HomeMy WebLinkAbout305263 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 366394
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*******361.00*
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 305263
LAFAYETTE IN 46905 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910049977 361.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) .
POMPS TIRE-LAFAYETTE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2700 SCHUYLER AVENUE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LAFAYETTE, IN 46905 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$361.00 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
910049977 42-320.00 $361.00 I hereby certify that the attached invoice(s),or 11/4/16 910049977 $361.00
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, November 08, 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
SHPN577220221.TXT
POMP'S TIRE-LAFAYETTE INVOICE #: 910049977
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY RNR
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: SHANE RUMMEL
INVOICE DATE: 11/04/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
25/11-12/3* CARLISLE AT489 4 90.00 360.00
589C351
TIRE USER FEE - IN 4 .25 1.00
950L13
MERCHANDISE: 360.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 361.00
ON ACCOUNT A/R 361.00
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
REMTTANCE
POMP'S TIRE SERVICE, INC. POMP'STIRE SERVICE,INC.
ATTN: AR DEPARTMENT
P.O. BOX 1630
{IRESERUICEf-r:x; GREEN BAY,WI 54305-1630
WORK ORDER #: 910049977
POMP'S TIRE-LAFAYETTE
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY RNR
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: SHANE RUMMEL
WRK ORD DATE: 11/03/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
"PRODr7CT.: MECHANIC;`QUANTITY PRTGE E T EXTENSION
25/11-12/3* CARLISLE AT489 4 90.00 360.00
589C351
TIRE USER FEE - IN 4 .25 1.00
950L13
MERCHANDISE: 360.00
OTHER: 1.00
WORK ORDER TOTAL: 361.00
A finance charge of 1.5%per month 18%APR will be added to the un aid balance after 30 da s,
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 entified to a price estimate for the repairs you have authorized.The repair price may be less than the estimate but vehiced on vehicle to
securle the e for amount of repairs toses of hereto.You will nection or ot be held at responsible risk.An for loss or dss amage to vehicle oen is rlaalcles left in vehicle
will not exceed the estimate without your permission.Your signature will indicate your estimate selection. in case of tire,theft,accident,damage from freezing due to lack of anii•freeze 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
ifprice will exceed S._._......_._.......................__..._ ................. -.....__...—_.—...._.__...—--...—...__......_...
3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY: _�__,._W __.__....�
nn iinu want tha ranInrad warts vwu are entitled lo?1 YES I NO ESTIMATED PRICE OF REPAIRS Name
A M