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Home My WebLink About301752 08/08/16 CITY OF CARMEL, INDIANA VENDOR: 370797 ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*****1,727.12* s. r� CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 301752 9y��oN LEBANON IN 46052 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830068498 176.46 OTHER EXPENSES 1120 4351000 830068860 1,550.66 AUTO REPAIR & MAINTEN I VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) POMP'S TIRE- LEBANON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1316 W SOUTH STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LEBANON, IN 46052 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,550.66 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 830068860 43-510.00 $1,550.66 1 hereby certify that the attached invoice(s),or 7/25/16 830068860 341 $1,550.66 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 25,2016 David Haboush Fire Chief 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer SHPN577059322 POMP'S TIRE-LEBANON INVOICE #: 830068860 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 CFM REF NUMBER: DR043436 FAX NUMBER: 317-571-2615 BUSINESS: 317/571-2600 0 PO NUMBER: GOV VEHICLE: UNIT #341 SALESMAN: SHANE RUMMEL MILEAGE: 46175 INVOICE DATE: 07/22/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 315/80R22.5/20 GDYR G289 WHA 2 655.58 1311.16 7566141613 TIRE USER FEE - IN 2 .25 0.50 950L13 Registration: Serial M372WHAW2116 Quantity 1 Registration: Serial MJ72WHAW3116 Quantity 1 ROAD SERVICE - REGULAR 8301 2.00 85.00 170.00 RS 2 CIVIC SQUARE CARMEL IN STANDARD BRASS TRUCK VALVE 2 7.50 15.00 TVALV 12 OZ BAG EQUAL TYPE A 40/CASE 2 18.00 36.00 012E TRUCK REJECT AND SCRAP CHARGE 2 9.00 18.00 TDISP CM#75786610 DJS FET ONLY MERCHANDISE: 1362.16 LABOR: 170.00 OTHER: 18.50 OFFICE COPY INVOICE TOTAL: 1550.66 GOVERNMENT 1550.66 **A COPY OF THIS INVOICE HAS BEEN EMAILED** THANK YOU FOR YOUR BUSINESS M ! Page 1 I i VOUCHER # 162221 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 830068498 01-6500-07 176.46 Voucher Total 176.46 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 7/30/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/30/2016 830068498 176.46 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 SHPN577065151 POMP'S TIRE-LEBANON INVOICE #: 830068498 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY MT REF NUMBER: DR1344584 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: GOV SALESMAN: SHANE RUMMEL INVOICE DATE: 07/26/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV --------------------------------------;---------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- P225/70TR15 DEST LE2 WL 2 87.98 175.96 140F344 TIRE USER FEE - IN 2 .25 0.50 950L13 Registration: Serial w2UUDE15215 Quantity 2 BSCM# 6449316623 Pv MERCHANDISE: 175.96 OTHER: 0.50 OFFICE COPY INVOICE TOTAL: 176.46 GOVERNMENT 176.46 ***A COPY OF THIS INVOICE HAS BEEN EMAILED" THANK YOU FOR YOUR BUSINESS! ! ! ! Printed Name signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 POMP'S TIRE SERVICE INC. REMITTANCE SERVICE, IN � POMP'S TIRE SERVICE, INC. ATTN: AR DEPARTMENT P.O. BOX 1630 lx1RE'aS6RuIC M51 GREEN BAY, WI 54305-1630 WORK ORDER #; 830068498 POMP'S TIRE-LEBANON 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN. 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY MT REF NUMBER: GOV FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: SHANE RUMMEL WRK ORD DATE: 07/13/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANIC ,QUANTITY PRICE,. F.E.T.'' 'EXTENSION P225/70TR15 DEST LE2 WL 2 87.98 175.96 140F344 TIRE USER FEE - IN 2 .25 0.50 950L13 Registration: Serial W2WDE15215 Quantity 2 MERCHANDISE: 175.96 OTHER: 0.50 WORK ORDER TOTAL: 176.46 THANK YOU FOR YOUR BUSINESS! ! ! ! �k+A \ J A finance charge of 1.5%per month 16%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 ................................. _..._.__....----..._........__ CUSTOMER SIGNATURE Do you want the es laced arts you are entitled lo? YES NO ADDITIONAL WORK AUTHORIZED BY:_...__ 3.I do not want an estimate. ESTIMATED PRICE OF REPAIRS A M Name _Y P P Y U U