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Home My WebLink About321773 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 366480 a° zj ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $****'**921.49' i.. a CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 321773 PO BOX 1630 CHECK DATE: 02/13/18 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER, AMOUNT DESCRIPTION 601 5023990 830093879 401.93 OTHER EXPENSES 601 5023990 830094251 519.56 OTHER EXPENSES VOUCHER NO. 174008 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 366480 IN SUM OF$ 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 401.93 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 830093879 01-6500-05 $401.93 and received except 1/24/2018 830093879 $401.93 I ,QcY� 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 SHPN577915911.TXT POMP'S TIRE-LEBANON INVOICE #: 830093879 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 2266 CARMEL, IN 46074 CREATED BY JGM REF NUMBER: DR1586283 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 01/23/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ----------------------------------------------------------------------- 225/70R19.5/14 B/S M729F 1 337.18 337.18 B227023 TIRE USER FEE - IN 1 .25 0.25 TRK DISMOUNT&MOUNT ON UNIT/SHP 8301 1 30.00 30.00 TDMS STANDARD BRASS TRUCK VALVE 1 7. 50 7.50 TVALV TRUCK REJECT AND SCRAP CHARGE 1 9.00 9.00 TDISP TRUCK SPIN BALANCE 8341 1.00 18.00 18.00 TBAL CM 6469268947 TJ MERCHANDISE: 344.68 LABOR: 48.00 OTHER: 9.25 OFFICE COPY INVOICE TOTAL: 401.93 GOVERNMENT 401.93 ***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 REMITTANCE ADDRESS: 'OMP'S TIRE SERVICE, INC. P OM P'S TIRE SERVICE INC. 0 0� ATTN: AR DEPARTMENT \ / P.O. BOX 1630 TIRE SERVICE.INC. GREEN BAY, WI 54305-1630 WORK ORDER #: 830093879 POMP'S TIRE—LEBANON 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 2266 CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON WRK ORD DATE: 01/11/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV v' PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION 225/70819.5/14 B/S M729F 1 337.18 337.18 B227023 TIRE .USER FEE - IN 1 .25 0.25 TRK DI1.SMOUNT&MOUNT ON UNIT/SHP 1 30.00 30.00 TDMS STANDARD BRASS TRUCK VALVE 1 7.50 7.50 TVALV TRUCK REJECT AND SCRAP CHARGE 1 9.00 9.00 TDISP TRUCK SPIN BALANCE 1.00 18.00 18.00 TBAL MERCHANDISE: 344.68 LABOR: 48.00 OTHER: 9.25 WORK ORDER TOTAL: 401.93 THANK YOU FOR YOUR BUSINESS! ! ! ! 7a 4"'70 C,t��sfJ A finance char a 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 withoul 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 anti-freeze or any other causes beyond your control. .. ......... 2.Please proceed with repairs but call me before continuing3 3�,°L= — __,___•—._ ifprice all exceed S_...___..__.__..—...,-----. ...---------._........-._._..--.._---- CUSTOMER SIGNATURE X 7—_ -- -..--- ----- 3.1 do not want an estimate. — ADDITIONAL WORK AUTHORIZED BY:....,•.............................................. _........ _. ESTIMATED PRICE OF REPAIRS A11. name VOUCHER NO. 174082 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 519.56 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 830094251 01-6500-05 $519.56 and received except 2/1/2018 830094251 $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. ZO_ Clerk-Treasurer SHPN577934803.TXT POMP'S TIRE-LEBANON INVOICE #: 830094251 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: DR1586264 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 01/31/18 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 VN43TF25217 Quantity 4 CM#6469756464 DJS 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! ! ! ! Printed Name signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 POMP'ISTIRESERVICE, INC. POMP'S TIRE SERVICEI,INC. 0 0� ATTN: AR DEPARTMENT P.O. BOX 1630 \✓� o GREEN-BAY, WI 54305-1630 TIRE SERVICE,INC. WORK ORDER #: 830094251 POMP'S TIRE-LEBANON 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 JGM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON WRK ORD DATE: 01/22/18 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 Quantity 1 MERCHANDISE: 518.56 OTHER: 1.00 WORK ORDER TOTAL: 519.56 THANK YOU FOR YOUR BUSINESS!! ! ! i (QS(� �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 viith necessary materials.You and your employees may opera 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.r,n express mechanics lien is acknowledged on vehicle 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 veh 1.I request an estimate in writing before you begin repai s. _ • in case of fire,theft,accident,damage from freezing due to lack of a0-freeze or any other causes beyond your control. _.__.._...— --......__...._....:._ 2.Please proceed with repairs but call me before continuing if price will exceed S.._..._ ..__.... . ....._._ . _ ........................._ 1<�_____-7 v�_ '- '< 5�r'r- :..-.•._..._.__..._.__._. _...... . .._..... .......... .....--.. ...__._. CUSTOMER SIGNATURE X�'_- _ _