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Home My WebLink About323844 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 366480 ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******519:56*d _ f ?� CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 323844 PO BOX 1630 CHECK DATE: 04/06/18 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_ 601 5023990 830096565 519.56 OTHER EXPENSES c.. VOUCHER NO. 181229 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 366480 IN SUM OF$ 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 Utilitv 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 830096565 01-6500-05 $519.56 and received except 3/30/2018 830096565 $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 SHPN577074855.TXT POMP'S TIRE-LEBANON INVOICE #: 830096565 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 JH REF NUMBER: DR1754459 FAX NUMBER: 3177332053 BUSINESS:. 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 03/30/18 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 VN43TF25317 Quantity 3 Registration: Serial VN43TF25017 Quantity 1 Emailed to TMORGAN@CARMEL.IN.GOV on 03/23/18 at. 07:28:14. Document type: WRKO CM#6471696924 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 M ! Printed Name signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 REMITTANCE ADDRESS:. POMP':S TIRE SERVICE, INC.- POMP :S TIRE SERVICE-, INC. ATTN:AR DEPARTMENT P.O. BOX 1630 \✓�. . .. GREEN_BAY,WI 54305-1630 TIRE ER.VrcE,INC. WORK ORDER #: 83D096565 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 JH FAX NUMBER: 3177332053 BUSINESS: :317/733.-2855 0; SALESMAN_ : RODNEY RICHARDSON WRK ORD -DATE: 03/22/18 TERMS: 1 .PMT. DUE 10TH OF .MON AFTR INV PRODUCT MECHANIC QUANT,3TY 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: SerialQuantity 1 : Registration: Serial Quantity 1 Registration: Serial Quantity 1 Registration.: Serial Quantity 1 MERCHANDISE: 518.56 OTHER: 1:00 :OFFICE COPY WORK ORDER TOTAL:' 519:56. ***A COPY OF THIS WORKORDER HAS BEEN EMAILED*** THANK YOU. FOR YOUR BUSINESS! ! ! ! f� A finance charge of 11,%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 with necessary materials,You and youremployees;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 damagge to vehicle or articles left in vehicle I s I 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 odder causes beyond your control,. 2.Please proceed with repairs but call me before continuing CUSTOMER SIGNATURE X if price will exceed$.. : `y.`"`a� 3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY: .. Do you want the replaced parts you are entitled to?❑YES ❑NO ESTIMATED PRICE OF REPAIRS - ❑This vehicle received without face to face contact. $ DAA TIDE A.M.P.M. NO.CALLED" Name NEWEST t iE"..