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Home My WebLink About320763 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 366480 j; ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****1,039.12* ?Q CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 320763 .yiroN. � PO BOX 1630 CHECK DATE: 01/11/18 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830092755 519.56 OTHER EXPENSES 601 5023990 830092860 519.56 OTHER EXPENSES VOUCHER NO. 173730 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 366480 IN SUM OF$ 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 $1,039.12 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 or bill(s)is(are)true and correct and that PO# ACCT# 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 830092755 01-6500-05 $519.56 and received except 12/28/2017 830092755 $519.56 830092860 01-6500-05 $519.56 12/28/2017 830092860 $519.56 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 SHPN577864766.TXT POMP'S TIRE-LEBANON INVOICE #: 830092755 1316 WEST SOUTH STREET LEBANON, IN 46052 PAGE: 1 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY JDC REF NUMBER: DR1586276 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: TRENT MORGAN SALESMAN: RODNEY RICHARDSON INVOICE DATE: 12/27/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT245/75R17/10 TRANSFORC AT2 OWL 4 129.64 518.56 F000184 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial DN43TF24617 Quantity 4 Emailed to TMORGAN@CARMEL.IN.GOV on 12/15/17 at 09:55:25. Document type: WRKO CM 6468494213 TJ MERCHANDISE: 518.56 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 519.56 GOVERNMENT 519.56 ***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 SHPN577864771.TXT POMP'S TIRE-LEBANON INVOICE #: 830092860 1316 WEST SOUTH STREET LEBANON, IN 46052 PAGE: 1 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY JGM REF NUMBER: DR1586282 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 12/27/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT245/75R17/10 TRANSFORC AT2 OWL 4 129.64 518.56 F000184 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial DN43TF24017 Quantity 3 Registration: Serial DN43TF23917 Quantity 1 Emailed to TMORGAN@CARMEL.IN.GOV on 12/15/17 at 09: 55:43. Document type: WRKO CM 6468493823 T7 MERCHANDISE: 518.56 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 519.56 GOVERNMENT 519.56 ***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 4REMITTANCE POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICES NC. a . ' ATTN;IAR DEPARTMENT; P.O. BOX 1630.:. ' VICF 0. GREEN BAY,W! 54305=1,630 WORK ORDER:#:.: :8:30092755 'POMP'S TIRE—:LEBANON 13:16 WEST SOUTH STREET: PAGE:: 1 –LEBANON, I:N 46052. 765/482-.4359 CUSTOMER: CITY OF CARMEL, WATER: OPER 3450 W 131ST STREET " 2266:. CARMEL- IN 46.074:. CREATED BY JDC .: . FAX NUMBER: 3177332053 BUSINESS: .317/733-2855 0 – SALESMAN: RODNEY :RICHARDSON .... WRK :ORD DATE: 12/12/17 : TERMS: 1 PMT DUE 10TH OF MON ATTR INV PRODUCT. MECHANIC QUANTITY.. PRICE F E..T. EXTENSI,;ON LT245/75R17/10 TRANSFORC AT2 OWL 4 12.9:.64 518.56 F000184 :: ps TIRE USER .FEE. = IN 4 .25 .' 1.::0.0: Registration: Serial ,DN43TF24617 Quantity 4 :: MERCHANDI"SE: .: 518:.56 OTHER: 1.:00: WORK ORDER TOTAL: 519.56 ***A COPY OF -THIS WORKORDER HAS BEEN EMAILED***-=- . .. THANK YOU FOR YOUR.BUSINESS! ! ! ! A finance charge of 1.5%per month.18%APR will be added toahe unpaid balance after 30 days, CUSTOMER ESTIMATE SELECTION I hereby authorize the.below repair work to be done along:vrilh necessary.materials.You and your employeesmay operate You are entitled to a price estimate for the repairs you have aulhotized.The repair price maybe less than the estimate but vehicle:for purposes of testing,'inspection or delivery at my risk.An express mechanics 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 beheld 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 anti-heeze or any other causes beyond your control. 2.Please proceed with repairs but call me before continuing if price will exceed " : CUSTOMER SIGNATURE X j—Y& 3.I do not want an estimate ADDITIONAL WORK AUTHORIZED BY! Do you want the replaced parts you are entilled to?❑YES ❑NO ESTMATED PRICE AFFAIRS AM. : Name -[]This vehicle received without face to face contact... DAA— T—IME P.M. N0.CALLED" NEW ESTI TE . 4 ` REMITTANCE ADDRESS: POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE, INC. ATTW AR'DEPARTMENT ® P.O. BOX-1630:..-- a .. .. .: IKEA ERVICEIN GREEN BAY, VVI 54305=1630 : WORK ORDER:4:,: 8:30092860 POMP'S TIRE-LEBANON 13:16 WEST SOUTH STREET: PAGE::: 1 : LEBANON, INA6052 765/482-4359 :_CUSTOMER: CITY OF CARMEL WATER: OPER 3450 W .131ST STREET 2266. . .CARMEL, IN 46074:. CREATED BY JGM FAX NUMBER: 3177332053 BUSINESS: 317/733,-2855 0; ; SALESMAN: RODNEY :RICHARDSON — WRK .ORD DATE: 12/14/17: : TERMS: 1 .PMT DUE 10TH OF :MON AFTR INV PRODUCT MECHANIC : QUANTITY i PRICE Fr:E.T EXTENSION `= LT245/75R17/10 TRANSFORC AT2 OWL 4 12.9:.64 518.56 F000184 :. TIRE USER FEE. - -IN 4 25 1..00: Registration: serial _DN43TF24017 Quantity 3 :; Registration: Serial 'DN43TF23917 Quantity 1 ' MERCHANDISE::' : 518:56: OTHER: 1.00 WORK ORDER TOTAL: -519.56 -- *:**A COPY OF THIS. WORKORDER HAS: BEEN EMAILED*:**:.-:. THANK YOU FOR YOUR:BUSINESS! ! ! ! ✓— �sU,s�-) - 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 wilh 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 mechanics 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 beheld responsible for loss or damagge to vehicle or articles left in vehicle " 1:I request 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 CUSTOMER SIGNATURE Xi, Zw - 3.I do:not want an estimate. ESTIMATED PRICE OF AEPAIRs ADDITIONAL WORK AUTHORIZED BY Do you want the replaced pals you are entitled to?DYES ❑ E NO EA M Name ElThis vehicle received without face to face contact. DATE rim P.M. N0.CALLED NEW ESTIMATE ..