HomeMy WebLinkAbout301431 07/28/16 (2) y�•�4A+, CITY OF CARMEL, INDIANA VENDOR: 36 394
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*******801.00*
CARMEL, INDIANA 46032 27 0 SCHUYLER AVENUE CHECK NUMBER: 301431
9M„roN- •� LAFAYETTEIN 46905 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9100-45091 801.00 OTHER EXPENSES
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 7/23/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2016 910045094 801.00
I hereby certify that the attached invoice(s), or hill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 162123 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
910045094 01-6500-04 801.00
-7/1,11,,�,
Voucher Total 801.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
SHPN 77060001
POMP'S TIRE-LAFAYETTE INVOICE #: 910045094
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: 07/22/16 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 BC61RFH4415 Qu ntity 4
MERCHANDISE: 800.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 801.00
ON ACCOUNT A/R 801.00
COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
age 1
DPOMP'S TIRE SERVICE, INC. POMP!STIRE S SERVICE,
� / �- ATTN: AR DEPARTMENT
P.O. BOX 1630
*r1RE�:gsERu10E
<. GREEN BAY,WI 54305-1630
WORK ORDER #: 910045094
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: 07/18/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT "
MECHANIC' QUA T"ITY PRFCE 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 BC61RFH4415 Quantity 4
MERCHANDISE: 800.00
OTHER: 1.00
WORK ORDER TOTAL: 801.00
A finance charge of 1.5%per month 18°/APR will be added to the un aid 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 estiff ate 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
in case of fire,theft,accident,damage from freezing due to lack of antifreeze or any other causes beyond your control.
1.1 request an estimate in writing before you begin repairs. �._.
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;
"'" ESTI6IATED PRICE OF REPAIRS Name
n„,,,,,.�,���f 160,on1�rod mr�c vmi ara antitled Ing I IYFS I �NOA.M.