOUNT .00 SALES TAX.......... .00
STOMER AUTHORI2ATI0 N V O I C E r" TA L Z 4 1_ Z O
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. 1829019750591320
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
SAFETY WARNING
SERIOUS INJU Y MAY RESULT FROM:
e Tire failure due to underinflation overloading follow owner's manual or tire placard in vehicle.
Explosion of tire rim assembly due to improper mounting only specially trained persons should mount tires.
e 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 miles, whichever comes first. DRIVE TRAIN COMPONENTS)
L.aabor: '12 months or 12,000 miles, whichever comes first. Paris: 12 months or 12.000 miles. v, hichever comes first.
AIR SHOCKS Labor: 12 months or 12,000 miles, whichever comes first.
ALIGNMENT MACPHERSON STRUTS CARTRIDGES, SHOCKS AND
BRAKE SERVICES (EXCLUDING OVERHAUL) ASSEMBLIES,
ENGINE TUNE UP Parts: Standard: 12 months or 12,000 miles, whichever comes first
Parts: 12 months or 12,000 miles, whichever comes first. Parts: Lifetime: Lifetime to the original purchaser.
Labor: 12 months or 12,000 miles, whichever comes first. Labor: 12 months or 12,000 miles, whichever comes first.
MUFFLER
BELTS AND HOSES (COOLING SYSTEM) Parts: Standard: 12 months or 12,000 miles, whichever comes first.
Parts: Lifetime to the original purchaser. Parts: Lifetime: Lifetime to the original purchaser.
Labor: 12 months or 12,000 miles, whichever comes first. Labor: 12 months or 12,000 rniies, whichever comes first.
BRAKE OVERHAUL (BRAKES SHOES AND /Orr, DISC PADS ;HEEL BALANCE ('AUTO TIRES ONLY)
WARRANTED LIFETIME) Standard: 12 months or 12,000 miles, whichever comes first
Parts: 24 months or 24,000 miles, whichever comes first. Lifetime: Life of the original tread
Labor: 24 months or 24.000 miles. whichever comes first. Life of tread warranty good for the life of the tread of the tire we balance.
Brake Overhaul: disc and /or drurn performed as a package includes: Not valid if tire is dismounted.
Present this invoice for a free tire rotation and computer vrheel balance
Disc; -disc pads, resurface rotors. rebuild or replace hydraulic calipers, every 6 months or 6,000 rrriles,
grease seals (if equipped), associated hardware. (Vehicles requiring mounting or demounting of tires due to special wheels
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
Service" warranty.
"ALL PARTS ARE NEW 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
FOR TIRES AND THE SPECIFIC WARRANTY FOR AUTOMOTIVE REPAIRS AND PARTS."
WHO MAKES THIS WARRANTY
This warranty is made and will be serviced by the Gemini outlet who performed the repairs identified on the
face of your repair invoice.
This warranty will also be honored by any participating Gemini 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 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 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 7/14/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2009 099132 $241.20
r
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
7 7
Date Officer
VOUCHER 092322 WARRANT ALLOWED
-350983 IN SUM OF
IR &T Tire &Auto
°7016 Clover Rd.
Noblesville, IN 46060
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
099132 01- 6500 -05 $241.20
Voucher Total $241.20
Cost distribution ledger classification if
claim paid under vehicle highway fund