HomeMy WebLinkAbout173418 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE AUTO SVC
CARMEL, INDIANA 46032 1310 W SOUTH sr CHECK AMOUNT: $612.92
LEBANON JN 46052 CHECK NUMBER: 173418
CHECK DATE: 6/10/2009
DEPARTM AC COUNT PO NU MBER INVOI NU MBER AMOUNT DESCRIPTION
651 5023990 113765 612.92 OTHER EXPENSES
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LEBANON TARE AU-"O SVC
1310 W SOUTH STREET TNM
LEBANON, IN 46052
(765)482 -5027 601)0
FEDERAL TAX ID4 351145753
2 NVO Y C E 05/04/09 05/04/09
03:04 PM 05:40 PM
TERR: 7798
PACE: 01 COPY: Ol NONSIG: 173531
BILL TO: CARMEL UTILITIES
JOEY FAUCETT
9609 HAZEL DALE PKWY
INDIANAPOLIS, IN 46280
PHONE 1....... (317)716 -3905 EXT. VEH YEAR /MAKE.
PHONE 2....... (317)571 -2634 EXT. VEHICLE MODEL.
DATE REQUESTED 05/04/09 VEHICLE COLOR.
TIME REQUESTED LICENSE /STATE.
RETURN PARTS.. NO ODOMETR IN /OUT 177777 177777
SALESMAN...... 006 006 PRIOR INVOICE. 099867
ACCOUNT COB TC CUST# TYPE /STATE
779801844 2 01 01844 3 IN
SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL
006 020 046 -100 R 1 DUMP TRK 10 -I BRAD 317- 446 -6717 .00 .00 .00
006 020 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 85.00 85.00
006 020 046 -100 R 1 NEEDS NEW TIRE 1200R20 STEER G386 .00 .00 .00
006 239 R 1 120OR20 HANKOOK LOAD "G" POM 467.77 .00 467.77
006 020 040 -132 R I FLAT REPAIR 17.5 "RIM DIAM &LGR LOOSE WHL 4.00 35.00 39.00
006 020 041 -263 R 1 NEW VALVE STEM 4.75 .00 4.75
006 020 093 -002 R I TIRE DISPOSAL .00 6.00 6.00
006 001 046 -100 R I PER JOE FAULSIT 716 -3905 .00 .00 .00
REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US.
PARTS TOTAL........ 476.52
LABOR TOTAL........ 126.00
MISC.SHOP SUPPLIES. 10.40
CHARGED AMOUNT 612.92 SUB TOTAL.......... 612.92
X TAXABLE AMOUNT .00 SALES TAX.......... 00
CUSTOMER AUTHORIZATION FOR TOTAL N X/ O C E r O TA L 3;451 z sp
BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 06/10/09 DISCOUNT...... *NET*
S E E R E V E R S E S M® E F OR MPOF2 FA NT SAFETY
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A A U TI NOR RO LEM1
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 6/3/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2009 113765 $612.92
hereby certify that the attached invoice(s), or bills) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095775 WARRANT ALLOWED
132450 IN SUM OF
LEBANON TIRE AUTO SVC
1310 W SOUTH ST
LEBANON, IN 46052
Carmel Wastewater Utility
�JN ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
113765 01- 7502 -06 $612.92
Y
C'
Voucher Total $612.92
Cost distribution ledger classification if
claim paid under vehicle highway fund