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Home My WebLink About258504 05/10/16 0`/ \ CITY OF CARMEL, INDIANA VENDOR: 366394 4�; ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $****10,337.88* s _� CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 258504 9M�roN. LAFAYETTE IN 46905 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 910041091 460.00 OTHER EXPENSES 2201 4232000 910041378 9,076.88 TIRES & TUBES 601 5023990 910041396 801.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. POMPS TIRE-LAFAYETTE ALLOWED 20 2700 SCHUYLER AVENUE IN SUM OF$ LAFAYETTE, IN 46905 $9,076.88 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member 910041378 I 42-320.00 I $9,076.88 1 hereby certify that the attached invoice(s), or 2201 201 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 Tuesda May 03, 016 Street Oommlaolpmar Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 04/27/16 910041378 $9,076.88 2201 201 1 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 SHPN577945764 POMP'S TIRE-LAFAYETTE INVOICE #: 910041378 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: UNIT# JD544G 3400 W 131ST STREET HRS: 7215 2264 CARMEL, IN 46074 CREATED BY TIM REF NUMBER: DR1426390 FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 04/27/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- OFF ROAD SERVICE CALL-REG HRS 9105 1.00 185.00 185.00 ORS CARMEL STREET DEPT, CARMEL IN 20.5825/* B/S VMT D2A 4 1786.05 7144.20 418B110 TIRE USER FEE - IN 4 .25 1.00 950L13 17X25 3 PIECE LOADER WHEELS 4 786.67 3146.68 231W 20.5-25 MOUNT ONLY 9101 4.00 50.00 200.00 ODM205D 17.5x25 TIRE/WHEEL COMBO USED -4 400.00 -1600.00 960U * PURCHASED FROM CUSTOMER ^ CM#6445916055 MAR MERCHANDISE: 8690.88 LABOR: 385.00 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 9076.88 GOVERNMENT 9076.88 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 POMP'S TIRE SERVICE INC. REMITTANCE ADDRESS: J, POMP'S TIRE SERVICE, INC. �= ATTN: AR DEPARTMENT P.O. BOX 1630 E:�-C-CE CE.F GREEN BAY, WI 54305-1630 POMP'S TIRE-LAFAYETTE WORK ORDER #: 910041378 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: UNIT# JD544G 3400 W 131ST STREET HRS: 7215 2264 CARMEL, IN 46074 CREATED BY TIM A FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 SALESMAN: SHANE RUMMEL WRK ORD DATE: 04/18/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANIC -:QUANTITY PRICE F.E.T. EXTENSION OFF ROAD SERVICE CALL-REG HRS 1.00 185.00 185.00 ORS T CARMEL STREET DEPT, CARMEL IN 20.5R25/* B/S VMT D2A 4 1786.05 7144.20 418B110 TIRE USER FEE - IN 4 .25 1.00 950L13 17X25 3 PIECE LOADER WHEELS 4 786.67 3146.68 231W 20.5-25 MOUNT ONLY 4 .00 50.00 200.00 ODM205D 17.5x25 TIRE/WHEEL COMBO USED -4 400.00 -1600.00 960U ***. PURCHASED FROM CUSTOMER *** MERCHANDISE: 8690.88 LABOR: 385.00 OTHER: 1.00 WORK ORDER TOTAL: 9076.88 a 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 your employees may operate You are entitled to a price estimate4or 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 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 antifreeze or a o ses-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. ADDITIONAL WORK AUTHORIZE BY. . ESTIMATED PR':CE OF REPAIRS ----...—----_._ ___ __.__:.._�....._..__ Do you want the replaced parts you are entitled to?[]YES []I A.M. _Name r^ VOUCHER# 161330 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 910041396 01-6500-05 $801.00 gIcoq 1DqI 61-65oo-o7 S�Z Voucher Total �f/ZI.00 4aw-98- Cost distribution ledger classification if claim paid under vehicle highway fund 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 5/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/2/2016 910041396 $801.00 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 Date Officer SHPN577945I77 POMP'S TIRE-LAFAYETTE INVOICE #: 9I004I091 2700 5CHUYLBR AVE PAGE: I LAF/0'ETl'E, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL 3450 W 13IST STREET 2366 CARMEL, IN 46074 CREATED BY DBL REF NUMBER: DRI426377 FAX NUMBER: 3I77332053 BUSINESS: 317/793-2855 0 PO NUMBER: G[V SALESMAN: SHANE RUMNEL INVOICE DATE: 04/27/I6 TERMS: I PMT DUE 10TH OF MON AFT& INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY . PRICE F.E.T. EXTENSION _______________________________________________________________________________ P335/7OSRI0 DEST A/T OWL 4 114.75 459.00 O26F767 TIRE USER FEE - IN 4 .25 1.00 95OLI] Registration: Serial WB08DA234I5 Quantity 2 GOV 8F5 7I30 Registration: Serial W808UA23915 Quantity Z BSCM# 6445852709 PV MERCHANDISE: 459.08 OTHER: l'OO OFFICE COPY INVOICE TOTAL: 460.00 GOVERNMENT 460'00 ***A COPY OF THIS- INVOICE HAS BEEN EMAILED** �rintgd Name Gignatur LUG NUTS MUST BE RE-TORQUED AFTER 50-I00 MILES. ` Page 1 SHPN577950031 POMP'S TIRE-LAFAYETTE INVOICE #: 910041396 2700 SCHUYLER AVE LAFAYETTE, IN 47905 PAGE: 1 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER 3450 w 131ST STREET 2266 CARMEL, IN 46074 CREATED BY DBL FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 04/30/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT265/70R18/10 DYNAPRO AT RF10 4 200.00 800.00 202HO252 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: serial BC61RFH4515 Quantity 4 MERCHANDISE: 800.00 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 801.00 ON ACCOUNT A/R 801.00 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** Printed Name signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 . m ' POMP'S TIRE SERVICE INC. POMP!STIIRES RVICES SERVICE, INC. ��rr - � ATTN: AR DEPARTMENT u--'I'1RE.z3avic-Eartm P.O. BOX 1630 �=- -Y GREEN BAY; WI 54305-1630 POMP'S TIRE-LAFAYETTE WORK ORDER #: 910041091 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY DBL REF NUMBER: DR1426377 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: GOV SALESMAN: SHANE RUMMEL WRK ORD DATE: 04/09/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANIC QUANTITY PRICE' F.E.T. "EXTENSION„ P235/70SR16 DEST A/T OWL 4 114.75 459.00 026F767 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: Serial# Quantity 1 GOV BFS 7130 MERCHANDISE: 459.00 OTHER: 1.00 WORK ORDER TOTAL: 460.00 -41 V 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 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 mechanics lion 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. i_ in case of fire,theft,accident,damage from freezing due to lack of antifreeze or any other causes beyond your control. 2.Please proceed with repairs but call me before continuing _ CUSTOMER SIGNATURE if price will exceed S-------......--- ---.........------ --- ...—....—_....---............. �. 3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY:------- Do Y: — "'"' ""' ESTIf,1ATED PR€CE OF REPAIRS -- Do you want the replaced parts you are entitled to?[]YES U NO A.M. Name . ..... e REMITTANCE ADDRESS: m ' P O M P S TIRE SERVICE, I N.0. POMP'S TIRE SERVICE, INC. P-1 AN AR:DEPARTMEN'T ERV10E= P:O. BOX 1630.. GREEN BAY. WI 54305=1630 WORK ORDER #: : 910041396 POMP'S TIRE-LAFAYETTE 2:700..SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-A000 CUSTOMER: CITY OF CARMEL WATER OPER 3450 .W 131ST STREET 2:2 6.6: CARMEL, IN 4:6074 .CREATED BY DBL -FAX NUMBER:.: 3.177332053 BUSINESS: 317/733-.2855 0 SALESMAN: SHANE RUMMEL WRK ORD .DATE: 64/18%16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANIC. .QUANTITY PRICE F.E.T. - EXTENSION LT265/70R18/10 DYNAPRO AT RF10._ 4 200.00 8.00.00 202HO252 TIRE -USER FEE — IN 4 .25 1.00 95OL13 .Registratiorn: .Serial Quantity 1 Registration:, Serial Quantity 1 Registration: Serial Quantity 1 Registration: Serial Quantity 1 MERCHANDISE: 800.00 OTHER: 1.00 WORK ORDER TOTAL: 8.01.00 :A finance charge of 1.5%per month 18,o APR)will be added to the unpaid balance after 30 days, : CUSTOMER ESTII ATE SELECTION I hereby authorize the below repair work to be done along yith necessary materials.You and your employees may operate You are entitled to a prce estimate for the repairs you have authorized The repair pnce may be less than the estimate but vehiA for purposes of testing;inspecdon or,deligerr/at my risk.An express mechanics lien is acknowledged ar,vv;hmte to will not exceed the Kaimate without your permission.Your signature will indicale.yourestimate selection. secure.the amount of repairs thereto.You will net be held responsible for loss crdarrage to vehicle or articles left in vehicle I requestan estimate.in.writing before ycu begin repairs. _ in case of fire,!heft:accident,damage from freezing due to lack of antifreeze dr any other causes beyond your control. 2 Please proceed with rears out call me before continuing CUSTOMER:SIGNATURE if price will exceed 3:tido not want an estimate — ADDITIONAL WORK AUTHORIZED BY; =REPAIRS 00 yoo waO the replaced parts you are entitled ton DYES ,Y)NO ESrll!A'EZ PRICE C� Am Nee IThic --,�j� F Po +mhiclAroroivad�+tin1dfararntararsnia^r r