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Home My WebLink About217235 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 182450 Page 1 of 1 0 ONE CIVIC SQUARE LEBANON TIRE&AUTO SVC CHECK AMOUNT: $4,019.16 CARMEL, INDIANA 46032 1310 W SOUTH ST roe LEBANON IN 46052 CHECK NUMBER: 217235 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 LOOCRE 1, 238 .24 AUTO REPAIR & MAINTEN 1120 4351000 LOOCRS 1, 391 . 88 AUTO REPAIR & MAINTEN 1120 4351000 LOOCX7 1, 389 . 04 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 01/07/13 05:20 PM 1310 W. SOUTH STREET file id: LEB-16538 Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: LOOCRE 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 4 GY139418205 225/70R195 F G622 RSD 309.56 1238.24 202 dot# MCLRHRKR2012, MCLRHRKR2012, MCLRHRKR2012, MCLRHRKR2012 G0001644 state of indiana delivered to custom truck&auto 1 046100000 ambulance-rear--bob vanvorst 0.00 0.00 202,202 -------------------- V/Info: ------------------------------------------------------------------------------------------------ Sub-Total $1238.24 IN GOV'T,0.000% $0.00 Total: $1238.24 NewPymt: $0.00 Total Due: $1238 . 24 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 01/10/13 07 : 16 AM 1310 W. SOUTH STREET file id: LEB-16552 Page 1 LEBANON, IN 4605.2 Your P/O # A/R Acct# Terms Ship Via Inv: LOOCRS E44 L00259 1 ST 10TH sold-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 2 GY756141614 315/80R225 L G289 WHA DURASEA 621.69 1243.38 202 dot# MCHRORLR1212, MCHRORLRI212 2 EPA STATE TIRE FEE (INDIANA) 0.25 0 .50 202 1 046100000 UNIT ENGINE 44 AT FOUNTAIN 0.00 0.00 202,220 2 046100000 MT DISMOUNT 27.00 54 .00 202,220 1 046120000 ROAD SERVICE PER HR/PER MAN (R 85.00 85.00 202,220 2 041263000 NEW VALVE STEM 4 .50 9.00 202 1 046100000 STATE OF INDIANA G0001644 0.00 0.00 202,220 -------------------- V/Info: ---- (N/A) (BLANK) Unt# E44 ------------------------------------------------------------------------------------------------ Sub-Total $1391.88 --- IN GOVT, 0.000$ $0.00 Total: $1391.88 NewPymt: $0.00 Total Due: $1391 . 88 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 01/24/13 08:36 AM 1310 W. SOUTH STREET file id: LEB-16747 Page 1 LEBANON, IN 46052 Your P/O # A/R Acct# Terms Ship Via Inv: LOOCX7 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 bob P 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 4 GY139913205 245/708195 G G622 RSD 347 .01 1388.04 202 dot# MCHRORLR1228, MCHRORLR1228, MCHRORLR1228, MCHRORLR1228 4 EPA STATE TIRE FEE (INDIANA) 0.25 1 .00 202 1 046100000 UNIT #40 0.00 0.00 202,202 1 046100000 dropped at custom--bob vanvors 0.00 0.00 202,202 -------------------- V/Info: ------------------------------------------------------------------------------------------------ Sub-Total $1389.04 IN GOV'T,0.000% $0.00 —__ Total: $1389. 04 NewPymt: $0.00 Total Due: $1389 . 04 Received By: SP:Terry Millikan 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) LOOCRE Rear Amb.Tires $1,238.24 LOOCX7 E40 $1,389.04 LOOCRS I E44 I $1,391.88 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Lebanon Tire IN SUM OF $ 1310 West South Street Lebanon, IN 46052 $4,019.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 LOOCRE 43-510.00 $1,238.24 1 hereby certify that the attached invoice(s), or 1120 LOOCX7 43-510.00 $1,389.04 bill(s) is (are) true and correct and that the 1120 I LOOCRS I 43-510.00 I $1,391.88 materials or services itemized thereon for which charge is made were ordered and received except r Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund