213546 10/09/2012 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: $806.18
LEBANON IN 46052
CHECK NUMBER: 213546
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 CREDIT -255 . 00 AUTO REPAIR & MAINTEN
1120 4351000 LOOA16 1, 061 . 18 AUTO REPAIR & MAINTEN
Oct 03 12 11:21 a p.1
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 08/28/12 11:17 PSI Reprint
121C W. SOUTH STREET LE3 file#: 0013002 Page 1
LEBANON, IN 46052
Your P/O # A/R Acct# Terms Ship Via
Inv: L 0 0A16 L00253 1 ST 10TH
Sold-To: Ship-Tc: Type - Payment
CAP24EL FIRE DEPT $
2 CIVIC SQUARE $
CARMEL, IN 46032 =__-----_---_
Total $ D.OD
RE? 317-664-0958
317-571-2615
R! SCU;UNIT C;BOX 21, .59,1B;RPU;EXIT;
Qty Shp B/O Item Number Description S/W FET Price Amount Init's
2 2 GY756256420 315/80R225 L G291 LP T 447.34 894 .69 202
dcL## MJ725VAW1212, M.J725VAW0212
1 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85. 00 85.00 202,220
2 2 046100CC0 :COUNT/DISMOUNT 30.00 60.00 202,220
2 2 046200CC0 VALVE STEM 4. 50 9.00 202
2 2 EPA STATE TIRE FEE (INDIANA} 0.25 0.50 202
2 2 093002CCO TIRE DISPOSAL 6. 00 12 . 00 202,22C
2 2 04610OCCO BOB VANVORST 0. 00 C.00 202, 220
--------------------
V/Info:
Sub-Total
$1061.18
IN GOV'T,0.000%
$0.00
Total: 51061.18
NewPymt: $0 .00
Total Due: $1061 . 18
Received By: SP:Terry Millikan
Snyder, Denise W
From: JAMES KITCHEL Utabkitch @sbcglobal.net]
Sent: Wednesday, October 03, 2012 11:00 AM
To: Snyder, Denise W
Subject: unapplied credit
The Carmel Fire Department has an unapplied credit of$255 with R&T Tire and Auto Lebanon. This may be
used against invoice LOOA16 ($1061.18). This makes the balance due on this invoice $806.18.
Thanks,
Tina Kitchel
R&T Auto Supply, Inc.
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF $
1310 West South Street
Lebanon, IN 46052
$806.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 CREDIT 43-510.00 ($255.00) 1 hereby certify that the attached invoice(s), or
1120 LOOA16 43-510.00 $1,061.18 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
OCT 8 2012
b *.9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
3rescribed 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))
CREDIT ($255.00)
LOOA16 $1,061.18
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