HomeMy WebLinkAbout312496 6/13/2017 CITY OF CARMEL, INDIANA VENDOR: 366480 CHECK AMOUNT: $*******408.68*
ONE CIVIC SQUARE POMP'S TIRE
Q
CARMEL, INDIANA 46032 ATTN: R630ARTMENT CHECK NUMBER: 312496
Po GREEN BAY WI 54305-1630 CHECK DATE: 06/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910058364 408.68 OTHER EXPENSES
E
72
L..
1 MM0
W
4 1
}7
'i U-
O a)
o 2 v
a U r
W Dco
—
Z ~
¢ Q
co 0o
co cD
I- o aD
H O Z
Z =
z O
OQ
O — o =
¢ CD D �
LO 0 in c
CO Cl) ` LO
a I- o t
O IT d ULO 70N
U- Q o
r 0 t N >
N Q D cq> co
o g c
W 1— m O z o >
2 O (j) XZ U u m
SHPN577490656.TXT
POMP'S TIRE-LAFAYETTE INVOICE #: 910058364
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: GOV
3450 W 131ST STREET DELIVER VIA SHANE R
2266
CARMEL, IN
46074
CREATED BY Sc
REF NUMBER: DR1594822
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: SHANE RUMMEL
INVOICE DATE: 05/22/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
235/70TR17/XL DESTINATION LE2 WL 4 101.92 407.68
097F776
TIRE USER FEE - IN 4 .25 1.00
Registration: serial VNOCDE10815 Quantity 4
GOV-BFS-7130
CM 6460135284 T7
MERCHANDISE: 407.68
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 408.68
GOVERNMENT 408.68
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
TTANCE
`9 PIMP'S TIRE SERVICE, INC. POMP!STIRE S RVICESNC.
^"
LIP
ATTN: AR DEPARTMENT
T1RE45ERV►CE P.O. BOX 5430
�xr x GREEN BAY. WI 54305-ti630
POMP'S TIRE-LAFAYETTE WORK ORDER #: 910058364
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: GOV
3450 W 131ST STREET DELIVER VIA SHANE R
2266
CARMEL, IN
46074
CREATED BY SC
REF NUMBER: DR1594822
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: SHANE RUMMEL
WRK ORD DATE: 05/15/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
235/70TR17/XL DESTINATION LE2 WL 4 101.92 407.68
097F776
TIRE USER FEE - IN 4 .25 1.00
Registration: Serial VNOCDE10815 Quantity 4
GOV-BFS-7130
MERCHANDISE: 407.68
OTHER: 1.00
WORK ORDER TOTAL: 408.68
DELIVERED MAY 2 6 201
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 i 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 X
it price will exceed S _ ... �.JR,,.�__. ,���_.. _................._ ._... ..___.........
3 i do not want an estimate — — ADDITIONAL WORK AUTHORIZED BY:.
Do you want the replaced parts you are entitled to?L]YES J ESTIMATED PRICE OF REPAIRS "" '� �"NO a M Name
R4TF 61F„ Phi un reg [n