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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