HomeMy WebLinkAbout255949 03/01/16 1 W'�QNb
^/ CITY OF CARMEL, INDIANA VENDOR: 366480
4. t�
I ® ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****3,816.00*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 255949
PO BOX 1630 CHECK DATE: 03/01/16
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830061096 1,899.00 AUTO REPAIR & MAINTEN
1120 4351000 830061741 1,917.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service
IN SUM OF$
PO Box 1630
Green Bay, WI 54305-1630
$3,816.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1120 830061096 43-510.00 $1,899.00 1 hereby certify that the attached invoice(s), or
1120 830061741 43-510.00 $1,917.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
REMITTANCE ADDRESS:
'. �° POIUIP'S TIRE SERVICE, INC., POMP'S TIRE SERVICE. INC-
�" _s......:...: F ATTN:AR DEPARTMENT
ar;;,�.5 ,,.., ��'+� P.C. f3CX 1630
f moa.',f1At� 6�V1CL�f- GRE
SAY. WI 1��1sos-ss o
WORK ORDER #: 830061741
POMP'S TIRE-LEBANON
1316 WEST SOUTH STREET
PAGE: 1
LEBANON,. IN .4.6052
765/482-4359
�_ 3y
CUSTOMER: CIT.Y .OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY KSR - — - - - - -
REF NUMBER: DR 1344566.
FAX NUMBER: 317-571-2615
BUSINESS: 3.17/571-2600. 0 PO NUMBER: E340 GOVT
VEHICLE: 1997 ENGINE 340 VIN 159AF4285VN058491 -
SALESMAN: SHANE RUMMEL LICENSE: 12418 IN MILEAGE: 100829
WRK ORD DATE: 02./15/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
77
PRpDt}CT MC #NI QUITIY k'RI ), `. E E 'Ei3SON
12R22.5/16 FIS T-663 4 403 .25 1613 .00-
151F009
TIRE USER FEE - IN . 4 .25 1.00
950L13
Registration: Serial# 4D3X3J60.216 Quantity 3
Registration: Serial# .4D3X3J64815 Quantity
ROAD SERVICE REGULAR 1.00 85.00 85 .00
RS
SERVICE DONE AT TRUCK SERVICE 14700 HERRIMAN BLVD, NOBLESVILLE IN 46060
REPLACED ALL DRIVE TIRES
ALUMINUM WHEEL. TRK VALVE - ROAD 2 7.50 15.00
AVALVR
STANDARD BRASS TRK VALVE - ROAD .2 7.50 15.00
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: 1643.00
LABOR: 237.00
OTHER: 37.00
WORK ORDER TOTAL: 1917.00
A finance charge of 1.5%per month 18%APRI will be added to the un aid balance after 30 days.
CUSTOMER ESTIMATE SELECTION I hereby authorize the below repair;vork to be done along with necessary malerials.You and your employees may operati
fou are entitled to a price estimate for ihe.repairs yeu have authorized.The repair price may be less than the estimate but vehicle for purpeses of testing,inspection or delivery at my risk.An express mechanic's Gan is ac'rnowledged on vehicle t
will not exceed the estimate wflhoul your permission.Your signature will indicate your estimate selection. secure the amount of repairs thereto.You will not be held responsible for loss or damage to vehicle or articles lett in vehir
S,t request an estimate in-wiling before you begin repairs. In case of Fire.theft:accident,damage from freezing due to lack of antifreeze or any other causes beyend your control.
..............................................
2.Please proceed with repairs but call me before continuing
it price will exceed. CUSTOMER SIGNATURE X............................._............................---..--...........................-......
5..-
.--..=•........................•-------.-•--------••----
3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY;.........................•.•................ ..........................I.—..........
�•�• �- �11$
STa1hTE0PRCEefREPaLRS
`Jo you want the replaced pails you are en0 d to?DYES C1tV0 AN , • .-.--
,uF�•�a,;,;i�
• Iri.,�•n6t��n.»,.�t:,ai.,d6n:d Foca�fora rnetnrf
REMITTANCE ADDRESS:
POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE. INC.
:;-z<;<.
ATTN:AR DEPARTMENT
P.O.iRC BOX 1630
ERVIC GREEN BAY. W1 54305-1630
POMP'S TIRE-LEBANON WORK ORDER #: 830061096
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
Iv
CUSTOMER: CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY KSR
FAX NUMBER: 317-571-2615
BUSINESS: 317/571-2600 0
VEHICLE: 2011 TRUCK #E344 VIN 1F9E228T7BCST2030
SALESMAN: MICHAEL S RUMMEL IN MILEAGE: 34143
WRK ORD DATE: 01/29/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
. . ...... ................................................................... .....
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................ ..............a..........".....
12R22.5/16 FIS T-663 4 403 .25 1613 .00
151FOO9
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# 4D3X3J63215 Quantity 1
Registration: Serial# 4D3X3J64815 Quantity 3
ROAD SERVICE - REGULAR 1.00 85.00 85.00
RS
SERVICE DONE 1/28/16 AT CUSTOMER'S LOCATION.
REPLACED 4 TIRES ON TRUCK #E344, CUSTOMER KEPT 2 OF THE OFF TIRES (6/32NDS)
ALUMINUM WHEEL TRK VALVE ROAD 2 7.50 15.00
AVALVR
--:STANDARD=BRAS-S='TRK-VALVE- -7.50-- 15.00-
TVALVR
TRK DISMOUNT&MOUNT ON UNIT/RD 4.00 38 .00 152.00
TDMR
TRUCK REJECT AND SCRAP CHARGE 2 9.00 18 .00
TDISP
MERCHANDISE: 1643 .00
LABOR: 237.00
OTHER: 19.00
WORK ORDER TOTAL: 1899.00
THANK YOU FOR YOUR BUSINESS! ! ! !
-A finance charge of 1,5%per month(118%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 aulborized.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 the amount of repairs thereto.You will not be held responsible for loss or damage to vehicle or articles left.in vehicle
1.1 request an estimate in writing before you begin repairs. .......................... ...... .......... in case of fire,theft;accident,damage from freezing due to lack of anti-freeze or any Niher causes beyond your control.
2.Please proceed with repairs butcall me before continuing
ifprice will exceed $.................................... ---------------------------------------------------------------------- CUSTOMER SIGNATURE X.......................................................................................................
3.1 do not want an estimate. TIMED PR:CE OF REPAIRS ADDITIONAL WORK AUTHORIZED BY;
.,.•,,,,,••[J NO 1'0' AV. ............................................................................................
Do you want the replaced parts you are entitled to?' Name