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Home My WebLink About211841 08/14/2012 a CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1 0 ONE CIVIC SQUARE LEBANON TIRE&AUTO SVC CHECK AMOUNT: $1,853.19 `(o CARMEL, INDIANA 46032 1310 W SOUTH ST LEBANON IN 46052 CHECK NUMBER: 211841 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 L00902 1, 358 . 74 AUTO REPAIR & MAINTEN 1120 4351000 L00903 48 . 50 AUTO REPAIR & MAINTEN 2201 4232000 L00946 212 . 95 TIRES & TUBES 1120 4351000 L009BJ 233 . 00 AUTO REPAIR & MAINTEN LEBANON TIRE & AUTO SERVICE 1310 W. SOUTH STREET LEBANON, IN 46052 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/16/12 11:44 AM 1310 W. SOUTH STREET Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: L00946 L05634 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL STREET DEPT $ 3400 W 131 ST $ WESTFIELD, IN 46074 =------------ Total $ 0.00 REP 317-417-5053 317-733-2001 !R! SCU;UNIT C;BOX 21, .59,B;RPU;EXIT; Qty Shp B/O Item Number Description S/W FET Price Amount Init's 1 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85.00 85.00 202,220 1 1 046100000 FLAT REPAIR 67.50 67.50 202, 220 1 1 GY197493962 158195 R HB TUBE 44 .68 44 .68 202 1 1 046100000 JEFF STEWART-CALLED IN 0. 00 0.00 202,220 SHOP SUPPLIES 15.77 -------------------- V/Info: 2000 GOODYEAR TEMPORARY Lic# GDYR0000 IN Mil: 1 Trq: 80 ft# ------------------------------------------------------------------------------------------------ Sub-Total $212.95 IN GOV'T, 0.000% $0 .00 Total: $212 .95 NewPymt: $0. 00 Total Due: $212 . 95 Received By: SP:Terry Millikan VOUCHER NO. WARRANT NO. ALLOWED 20 Lebanon Tire and Auto Svc IN SUM OF $ //l $212.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members r 2201 I L00946 I 42-320.001 $212.95 1 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 Thursday, Arugust 09, 2012 jo Street Commissioner i V Street CcT;tlenissio-ne- Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 07/16/12 L00946 $212.95 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 LEBANON TIRE & AUTO SERVICE 1310 W. SOUTH STREET LEBANON, IN 46052 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/10/12 01: 00 PM 1310 W. SOUTH STREET Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: L00902 L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL FIRE DEPT $ 2 CIVIC SQUARE $ CARMEL, IN 46032 Total $ 0.00 REP 317-664-0958 317-571-2615 !R! SCU;UNIT C;BOX 21, .59,B;RPU;EXIT; Qty Shp B/O Item Number Description S/W PET Price Amount Init' s 1 1 046100000 SERVICE CALL 85 .00 85.00 202,220 2 2 046100000 MT- DISMOUNT 425/65R225 STEERA 32 .00 64 .00 202,220 2 2 GY756160365 425/65R225 L G296 MSA T 590. 12 1180 .24 202 dot# MC9M6PEW4611, MC9M6PEW4811 2 2 EPA STATE TIRE FEE (INDIANA) 0.25 0.50 202 2 2 041263000 NEW VALVE STEM 4 .50 9.00 202 2 2 093002000 TIRE DISPOSAL 10 .00 20.00 202,220 APPROVAL G0001644 -------------------- V/Info: 2010 SEAGRAVES LADDER TRUCK RED Lic# NA IN Unt# L41 Mil: 13082 Trq: 81 ft# ------------------------------------------------------------------------------------------------ Sub-Total $1358.74 IN GOV'T, 0. 000' $0 .00 Total: . $1358.74 NewPymt: $0.00 Total Due: $1358 . 74 Received By: SP:Terry Millikan LEBANON TIRE & AUTO SERVICE 1310 W. SOUTH STREET LEBANON, IN 46052 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/10/12 01: 03 PM 1310 W. SOUTH STREET Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: L00903 L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL FIRE DEPT $ 2 CIVIC SQUARE $ CARMEL, IN 46032 Total $ 0.00 REP 317-664-0958 317-571-2615 !R! SCU;UNIT C;BOX 21, .59,B;RPU;EXIT; Qty Shp B/O Item Number Description S/W FET Price Amount Init' s 1 1 046100000 REPAIR TRAINING FORKLIFT TIRE 48 .50 48 .50 202,220 1 1 046100000 BOB VANVORST 0 .00 0 .00 202, 220 -------------------- V/Info: Sub-Total $48.50 IN GOV'T, 0.000% $0.00 Total: $48.50 NewPymt: $0.00 Total Due: $48 . 50 Received By: SP:Terry Millikan LEBANON TIRE & AUTO SERVICE 1310 W. SOUTH STREET LEBANON, IN 46052 Store Location Store Phn Date Time R & T Tire/Auto - LEB (765) 482-5027 07/25/12 04 : 09 PM 1310 W. SOUTH STREET Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: L009BJ L00259 1 ST 10TH Sold-To: Ship-To: Type - Payment CARMEL FIRE DEPT $ 2 CIVIC SQUARE $ CARMEL, IN 46032 ------------- Total $ 0.00 REP 317-664-0958 317-571-2615 !R! SCU;UNIT C;BOX 21, .59,B;RPU;EXIT; Qty Shp B/O Item Number Description S/W FET Price Amount Init' s 1 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85. 00 85.00 202, 220 4 4 046100000 MT- DISMOUNT CUST OWN TIRES 28 . 00 112 .00 202, 220 4 4 046100000 SCRAP OLD TIRES 9. 00 36.00 202,220 1 1 046100000 ENGINE #49 -BOB VANVORST 0. 00 0 .00 202,220 -------------------- V/Info: ------------------------------------------------------------------------------------------------ Sub-Total $233 .00 IN GOV'T, 0.000% $0.00 Total: $233 .00 NewPymt: $0 .00 Total Due: $233 . 00 Received By: SP:Terry Millikan VOUCHER NO. WARRANT NO. ALLOWED 20 Lebanon Tire IN SUM OF $ 1310 West South Street Lebanon, IN 46052 $1,640.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 L00902 43-510.00 $1,358.74 1 hereby certify that the attached invoice(s), or 1120 L00903 43-510.00 $48.50 bill(s) is (are) true and correct and that the 1120 I L009BJ I 43-510.00 I $233.00 materials or services itemized thereon for which charge is made were ordered and received except AUG 13 `2of'2 / (N 7 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Drescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, 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)) L00902 L41 $1,358.74 L00903 Forklift Tire $48.50 L009BJ I E49 I $233.00 1 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