240787 01/07/15 'f CITY OF CARMEL, INDIANA VENDOR: 366480
d ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $****16,147.42*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 240787
'Mcr�N ao? PO BOX 1630 CHECK DATE: 01/07/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830042033 2,603.56 AUTO REPAIR & MAINTEN
1120 4351000 830042662 2,603.56 AUTO REPAIR & MAINTEN
1120 4351000 8300432031 2,603.56 AUTO REPAIR & MAINTEN
2201 4232000 910024521 7,726.78 TIRES & TUBES
2201 4232000 910024522 550.56 TIRES & TUBES
1120 4238000 910025277 59.40 SMALL TOOLS & MINOR E
SHPN577474154
POMP'S TIRE-LAFAYETTE INVOICE #: 910024522
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR1132365
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/17/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-----------------------------------------------------------------
LT265/70R17/10 TRANSFRC AT WL 4 137.39 549.56
200F190
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# VNAHTR53414 Quantity 4
GOV F/S 7130
CM#6430296317 DIS
MERCHANDISE: 549.56
OTHER: 1.00
INVOICE TOTAL: 550.56
GOVERNMENT 550.56
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
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))
12/31/14 910024521 $7,726.78
12/31/14 910024522 $550.56
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
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
$8,277.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 910024521 j 42-320.00 j $7,726.78 1 hereby certify that the attached invoice(s), or
2201 910024522 42-320.00 $550.56 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
We esday, ce6 24, 2014
Street Commissio
It' ( nmmicc;innnr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
SHPN577474154
POMP'S TIRE-LAFAYETTE INVOICE #: 910024522
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
2264 3400 W 131ST STREET
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR1132365
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/17/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT265/70R17/10 TRANSFRC AT WL 4 137.39 549.56
200F190
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# VNAHTR53414 Quantity 4
GOV F/S 7130
CM#6430296317 DJS
MERCHANDISE: 549.56
OTHER: 1.00
INVOICE TOTAL: 550.56
GOVERNMENT 550.56
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
SHPN577473352
POMP'S TIRE-LAFAYETTE INVOICE #: 910024521
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
2264 3400 W 131ST STREET
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DRM929161
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/17/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22.5/16 CNTNTL HDR2 M+S 12 368.18 4418.16
522CO42
TIRE USER FEE - IN 10 .25 2. 50
950L13
11822.5/16 CONT HSR2 2 353.45 706.90
568C631
TIRE USER FEE - IN 2 .25 0. 50
950L13
1OR17.5/16 CNTNTL LSR1 REG-TR* 2 250.08 500.16
4710440
TIRE USER FEE - IN 2 .25 0.50
95OL13
GOV CN GING3AA7
PRIMER & PWDR COAT RECONDITION 12 32.00 384.00
RECONP
TRK DISMOUNT&MOUNT ON UNIT/SHP 9119 2 30.00 60.00
TDMS
TRUCK MOUNT - SHOP 9119 10.00 15.00 150.00
TMs
STANDARD BRASS TRUCK VALVE 12 6.00 72.00
TVALV
25/12-9/2 CORD STAGGERD KNOBBY 8 62.17 497.36
KNWC51
TIRE USER FEE - IN 8 .25 2.00
950L13
315/80822.5/20 CONT Hsu2 wT us 2 466.10 932.20
5140045
TIRE USER FEE - IN 2 .25 0. 50
950L13
CM#5056230854 DJS
Page 1
SHPN577473352
MERCHANDISE: 7510.78
LABOR: 210.00
OTHER: 6.00
INVOICE TOTAL: 7726.78
GOVERNMENT 7726.78
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
POMP'S TIRE-LAFAYETTE INVOICE #: 910024521
PAGE: 2
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 2
SHPN577475421
POMP'S TIRE-LEBANON INVOICE #: 830042032
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY CFM
REF NUMBER: DR1183114
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/19/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
ROAD SERVICE - REGULAR 8301 1.00 85.00 85.00
RS
106TH STREET AND KEYSTONE
CARMEL, IN
12R22. 5/16 B/S M843 TL 4 582.39 2329. 56
287B881
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# 2C3XHL4613 Quantity 4
TRK DISMOUNT&MOUNT ON UNIT/RD 8301 4.00 38.00 152.00
TDMR
TRUCK REJECT AND SCRAP CHARGE 4 9.00 36.00
TDISP
ENGINE #43
DoT 2C3X3HL4613 X 4
CM#6430616125 DJS
MERCHANDISE: 2329. 56
LABOR: 237.00
OTHER: 37.00
SALES TAX:
INVOICE TOTAL:
GOVERNMENT - 6EffT3
..**A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS! ! ! ! ���� •5
Printed Name Signature
Page 1
SHPN577475427
POMP'S TIRE-LEBANON INVOICE #: 830042033
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY CFM
REF NUMBER: DR1183113
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/19/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
ROAD SERVICE - REGULAR 8301 1.00 85.00 85.00
RS
131ST AND GRAY ROAD
CARMEL, IN
TRK DISMOUNT&MOUNT ON UNIT/RD 8301 4.00 38.00 152.00
TDMR
12R22. 5/16 B/S M843 TL 4 582.39 2329. 56
287B881
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: serial# 2Cx3HL4613 Quantity 4
TRUCK REJECT AND SCRAP CHARGE 4 9.00 36.00
I TDISP
ENGINE #44
DOT 2C3x3HL4613 x 4
CM#6430616118 DJS
MERCHANDISE: 2329. 56
LABOR: 237.00
OTHER: 37.00
SALES TAX:
INVOICE TOTAL: 6-fr3'
GOVERNMENT X7'66-53-
***A COPY OF THIS INVOICE HAS BEEN EMAILED'`
THANK YOU FOR YOUR BUSINESS M !
Printed Name Signature
Page 1
P("M-
/ 9REMITTANCE ADDRESS:
POMP S TIRE SERVICEf INC. POMPSTIRESERVICE. INC
�" ATTN: AR DEPARTMENT
�. P.O. BOX 1630
99MMSERVICE GREEN BAY, WI 54305-1630
POMP'S TIRE-LEBANON WORK ORDER #: 830042662
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY SBR
REF NUMBER: DR1183117
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
WRK ORD DATE: 12/11/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT- MECHANIC QUANTITY PRICE F.E.T. EXTENSION ._
ROAD SERVICE - REGULAR 1. 00 85 . 00 85. 00
RS
CARMEL INDIANA
12R22 .5/16 B/S M843 TL 4 582 . 39 2329.56
287B881
TIRE USER FEE - IN 4 .25 1.00
95OL13
TRK DISMOUNT&MOUNT ON UNIT/RD 4 .00 38 . 00 152 . 00
TDMR
TRUCK REJECT AND SCRAP CHARGE 4 9. 00 36. 00
TDISP
MERCHANDISE: 2329.56
LABOR: 237. 00
OTHER: 37 .00
SALES TAX:
WORK ORDER TOTAL:
THANK YOU FOR YOUR BUSINESS! ! ! !
A finance charge of 1.5%per month 0 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 your employees may operate
You are entitled to a price estimate for the repairs you have authorized.The repair price may be less than the estimate but vehicle for purposes of testing,inspection or delivery at my risk.An express mechanic's lien is acknowledged on vehicle to
will not exceed the estimate without your permission.Your signature will indicate your estimate selection. secure(he amount of repairs thereto.You will not be held responsible for loss or damage to vehicle or articles lef(in vehicle
1.1(aquas[an eslimale in writing before you begin repairs. in case of fire,theft accident,damage from freezing due to lack of anti-freeze or any other causes beyond your control.
2.Please proceed with repairs but call me before continuing CUSTOMER SIGNATURE X
if price will exceed S
3.1 do not want an estimate. 1V ADDITIONAL WORK AUTHORIZED
DoAA_you want the replaced parts you are entitled to?iJ YES iJ NO ESTIMATED PRICE OF REPAIRS '-— Name
i i Thk vchirla roraivod wilhn{il faro to faro rnntar.I UTF TIAL P U un rw,rn '� —_M;47 CCT IIA ricc ---
SHPN577477718
POMP'S TIRE-LAFAYETTE INVOICE #: 910025277
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO: DELIVERED VIA S. RUMMEL
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY DBL
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/23/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
COLOR-CODED TREAD DEPTH GAUGE 12 4.95 59.40
SUPL
MERCHANDISE: 59.4,E
SALES TAX:
INVOICE TOTAL: —63-3CT`
ON ACCOUNT A/R ---
*A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
I
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
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))
8300432031 E43 $2,603.56
830042033 E44 $2,603.56
830042662 E46 $2,603.56
910025277 $59.40
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire - Lafayette
IN SUM OF $
2700 Schuyler Avenue
Lafayette, IN 47905
$7,870.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 8300432031 43-510.00 $2,603.56 f hereby certify that the attached invoice(s), or
1120 830042033 43-510.00 $2,603.56 bill(s) is (are) true and correct and that the
1120 830042662 43-510.00 $2,603.56 materials or services itemized thereon for
1120 910025277 42-380.00 $59.40 which charge is made were ordered and
received except
JAN
ri
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund