HomeMy WebLinkAbout176322 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL, INDIANA 46032 1310 W SOUTH ST CHECK AMOUNT: $1,795.38
a: LEBANON IN 46052 CHECK NUMBER: 176322
CHECK DATE: 8/19/2009
DEPARTMENT ACCOU PO NUMBER I NUMBER AMOUNT D ESCRIPTION
`651 5023990 L115522 1,795.38 OTHER EXPENSES
i
5 81 i
E BANON T� RE AUT4 S V C
1310 W SOUTH STREET
LEBANON, IN 46052
(765) 482 -5027 001P
FEDERAL TAX ID# 35145753
INVOICE 07/14/09 07/14/09
08:57 AM 08:57 AM
7798 015401 115522 TERR: 7798
PAGE: 01 COPY: 01 NONSIG: 173531
BILL TO: CITY OF CARMEL (E05)
760 THIRD AVENUE SW
CARMEL, IN 46032
PHONE 1....... (317)571 -2634 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)710 -2321 EXT. VEHICLE MODEL.
DATE REQUESTED 07/14/09 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT NA
SALESMAN...... 002 002 PRIOR INVOICE. 115521
ACCOUNT COB Tr CUST# TYPE /STATE
779800168 4 01 00168 3 IN
SLSM TECH PRODUCT CODE SC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
002 138 -376 -454 -0 G 6 1000R20 G G164 RTO TT 245.00 .00 1470.00
GS NUMBER, G0830004 QTY. 6 N0, MC2JEDHR1209
002 017 093 -002 R 6 TIRE DISPOSAL .00 6.00 36.00
002 017 040 -101 R 6 MT- DISMOUNT .00 25.00 150.00
002 197- 444 -208 -0 R 6 100OR20 12/80R20 R TR TUBE TR444 22.98 .00 137.88
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US,
PARTS TOTAL........ 1607.88
CHARGED AMOUNT 1795.38 LABOR TOTAL........ 186.00
STATE TIRE FEE 1.50 SUB TOTAL.......... 1793.88
X TAXABLE AMOUNT .00 SALES TAX.......... .00
CUSTOMER AUTHORIZATION FOR TOTAL 2 N X/ O 1 C E T O T A L !E5 11 "1 7 9 3 8
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 08/10/09 DISCOUNT...... *NET*
Call:
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. 1959017353155222
No purchase necessary. Two winners per month. Must call within 7 days. Void where prohibited.
S E E REVERS E S 2® E F O R 2 M P 0F2TA N T S A F E TY
WAMMMMO ANi WARRANTY YNF0F2MAT =ON
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
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
182450
LEBANON TIRE AUTO SVC Purchase Order No.
1310 W SOUTH ST Terms
LEBANON, IN 46052 Due Date 8/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or-bill(s)) Amount
8/10/2009 L115522 $1,795.38
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
;VOUCHER 096189 WARRANT ALLOWED
yJ 182450 IN SUM OF
LEBANON TIRE AUTO SVC
1310 W SOUTH ST
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
L115522 01- 7502 -06 $1,795.38
Voucher Total $1,795.38
Cost distribution ledger classification if
claim paid under vehicle highway fund