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Home My WebLink About171919 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1 ONE CIVIC SQUARE LEBANON TIRE AUTO SVC CHECK AMOUNT: $3,667.68 CARMEL, INDIANA 46032 1310 W SOUTH ST LEBANON IN 46052 CHECK NUMBER: 171919 CHECK DATE: 4/29/2009 DEPA ACCOUNT PO NUMBER INVOICE NU MBE R AMO DESCRIPTION 1120 4351000 112750 1,816.72 AUTO REPAIR MAINTEN 1120 4351000 113046 1,816-.72 AUTO REPAIR MAINTEN 1120 4351000 113065 34.24 AUTO REPAIR MAINTEN it L E BA NON T A R E AUTO S V C 1310 W SOUTH STREET LEBANON, IN 46052 EA a (765)482 -5027 C'00 FEDERAL TAX ID# 351145753 =NVOICE 03/31/09 03 /31 /09 Gern 3065 08:49 AM 08:49 AM 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 VEH YEAR /MAKE. PHONE 2....... (317)710 -2321 VEHICLE MODEL. DATE REQUESTED e03/3 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PARTS. ODOMETR IN /OUT NA SALESMAN...... PRIOR INVOICE. 112750 P O NUMBER.. ACCOUNT COB Tr_ CUTE 779800168 4 01 00168 4 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 002 017 040 -132 R 1 FLAT REPAIR 17.5 "RIM DIAM &LGR LOOSE WHL .00 28.00 28.00 002 017 041 -263 R 1 NEW VALVE STEM 4.00 .00 4.00 002 017 046 -100 R 1 REPAIR HEADQUARTERS BOB VANVOORST .00 .00 .00 REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US. PARTS TOTAL........ 4.00 LABOR TOTAL........ 28.00 MISC SHOP SUPPLIES. 2.24 CHARGED AMOUNT 34.24 SUB TOTAL.......... 34.24 X------ TAXABLE AMOUNT .00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION FOR TOTAL I IV V O I C E T O T A L M 4 Z 4 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 04/10/09 DISCOUNT...... *NET* S E E R E V E RS E S= A E F O R I M PO RTA N T SAFETY WARNING ANU WAf2RAN 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 E BA NON T IRE AUTO S V C 1310 W SOUTH STREET LEBANON, IN 46052 EA Q (765) 482 -5027 C,00D% FEDERAL TAX ID# 351145753.4.:_ =NVO =CE 03/30/09 03 /31 /09 Garrr r L 1 1 3046 12:54 PM 11:18 AM 7798 015077- 113046 TERR: 7798 PAGE: 01 COPY: 01 NONSIG: 173531 BIliL TO: CITY OF CARMEL (EO5) 760 THIRD AVENUE SW CARMEL, IN 46032 PHONE 1....... (317)571 -2634 VEH YEAR /MAKE. PHONE 2....... (317)710 -2321 VEHICLE MODEL. DATE REQUESTED 03/30/09 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT 229116 229116 SALESMAN...... 002 002 PRIOR INVOICE. 112750 P 0 NUMBER.... VANVOORST ACCOUNT COB TC CUST# TYPE /STATE 779800168 4 01 00168 3 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 002 138 864 -665 -0 G 4 12R225 H G288 MSA TL 410.18 .00 1640.72 GS NUMBER. G0730929 QTY. 4 NO. MC3X89HR011509 002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 75.00 75.00 002 017 046 -100 R 1 UNIT 44 /131ST& GRAY RD .00 .00 .00 002 017 046 -100 R 4 MT- DISMOUNT .00 25.00 100.00 REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US. G PARTS TOTAL........ 1640.72 CHARGED AMOUNT 1816.72 LABOR TOTAL........ 175.00 STATE TIRE FEE 1.00 SUB TOTAL.......... 1815.72 X--- TAXABLE AMOUNT .00 SALES TAX.......... 00 CUSTOMER AUTHORIZATION FOR TOTAL N V O I C E T O T A L 1$ 1 6_ 7 Z TREAD L /F..... 10/32 TREAD R /F..... 10/32 TREAD R /R..... 10/32 TREAD L /R..... 10132 BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 04/10/09 DISCOUNT...... *NET* SEE RaVEi2SE S=UE FOR =MPOF2TANT SAFETY F2N=NG ANU W AR Z rl NORPROBLEM4 NFORMAT2ON WA 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 LEBANON TARE A19T0 -':;VC I 1310 W SOUTH STREET LEBANON, IN 46052 E� (765)482 -5027 G Q 00% FEDERAL TAX ID# 351145753 =MVOICE 03/17/09 03/17/09 G m 'S a 0 08:39 AM 11:49 AM 7798- 015028- 112750 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 VEH YEAR /MAKE. PHONE 2....... (317)710 -2321 VEHICLE MODEL. DATE REQUESTED 03/17/09 VEHICLE COLOR. TIME REQUESTED LICENSE /STATE. RETURN PARTS.. NO ODOMETR IN /OUT 0 0 SALESMAN...... 002 002 PRIOR INVOICE. 111044 OTHER INFO.... BOB VANVOORST ACCOUNT COB TC CUST# TYPE /STATE 779800168 4 01 00168 4 IN SLSM TECH PRODUCT CODE BC QTY DESCRIPTION PARTS LBR /EXCISE LINE TOTAL 002 138 864 -665 -0 G 4 12R225 H G288 MSA TL 410.18 .00 1640.72 GS NUMBER. G0730929 QTY. 4 NO. MC3X89HR011509 002 017 046 -100 R 4 MT- DISMOUNT .00 25.00 100.00 002 017 046 -120 R 1 ROAD SERVICE PER HR /PER MAN (REG TIME) .00 75.00 75.00 002 017 047 -100 R 1 UNIT 477 PLATE 12417 .00 .00 .00 REMEMBER TO SERVICE YOUR TRANSMISSION EVERY 15000 TO 30000 MILES! WE THANK YOU FOR YOUR BUSINESS WITH US. PARTS TOTAL........ 1640.72 CHARGED AMOUNT 1816.72 LABOR TOTAL........ 175.00 STATE TIRE FEE 1.00 SUB TOTAL.......... 1815.72 X TAXABLE AMOUNT .00 SALES TAX.......... .00 CUSTOMER AUTHORIZATION FOR TOTAL Y N V O C E T O TA L !S1 ,a 7 6- 7 a BUYING PLAN... A OF PAYMENTS. 1 PAY START DATE 04/10/09 DISCOUNT...... *NET* S E E R E V E RS E S= E> E F O R MP OF2TA M T SAFETY WARN M G A M O WARRANTY I N F O RMAT a 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 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)) 112750 E44 $1,$16.72 113046 E46 $1,816.72 113065 L41 $34,24 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Lebanon Tire IN SUM OF 1310 West South Street Lebanon, IN 46052 $3,667.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 112750 43 510.00 $1,816.72 1 hereby certify that the attached invoice(s), or 1120 113046 43- 510.00 $1,816.72 bill(s) is (are) true and correct and that the 1120 113065 43- 510.00 $34.24 materials or services itemized thereon for which charge is made were ordered and received except APR 2 7 ZGff A Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund