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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