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Home My WebLink About259152 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 366480 �;• ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $****'1,194.21 CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 259152 °M PO BOX 1630 CHECK DATE: 05/31/16 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830065157 19.25 OTHER EXPENSES 601 5023990 910042023 198.80 OTHER EXPENSES 601 5023990 910042486 210.80 OTHER EXPENSES 601 5023990 910042690 765.36 OTHER EXPENSES VOUCHER # 161578 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 910042486 01-6500-07 $210.80 Voucher Total l:� J4 1 $SWM 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 5/23/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/23/2016 910042486 $210.80 hereby certify that the attached invoice(s), or bill(s) is(are)true and ,orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer SHPN577974692 POMP'S TIRE-LAFAYETTE INVOICE #: 910042486 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: SHANE FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 05/20/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 185/60HR15 LAUFENN GFIT AS LH41 4 52.45 209.80 101H6772 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: Serial BCBTlJL4715 Quantity 4 MERCHANDISE: 209.80 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 210.80 ON ACCOUNT A/R 210.80 ***A COPY OF THIS INVOICE HAS BEEN EMAILED* Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 SHPN577968149 POMP'S TIRE-LEBANON INVOICE #: 830065157 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: 3450 W 131ST STREET REPAIR TIRE BROUGHT BY 2266 SHANE CARMEL, IN 46074 CREATED BY 7RM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 05/14/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- PASSENGER FLAT REPAIR - LOOSE 8312 1.00 14.25 14.25 PFL REPAIR TIRE INSTALL ON RIM RADIAL 116 PATCH 1 5.00 5.00 TRU MERCHANDISE: 5.00 LABOR: 14.25 OFFICE COPY INVOICE TOTAL: 19.25 ON ACCOUNT A/R 19.25 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** THANK YOU FOR YOUR BUSINESSM ! ! Printed Name signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 SHPN577975190 POMP'S TIRE-LAFAYETTE INVOICE #: 910042690 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: SHANE FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 05/20/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT235/85R16/10 DURAVIS 8250 4 191.09 764.36 206B378 TIRE USER FEE - .IN 4 .25 1.00 950L13 Registration: Serial Y70PJCN3215 Quantity 4 MERCHANDISE: 764.36 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 765.36 ON ACCOUNT A/R 765.36 * PSA 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. REMITTIRESER SERVICE, � POMP'S TIRE SERVICE, INC. a ATTN: AR DEPARTMENT SERVICEZR P.O. BOX 1630 GREEN BAY, WI 54305-1630 POMP'S TIRE—LAFAYETTE WORK ORDER #: 910042690 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 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL WRK ORD DATE: 05/19/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV `T.PRODUCT `MECHANIC" ;QUANTITY PRICE. " LT235/85R16/10 DURAVIS R250 4 191.09 764.36 206B378 TIRE USER FEE — IN 4 .25 1.00 950L13 Registration: Serial Y70PJCN3215 Quantity 4 MERCHANDISE: 764.36 OTHER: 1.00 WORK ORDER TOTAL: 765.36 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 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 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. ADDITIONAL WORK AUTHORIZED BY:_ ESTIMATED PRICE OF REPAIRS --- '" A.I. Name Do you want the replaced parts you are entitled to?[]YES 0140 5)F � � REMITTANCE ADDRESS: POMP'S TIRE SERVICE*, INC. 'CPOMP'S TIRE SERVICE,I N.C. ATTN:AR DEPARTMENT �!r��■ P.O.BOX 1630 '1°!'f[G^aSfR1/10EaaM GREEN BAY,WI 54305-1630 POMP' S TIRE-LEBANON INVOICE # : 830065157 1316 WEST -SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: 3450 W 131ST STREET REPAIR TIRE BROUGHT BY 2266 SHANE CARMEL, IN 46074 CREATED BY JRM FAX NUMBER: 3177332053 BUSINESS : 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE : 05/14/16 TERMS : 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION " ---------------------------------------------------=--------------------------- PASSENGER FLAT REPAIR - LOOSE 8312 1 . 00 14 . 25 14 . 25 PFL REPAIR TIRE INSTALL ON RIM RADIAL 116 PATCH 1 5 . 00 5 . 00, TRU Emailed to kloveall@carmel . in.gov on 05/14/16 at 10 : 52 : 26 . Document type : SHPN" MERCHANDISE: 5 . 00 LABOR: 14 . 25 OFFICE COPY INVOICE TOTAL.: 19 . 25 . ******THIS IS A REPRINTED INVOICE****** ON ACCOUNT A/R 19 . 25 6p L POMP'S TIRE SERVICE, INC. POMFSTIIRE SERVICE, INC. ! � ATTN: AR DEPARTMENT Imo....., tla�y* o P.O. BOX 1630 SERVIC-E=�.§'�T41== GREEN BAY,WI 54305-1630 WORK ORDER #: 910042486 POMP'S TIRE-LAFAYETTE 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: SHANE FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL WRK ORD DATE: 05/16/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT. MECHANIC QUANTITY' PRICE F.E:T: EXTENSION 185/60HR15 LAUFENN GFIT AS LH41 4 52 .45 209.80 1O1H6772 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: Serial BCBTlJL4715 Quantity 4 MERCHANDISE: 209.80 OTHER: 1.00 WORK ORDER TOTAL: 210.80 Car 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 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. u 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 5_.... ._.._..__.._...__ ._........_._......—_..___........—_....__... 3.1 do not want an estimate. ESTIMATED PRICE OF REPAIRS ADDITIONAL WORK AUTHORIZED BY:_ '" �""' Do you want the replaced parts you are entitled to?[]YES i]NO A'M. Name VOUCHER # 161417 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 910042023 01-6500-07 $198.80 ' Voucher Total $198.80 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, Wl 54305-1630 Due Date 5/9/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/9/2016 910042023 $198.80 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 Date Officer SHPN577959503 POMP'S TIRE-LAFAYETTE INVOICE #: 910042023 2700 SCHUYLER AVE LAFAYETTE, IN 47905 PAGE: 1 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY DBL FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL INVOICE DATE: 05/06/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 185/60HR15 LAUFENN GFIT AS LH41 4 49.45 197.80 101H6772 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: Serial BCBTlJL4715 Quantity 4 MERCHANDISE: 197.80 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 198.80 ON ACCOUNT A/R 198.80 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 POMP7 REMITTANCE ADDRESS: S TIRE SERVICE INC. POMP'S TIRE SERVICE, INC. ATTN: AR DEPARTMENT ��T IRE, P.O. BOX 1630 � SERVIVE ---_�T .SGREEN BAY, WI 54305-1630 POMP'S TIRE-LAFAYETTE WORK ORDER #: 910042023 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 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL WRK ORD DATE: 05/04/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV -PRODUCT MECHANIC, QUANTITY' PRICE F.'E.T. EXTENSION 185/60HR15 LAUFENN GFIT AS LH41 4 49.45 197.80 101H6772 TIRE USER FEE - IN 4 .25 1.00 950L13 Registration: Serial BCBTlJL4715 Quantity 4 MERCHANDISE: 197.80 OTHER: 1.00 WORK ORDER TOTAL: 198.80 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 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 any other causes beyond your control. 2.Please proceed with repairs but call me before continuing CUSTOMER SIGNATURE X �.�. ��1� �3.. � if price will exceed S ....... —__.._. ___ 3.1 do not want an estimate. 7ADDITIONAL WORK AUTHORIZED BY:-_ `' '""` ESTIMATED PRICE OF REPAIRS Do you want the replaced parts you are entitled lo?U YES iJ NO $ A.M . Name ----x:ea--^-• —""" '2— nu1JGFQT-196—TT— r