HomeMy WebLinkAbout304108 10/10/16 V's�q,, CITY OF CARMEL, INDIANA VENDOR: 370797
`� CHECK AMOUNT: $****'***83.44'
."® r ONE CIVIC SQUARE POMP'S TIRE-LEBANON
s. ,=Q CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 304108
+M; LEBANON IN 46052 CHECK DATE: 10/10/16
�roN�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830071903 83.44 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
POMPS TIRE- 'L q�jpN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
27oCHUY AVENUE 1'3L (P WEST IN SUM OF$ CITY OF CARMEL
ST
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
AYE TE, I N 46905 4LOO501 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$83.44 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
830071903 42-320.00 $83.44 1 hereby certify that the attached invoice(s),or 9/28/16 830071903 $83.44
2201 201 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
Tuesday, October 04,2016
Dave Huffman
Director
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
SHPN577159732.TXT
POMP'S TIRE-LEBANON INVOICE #: 830071903
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY JM
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: SHANE RUMMEL
INVOICE DATE: 09/28/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
15x8 GKN WHEEL 6-6-4.62 1 53.44 53.44
W50334P10
INDUSTRIAL DISMOUNT/MOUNT SHOP 8338 1.00 30.00 30.00
IDMS
MERCHANDISE: 53.44
LABOR: 30.00
OFFICE COPY INVOICE TOTAL: 83.44
ON ACCOUNT A/R 83.44
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS M !
Printed Name signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
NCE
POMP'S TIRE SERVICE INC. POMP'ISTIARESERVICESN:C
ATTN: AR DEPARTMENT
�r ,:_ ,.:.,,.: P.O. BOX 1630
/(�R ;*SE VICT k» GREEN BAY: WI 54305-1630
WORK ORDER #: 830071903
POMP'S- TIRE—LEBANON
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP �/612,-t
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREAC: 317/733-2001
JM ��'f—•
FAX
BUSI 0SALEANE RUMMEL
WRK 09/19/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
1,5X8 GKN WHEEL 6-6-4.62 1 53 .44 53.44
W50334P10
INDUSTRIAL DISMOUNT/MOUNT SHOP 1.00 30.00 30.00
IDMS '
MERCHANDISE:`, 'IM ";-i:, ,53:44
LABOR: ~.. ;30:00
WORK ORDER TOTAL: 83,.44 ,,
THANK YOU FOR YOUR BUSINESS! ! ! !
A finance charge of 1.5%per month 18%APR will be added to the unpaid balance after 38 days.
CUSTOMER ESTIMATE SELECTION - I hereby authorize the Wovr repair work to be done along Mh 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 vehiclr
1.1 request an estimate in writing before you begin repairs. in case of fife,(heft,accident,damage from freezing due to lack of anti-freeze or any other causes beyond your control.
2.Please proceed with repairs but call me before continuing
CUSTOMERSIGNATURE .............._._..w.__.._..............._...__._....._.________.__...__.....________.__._
ifprice will exceed S..__.._ _ .............................._.. .... ...._............_................--.-_.._..._.___........_.
3.f do not want an estimate. ADDITIONAL WORK AUTHORIZED BY:
ru, .,.., f 16, .,,,,1•,r A.,...1,...,, r,F a (M t VC 1 x n ESTIMTED PRICE OF REPAIRS _. _____..__....__....,.___...____ .._.__..__..._.___..__..__._.__._•__.... .__