HomeMy WebLinkAbout235477 07/30/14 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******595.00*
:9 ?� CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 235477
y��oN PO BOX 1630 CHECK DATE: 07/30/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910016888 595.00 TIRES & TUBES
OFFICE COPY REMITTANCE ADDRESS:
TIRE a IRE SERVICE, INC. PATTN.ARESERVIDEPARTMENT
P.O.BOX 1630
accc,�■■.—CaTIR GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE INVOICE #: 910016888
2700 SCHUYLER AVE
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PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: LOOSE WHEELS
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED' BY TIM_ -
-----FAX-NUMBER: -31773-32005
- - - - - - -
WORK: 317/733-2001 .0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 02/13/14 TERMS: 1 _PMT DUE 10TH OF MON AFTR- IM
------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
---------------------------------------------
POWDER COAT RIM/WHL RECONDITON 5 32 . 00 160 .00
RECON
8.25X22.5 USED HUB PILOT 1 50 . 0.0 50. 00
UWHL
9.00X22 .5 FLAT FACE WHEEL-USED 2 100. 00 200 . 00
UWHL
TRUCK MOUNT - SHOP 9.115 5. 00 15 . 00 75 . 00
TMS
10 OZ BAG .EQUAL TYPE B 40/CASE 4 20. 00 80 . 00
010E
STANDARD BRASS TRUCK VALVE 5 6 . 00 30 .00
TVALV
MERCHANDISE: 520. 00
LABOF.: 75.00
INVOICE TOTAL: 595 . 00
ON ACCOUNT A/R 595. 00
Printed Name Signature
i .
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES .
A finance charge of 1.5%per month(18%APR)will be added to the unpaid balance after 30 days.
CUSTOMER ESTIMATE SELECTION I hereby authorize the below repair work to be done along with necessary materials.You and
You are entitled to a price estimate for the repairs you have authorized.The repair price may be less your employees may operate vehicle for purposes of testing,inspection or delivery at my risk.
than the estimate but will not exceed the estimate without your permission.Your signature will An express mechanic's lien Is acknowledged on vehicle to secure the amount of repairs
indicate your estimate selection, thereto.You will not be held responsible for loss or damage to vehicle or articles left in vehicle
in case of fire,theft,accident,damage from freezing due to lack of anti-freeze or any other
1.I request an estimate in writing before you begin repairs. causes beyond your control.
2.Please proceed with repairs but call me before CUSTOMER SIGNATURE X
continuing if price will exceed $
3.1 do not want an estimate.
Do you want the replaced parts you are entitled to? Cl YES ❑NO ESTIMATED PRICE OF REPAIRS ADDITIONAL WORK AUTHORIZED BY:
0 This vehicle received without face to face cuctnmar cnntart a A.M. NAME
8795909/7
VOUCHER NO. WARRANT NO.
Pomp's Tire Service, Inc. ALLOWED 20
A/R Department IN SUM OF$
p. O. Box 1630
Green Bay, WI 54305-1630
$595.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
2201 910016888 j 42-320.00 j $595.00 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
014
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
i
I
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))
02/13/14 910016888 $595.00
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
, 20
Clerk-Treasurer