308636 02/28/17 �or.c�gMA
CITY OF CARMEL, INDIANA VENDOR: 370797 CHECK AMOUNT: $.......281.00
ONE CIVIC SQUARE POMP'S TIRE-LEBANON
CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 308636
9M�TON, .
LEBANON IN 46052 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830078372 281.00 OTHER EXPENSES
VOUCHER # 164090 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
830078372 01-6500-05 281.00
Voucher Total 281.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
SHPN577349131.TXT
POMP'S TIRE-LEBANON INVOICE #: 830078372
1316 WEST SOUTH STREET
LEBANON, IN 46052 PAGE: 1
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO:
3450 W 131ST STREET DELIVERED VIA SHANE
2266 2/7/17
CARMEL, IN
46074
CREATED BY 7H
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: SHANE RUMMEL
INVOICE DATE: 02/10/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
ST225/75R15/10 TOWMAX STR II 4 70.00 280.00
MAXC53T
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial ADB4TBST4216 Quantity 3
Registration: Serial ADB4TBST3516 Quantity 1
MERCHANDISE: 280.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 281.00
ON ACCOUNT A/R 281.00
°*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
WIN7 REMITTANCE ADDRESS:
R
POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE, INC.
r/, J ATTN: AR DEPARTMENT
�777P.O. BOX 1630
—B.`TIREaSFRVICE --u GREEN BAY, WI 54305-1630
POMP'S TIRE—LEBANON WORK ORDER #: 830078372
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 JH
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: SHANE RUMMEL
WRK ORD DATE: 02/07/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCTMECHANIC QUANTITY PRICE F.E.T. . ''EXTENSION
ST225/75R15/10 TOWMAX STR II 4 70.00 '280.00
MAXC53T
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial ADB4TBST4216 Quantity 3
Registration: Serial ADB4TBST3516 Quantity 1
MERCHANDISE: 280.00
OTHER: 1.00
WORK ORDER TOTAL: 281.00
THANK YOU FOR YOUR BUSINESS! ! ! !
X,
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
CUSTOMER SIGNATURE
if price will exceed S
3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED
n_.._......._ «._.,..,i,,,,..a .,,, ,n a �I IV I"`1 hin ESTINIATEO PRICE OF REPAIRS