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Home My WebLink About320900 01/17/18 CITY OF CARMEL, INDIANA VENDOR: 366394 ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*******424.28* CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 320900 ;.�uH�o.y• LAFAYETTE IN 46905 CHECK DATE: 01/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830090937 424.28 OTHER EXPENSES VOUCHER NO. 173829 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 3 36�311 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER Pomp's Tire �1 CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, EiR -16' dates service rendered, by whom, rates per day, number of hours, rate per hour, Y numbers of units, price per unit,etc. Payee 424.28 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 830090937 01-6500-05 . $424.28 and received except 12/29/2017 830090937 $424.28 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 SHPN577890861.TXT POMP'S TIRE-LEBANON INVOICE #: . 830090937 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 317/733/2053 FAX # CARMEL, IN 46074 CREATED BY JH REF NUMBER: DR1586269 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 01/11/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION --------------: DESTINATION LE2 WL 4 105.82 423.28 F140378 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial NR Quantity4 Emailed to imiller@pompstire.com on 10/31/1at 10:51:29. Document type: WRKO CM#6468972898 DJs MERCHANDISE: 423.28 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 424.28 GOVERNMENT 424.28 ''`**A COPY OF THIS INVOICE HAS BEEN EMAILED** THANK YOU FOR YOUR BUSINESSM ! ! Printed Name signature . LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 Oct 31 2017 11:52AM HP FaxPomps 7654829828 page 1 I - REMITTANCE ADDRESS: POMP'S TIRE SERVICE, INC POMP'S TIRE SERVICE. INC. M++�� ATTN: AR DEPARTMENT T11REAS ER lEE P.O. BOX 1630 GREEN BAY,WI 54305-1630 POlv1P'S TIRE-LEBANON WORK ORDER #: 830090937 1316 WEST SOUT3 STREET '— 1 LEBANON, IN 46052 PAGE: 765/482-4359 CUSTCMER: CITY OF CARMEL WATER OPER SHIP TO: TRENT 3450 W 131ST STREET 317/733/2053 FAX # 2266 CARMEL, IN 46074 CREATED BY JGM FAX NUMBER. 317733205') BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON WRK ORD DATE; 10/31/17 TERMS: 1 PMT DUE 10TH OF .MON AFTR INV ODUE -.... .. .. ..... ... .....:.. - ,...:.:.:. .,.:..,>::::,....::fid.:: _ 235/75TR16/XL DESTINATION LE2 WL 4 105.62 423.28 P140378 TIRE USER FEE- - IN 4 25 1.00 Registration: Serial Quantity 1 MERCHANDISE: 423.28 OTHER: 1. 00 WORK ORDER TOTAL: 424.28 ***A COPY OF THIS WORKORDER HAS BEEN EMAILED*** THANK YOU FOR YOUR BUSINESS! ! ! ! A finance charge of 1.5;1e per month18;f APR will be added to the unpaid balance after 30 days. CUSTOMER ESTIMATE SELECTION " I hereby suNrze the below repair wak to be done along with necessary materials.You and your emp�yees may operate You are enlRedto a price esf mase for—ft repairs you have authorized.The repair price may be less than the estimate but YOU for purposes of lesting,inspection or delivery at my risk.An express rnechanlc's Gens ackrwwledged on vehicle to All not exceed the estimate without your permission.Your signature YA irdatE your astimale seleCtion. secure the am-oval of repairs thereto.Yea will not be held responsible forloss or damage to vehicle or articles left in vehicle I.I request an,es-imale rc wailing before you begin repairs. in case or fro,Melt,accidea nt,damage from freezing due to lack of ant4deze -any olAercauses beyond your control. 2.Pease placeec with reairs but call me before continuing if pricewilloceed s . CUSTOMER SIGNATURE 3.1 do not want an estimate. —__E —_ ADDITIONAL WORK AUTHORIZED W you want the repbrad parts you are eotitled 0.LYES L hd0 srr>F?arPac Di aEPAtRS ._________— AM Nage PATE.... — —_ ih1E..._..... P.Z This vehicle raceved vrB!rout!ace 10 face ronlad -�----"Nc.cataEo — _p.EWt'UN tIT