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HomeMy WebLinkAbout319531 12/12/17 (Cqq CITY OF CARMEL, INDIANA VENDOR: 366480 .�; � ¢1•: ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT:? $*******832.12*q CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 319531 9 PD BOX 1630 CHECK DATE: 12/12/17 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830087800 832.12 OTHER EXPENSES VOUCHER NO. 173506 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 366480 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER Pomp's Tire CITY OF CARMEL PO BOX 1630 An invoice or bill to be properly itemized must show: kind of service,where performed, GREEN BAY, WI 54305-1630 dates service rendered, by whom, rates per day,number of hours, rate per hour, numbers of units, price per unit,etc. Payee 832.12 366480 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR Pomp's Tire Terms Carmel Water Utility PO BOX 1630 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), GREEN BAY, WI 54305-1630 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 830087800 01-6500-05 $832,12 and received except 11/30/2017 830087800 $832.12 � l 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer SHPN577812909.TXT POMP'S TIRE-LEBANON INVOICE #: 830087800 1316 WEST SOUTH STREET LEBANON, IN 46052 PAGE: 1 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: TRENT 2266 3450 w 131ST STREET 765/413/9412 CARMEL, IN 46074 CREATED BY JGM REF NUMBER: DR1692270 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: GOV VEHICLE: TRAILER #14 SALESMAN: RODNEY RICHARDSON MILEAGE: 1 INVOICE DATE: 11/28/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT235/85R16/10 DURAVIS 8238 4 208.03 832.12 B002044 Registration: Serial Y70RJPP1417 Quantity 4 CM#6467218518 DJS MERCHANDISE: 832.12 OFFICE COPY INVOICE TOTAL: 832.12 GOVERNMENT 832.12 ***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 SERVICES INC. POMP'ISTIRESE SERVICE, .fit: 'y" " ATTN: AR DEPARTMENT P.O. BOX 1630 -=;4_ RE; ERUICE�',,t'r-t GREEN BAY. WI 54305-1630 POMP'S TIRE—LEBANON WORK ORDER #: 830087800 , 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER:, CITY OF CARMEL WATER OPER SHIP TO: TRENT 3450 W 131ST STREET 765/413/9412 2266 . CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 VEHICLE: TRAILER #14 SALESMAN: 'HOUSE—LAFAYETTE WRK ORD DATE: 08/22/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION LT235/85R16/10 DURAVIS R238 4 208.03 832.12 B002044 Registration: Serial Quantity 1 MERCHANDISE: 832.12 . WORK ORDER TOTAL: 832.12 THANK YOU FOR YOUR BUSINESS! ! ! ! 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 he 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 ordamage 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 S._ CUSTOMER SIGNATURE X �'._._._ __._._..._...........__.._._._....._..._.....