HomeMy WebLinkAbout229162 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
ONE CIVIC SQUARE POMP'S TIRE� CHECK AMOUNT: $1,359.92`,ra CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT
PO BOX 1630 CHECK NUMBER: 229162
GREEN BAY WI 54305-1630
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910016399 275 . 28 OTHER EXPENSES
601 5023990 910016445 636 . 64 OTHER EXPENSES
2201 4232000 910016615 448 . 00 TIRES & TUBES
SHPN577250284
POMP'S TIRE-LAFAYETTE INVOICE #: 910016615
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 01/27/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
8.25X22. 5 USED HUB PILOT 4 50.00 200.00
UWHL
POWDER COAT RIM/WHL RECONDITON 4 32.00 128.00
RECON
10 OZ BAG EQUAL TYPE B 40/CASE 2 15.00 30.00
010E
TRUCK MOUNT - SHOP 9118 6.00 15.00 90.00
TMS
CUSTOMER TIRES
MERCHANDISE: 358.00
LABOR: 90.00
INVOICE TOTAL: 448.00
ON ACCOUNT A/R - 448.00
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc.
A/R Department IN SUM OF $
p. O. Box 1630
Green Bay, WI 54305-1630
$448.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 910016615 I 42-320.001 $448.00 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
Fsriday, uary 7, 2014
A It
r4
Stree�Comm is i ner
,,trPPt ommssloner
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
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))
01/27/14 910016615 $448.00
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
r INC.
REMITTANCE ADDRESS:
POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE,INC.
aa® ATTN:AR DEPARTMENT
s,. .. x,...c.s P.O.BOX 1630
GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE
2700 SCHUYLER AVE
INVOICE #: 910016445
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR0960202
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 01/28/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
'PRODUCT I' MECHANIC
.. QUANTITY ' PRIICE', F E.T . ,: EXTENSION
P235/70TR17 DEST LE2 WL XL 4 158.91 635.64
097F776
TIRE USER FEE - IN 4 .25 1.00
950L13
GOV FIS 7130
CM#6421015155 DJS
MERCHANDISE: 635.64
OTHER: 1.00
INVOICE TOTAL: 636.64
GOVERNMENT 636.64
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
/( X50
1
t` �
A finance chary f 15Y per month 118%APRT will be added to the unpaid balance after 30 days.
CUSTOMER ESTIMATE SELECTION he r m 7 bel P M I C d ee II pry t- .Y c
you are fn,led lox oo, f the p'.. ybe:ss l: jt,.,_ t I 'I:h C 0 C 3 It I y ,1 c Ce Yat sN c>:C'C C.n k Pl ged 1 F kt.
V.-.n0`fFCMd'hf Ca:nd 'hJ GJr0 S you
f$13.4 CJ' .1dC iG Y,GJI vs.mak�.,If..G 5S rC III .t,nl of [. sIt to (01 1T,h^d G p0 t Io ICS T CI 1 hh ,IG ICI r(h:_
1.I'C11 C5ae esl.mal(! Nr I:nl h.:Ore y,.,,r,9 .afar.. ir,c sv I,,,thet.,a.:..GG,,fGra9..T m.e.:_:n9 GUC I,lo_N G(Gn;:uor ar,G:ht .JSCS G.':,r:]jo��
'Ices D '.A h repo is but:al ............. ...._._ __...... _....
1 P�:r I S _ !CUSTOMER SIGNATURE
a ttic r.ot war zr,c f I. " _
Dut,t c dpa r -arc Ih tl ....,YE- ,UC_..$: ADDITIONAL WORK AUTHORIZED BY
., ,aa..e, ,r-a• .. _.
LYI s valick reu:aed Iv thGUt 13Ce to -- --
r<
a.ccollit ...-_c`_ •r:c ?.,I .._... �....' _ 'n,l:ES 6. i
REMITTANCE ADDRES:
A POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICESNC.
ATTN:AR DEPARTMENT
P.O.BOX 1630
GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE
2700 SCHUYLER AVE INVOICE #: 910016399
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVER VIA SHANE
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR0960201
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 01/28/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT;` ;-s MEGH'ANIC iQUANTITY PRICE F E:.T EXTENSIONS t y
LT265/70R17/10 TRANSFRC AT WL & 2 137 .39 274.78
20OF190
TIRE USER FEE - IN 2 .25 0.50
950L13
FIRESTONE GOVERNMENT APPROVAL# 7130
CM#6421015152 DJS
MERCHANDISE: 274.78
OTHER: 0.50
INVOICE TOTAL: 275.28
GOVERNMENT 275.28
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
1� v
A linancechar e f 1 8Y pe th 118'n APRT will be addetl to the unpaid balance alter 30 d ys.
CUSTOMER ESTIMATE SELECTION n r b l pa r I, L d. lem f c ary t I-Y a v
tot, ree ll 71 -t t f.he p you h. - fp o. h a C In,reg. tt I I+.hl.eip v C a salt t t nc C-
I nose d he - Ih p lsso Y rr 5 y t f sk ; f osn n h _ t M J h k c
$ ,.:I'.rd:c�a nur 351 mate-,Ie., Sf,Cu c the ,n of Ga It e r.Yo., I h,,h.Id pa C: le s m e 1 7 ri Ic leftC
1.I•Lqr Cs I'.a1C t: C e Y ep -r„3 a..I:.,Ihef:.a �c,qa r:ay: o r.:.ng due 1,1,_k o ar,i-:rce2.p,++1 o:hcr eses C ,,,I)c.rt.
:.Pie,$^p...eeJ M1F rep s bul.alae b:fe,,,.pn,m rg ..........__. ...__.
:Inncea;nerceee s __ CUSTOMER SIGNATURE
3.to npt Va: ,Caimale.
Duyo,-u,cl c o.a n l r �yE .NC S ^a ce"F'r�ADDITIONAL WORK AUTHORIZED BY.
;J<,sv_,ieka
rcbe1 w,1amfax.lof—'.n.=__.
_ - '. : -- •..Esme;E .....__.
VOUCHER # 133999 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910016445 01-6500-04 $636.64
Voucher Total I( 2 4
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366480
Pomp's Tire Purchase Order No.
PO BOX 1630 Terms
GREEN BAY, WI 54305-1630 Due Date 2/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2014 910016445 $636.64
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
141t—
Date
41t Date Officer