HomeMy WebLinkAbout231844 4 /23/2014 Mr. CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******774.80*
ra CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 231844
�.y,roN PO BOX 1630 CHECK DATE: 04/23/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830030734 551.24 OTHER EXPENSES
601 5023990 910017893 223.56 OTHER EXPENSES
POMP'S TIRE SERVICE, INC. POMP'ISTRES RDVIICESNC
® ATTN:AR DEPARTMENT
P.O.BOX 1630
GREEN BAY,WI 54305-1630
INVOICE #: 830030734
POMP'S TIRE-LEBANON
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY SBR
REF NUMBER: DR1062094
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 04/10/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT` MECHANIC. ;QUANTITY' PRICE': ., . 'F•.E.T: EXTENSION
P235/75TR16 DEST LE2 WL XL 4 137.56 550.24
140F378
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# PJXlTHOO114 Quantity 4
CM#6422959731 DJS
MERCHANDISE: 550.24
OTHER: 1.00
INVOICE TOTAL: 551.24
GOVERNMENT 551.24
THANK YOU FOR YOUR BUSINESS! ! ! !
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
A!mance cherm,of 1.5%Per month(18%APR)will be added to the unpaid balance after 30 days.
CUSTOMER ESTIMATE SELECTIONI hnet,. WN"".J,t.:lox rcpan wuO Io Le out ae_ey rnCi naessnn•nalenals ypul ana y>c:rmnclecs may eperzle
You are enulkd to a once-nnele foil tho•epairs,>u have author-e.TM rope,ence may Le.c ss;tan:re cs:Imale cul :oh c'e for perp,...o7 lest ng,n5re.11on�r^.9!rvt•Y al my nsk An e.;•rosi nechar,:t"< cn rs 3c4 nOvAeCceC Cl rthick to
w111 no:Greed the esbma:e without your permission Yeu!51[na'L(C will ild c31e yo Ur 1,111-le sel-ioc. ae:.ne It.,amount of repairs tnereuo You wIi 1of be 1tl.1 respens b c for Ions er umape 1,`limc'e er'an ilo5lcll:r,VPhn'e
1.I request ail esllmale In wr.I:ny hn:ole you:C,qn:spans
e al fir,,RmM,` er!,Ja•p from:reez.ng duc tc lack.of ami`me:e or any carer cn nes bcyard,our—I,,
2Pie—pw won rectus out call mex.c
Pet
-
I
.c'ice w.I..l. S CUSTOMER SIGNATURE
3 I d.^not war.!an 1s1,let,, .......
Is-¢•=e:.re¢ec=eaax F: ADDITIONAL WORK AUTHORIZED BY:
OO you wunl Uw icplar,Gd Cats you me enallod V;',.J YES ....)'!0 $
._.. n-r.
J'Ns vemcle Iece1'rN without fare t>:a.c o-:ntact ,�• 'n'E .._....___...._ .._,... ......_.. .._......
POMP'S TIRE SERVICE, INC. POMP'STIRE S SERVICE,
® ATTN:AR DEPARTMENT
��usis?nii+asssFii$ti:•: di^'s"ilii P.O.BOX 1630
GREEN BAY,WI 54305-1630
INVOICE #: 910017893
POMP'S TIRE-LAFAYETTE
2700 SCHUYLER AVE
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: DR1028883
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 04/04/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT :• ;;-, MECHANIC' QUANTITY>,a,,• :PRICE „ F.E T EXTENSION`;;,,'
LT225/75R16/10 TRANSFRC HT BL 2 111.53 223.06
189F752
TIRE USER FEE - IN 2 .25 0.50
950L13
Registration: Serial# VN08TR31113 Quantity 2
CM#6422829633 DJS
MERCHANDISE: 223.06
OTHER: 0.50
INVOICE TOTAL: 223.56
GOVERNMENT 223.56
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
A finance char a of 1.5%per month 188 AOR It be added to the un all balance after 30 da a.
CUSTOMER ESTIMATE SELECTION I hereby authorize ite belux wpm'wars Io Le dere along vmn ngtessmv matenats You and your emc4yeea may eprrare
You are entitled to a ante-innete to the repass you have aulhonzed,The repar,once may be zss roan 1te cs:imate out •bh1to for parposes of tescng rn_.arnm or de�ivvy at n•y risk An a,pros ru+ChanG's I pn is acknovAedged o�vehicle a
On no:rocced the&I—it without your permission Your sngna:ure wit i'dxate your eshmale selcdon, sacar the zmounl of repro,there:°You o'P sol be nd7 respans b e for loss cr eamage Io venrclo ar adwlea L•It in vehicle
1 1 request an call ale m t:r.r ng bb'are yar—,n repairs in case of lue,that:aw",%o-a;,hem'reez.n due Ia lad,of am.`mezc be an9 c;Per caoscs beyond your camrol.
2.°lease proceee vnm wFai's but call me x11-e eecmwrg CUSTOMER SIGNATURE X
.I price x:l:exacec 5 -
3tdonorwan:aneall'ale UTHORIZED BY:
- - -._-- ADDITIONAL WORK A -
0.y^.0 wont thewalaced parts yew an,entd110 to......IYE"a ._.JNU
'J-ms venrcle wcermd nslhoul tare to;ace a;vtart. •iuE .._.._._.......r:,;.;_;€i....._._._._.. ._........_t:F+i"F?"IL't'F'_..._.......
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 4/11/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/2014 830030734 $551.24
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
Date Officer
VOUCHER # 134757 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
830030734 01-6500-05 $551.24
glocl'tlg-�3
Voucher Total P
Cost distribution ledger classification if
claim paid under vehicle highway fund