HomeMy WebLinkAbout301114 07/25/16 c.
CITY OF CARMEL, INDIANA VENDOR: 366480
® �;• ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****1,890.32*
s. ?� CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 301114
9M1roN c� PO BOX 1630 CHECK DATE: 07/25/16
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830068143 1,890.32 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
POMP'S TIRE
ATTN: AR DEPARTMENT IN SUM OF$ CITY OF CARMEL
PO BOX 1630 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
GREEN BAY, WI 54305-1630 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,890.32 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
830068143 43-510.00 $1,890.32 1 hereby certify that the attached invoice(s),or 7/18/16 830068143 A345 $1,890.32
1120 101 1120 101
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
Monday,July 18,2016
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
POMP'S TIRE SERVICE, INC. POMP'ISTIIRES RVICESINC.
p � m
'" �-�''�J -'""f ATTN: AR DEPARTMENT
"'' P.O. BOX 1630
=�=a=/tIRiIERVICE'yr"__+ GREEN BAY, WI 54305-1630
POMP'S TIRE—LEBANON WORK ORDER #: 830068143
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 JM
REF NUMBER: GOV
FAX NUMBER: 317-571-2615
BUSINESS: 317/571-2600 0 PO NUMBER: A345
VEHICLE: UL
SALESMAN: SHANE RUMMEL
WRK ORD DATE: 07/06/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
LIGHT TRUCK DISMNT/MNT — SHOP 6.00 15.00 90.00
LDMS
6 OZ BAG EQUAL TYPE D 40/CASE 6 6.35 38.10
006E
225/70R19.5/14 B/S R250F 2 274.46 548.92
226B955
TIRE USER FEE — IN 2 .25 0.50
950L13
225/70R19.5/14 B/S M729F 4 302 . 95 1211.80
227BO23
TIRE USER FEE — IN 4 .25 1.00
950L13
MERCHANDISE: 1798.82
LABOR: 90.00
OTHER: 1.50
WORK ORDER TOTAL: 1890.32
THANK YOU FOR YOUR BUSINESS! ! ! !
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 _
if price will exceed S_.......... _........_-------..___ _..............._. _............_........._..._________ .
CUSTOMER SIGNATURE X—.--
3.1
!.__3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY:, .._._........._..__.__.__-. _
Do you want[he replaced parts you are entitled toy I AYES I I NO
ESTIMATED PRICE OF REPAIRS A tir ___....Name __.____....__-.__..._......__---....__..._