HomeMy WebLinkAbout215892 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1
ONE CIVIC SQUARE LEBANON TIRE&AUTO SVC CHECK AMOUNT: $2,385.32
?o CARMEL, INDIANA 46032 1310 W SOUTH ST
LEBANON IN 46052 CHECK NUMBER: 215892
CHECK DATE: 12/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 LOOBGK 2 , 272 .32 AUTO REPAIR & MAINTEN
1120 4351000 LOOBJK 113 . 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 11/05/12 08:14 AM RePrint
1310 W. SOUTH STREET LEB file#: 0014852 Page 1
LEBANON, IN 46052
Your P/O # A/R Acct# Terms Ship Via
Inv: L003GK 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, .59,3;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 85.00 222,220
4 4 046100000 MOUNT/ DISMOUNT 28.00 112.00 222,220
4 4 041263000 NEW VALVE STEM 2.50 10.00 222
2 2 093002000 TIRE DISPOSA__ 6.00 12.00 222,220
4 4 GY138864665 12R225 H G28B MSA T 513 .33 2053.32 222,220
dot# MCHRORLR1212, MCHRORLR1212, MCHRORLR1212, MCHRORLRI212
STATE APP G0001644
V/Info:
Sub-Total
$2272. 32
IN G0V'T,D.D00%
$0.00
Total: $2272.32
NewPymt: $0.00
Total Due: $2272 . 32
Received By: SP:JEFF HOGG
�-d e90:60 Z L�0 oea
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 11/08/12 07:52 AM
1310 W. SOUTH STREET LEB file#: 0014960 Page 1
LEBANON, IN 46052
Your P/O # A/R Acct# Terms Ship Via
Inv: LOOBJK 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 SERVICE CALL 85.00 85.00 202,220
1 1 046100000 MT- DISMOUNT STEER ENG #40 28.00 28.00 202,220
1 1 046100000 STATION @ 106 ST &COLLEGE 0.00 0.00 202,220
--------------------
V/Info:
------------------------------------------------------------------------------------------------
Sub-Total
$113.00
IN GOV'T,0.000%
$0.00
Total: $113.00
NewPymt: $0.00
Total Due: $113 . 00
Received By: SP:Terry Millikan
J
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lebanon Tire
IN SUM OF $
1310 West South Street
Lebanon, IN 46052
$2,385.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 LOOBJK 43-510.00 $113.00 1 hereby certify that the attached invoice(s), or
1120 LOOBGK 43-510.00 $2,272.32 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
DLC 17 2012
F, a
Fire Chief
Title
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
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
nrhom, 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))
LOOBJK E40 $113.00
LOOBG K E49 $2,272.32
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