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Home My WebLink About326388 06/15/18 �w..4�gM CITY OF CARMEL, INDIANA VENDOR: 370797 �/ \ ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******555.00* 9 �a�: CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 326388 �y��raN�. LEBANON IN 46052 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830100463 232.50 OTHER EXPENSES 2201 4232000 830101046 322.50 TIRES & TUBES VOUCHER NO. 181797 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 366480 ` IN SUM OF$ ACCOUNTS PAYABLE VOUCHER POMP'S TIRE Lie CITY OF CARMEL. f 0-" (316 14 5U-9� 57— An invoice or bill to be properly itemized must show: kind of service,where performed, GREEN-BA-Y, REE � Q,,., Wf 54385-4639 3 5 ,639 dates service rendered, by whom, rates per day,number of hours, rate per hour, vr�L-�rr�v,,rc_rr vvi �-t.JVTsc,�tT tA6 IPJ 4#605 Z numbers of units, price per unit,etc. Payee 232.50 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 830100463 01-6500-05 $232.50 and received except 6/6/2018 830100463 $232.50 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 SHPN577257074.TXT POMP'S TIRE-LEBANON INVOICE #: 830100463 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 MET REF NUMBER: DR1754479 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: GOV SALESMAN: RODNEY RICHARDSON INVOICE DATE: 06/05/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT225/75R16/10 TRANSFORCE HT 2 116.00 '232.00 F189752 TIRE USER FEE - IN 2 .25 0.50 Registration: Serial VNlLTH30618 Quantity 2 CM 6474063192 T] MERCHANDISE: 232.00 . OTHER: 0.50 OFFICE COPY INVOICE TOTAL: 232.50 GOVERNMENT 232.50 ***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: M P'S TIRE SERVICE INC. . POMP'S TIRE SERVICE, ING. PO ATTN:AR DEPARTMENT P.O. BOX 1630 � TIRE SERVICE,INC. GREEN BAY; WI 54305=1630 WORK ORDER #: 830100463 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 MET FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 PO NUMBER: GOV SALESMAN: RODNEY RICHARDSON WRK ORD DATE: 05/30/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV 71 PRQDUCT'; MECHANICUANrTY FRCS Fs"uE° T > $EXTENSION' LT225/75R16/10 TRANSFORCE HT 2 116.00 232.00 F189752 TIRE USER FEE — IN 2 .25 0.50 Registration: Serial VNlLTH30618 Quantity 2 MERCHANDISE: 232.00 OTHER: 0.50 CUSTOMER COPY WORK ORDER TOTAL: 232.50 THANK YOU FOR YOUR BUSINESS! ! ! ! j � A finance char a of 1.5°b per month 18%APR will be added to the:un aid'balance after 30 da CUSTOMER ESTIMATE'SELECTION I hereby authorizeahe.below repair work to be done along wifh:necessary:materials.You and your employees may operate r entitled to a`rice estimaie for lh'ete ails you have authorized,The repair may be less than the estimate but vehicle for purposes of testing,inspection or;delivery,at my risk,An express mechan 'slieno is:a le o ledged on les left en vehihicle cle You are e p. t p, y. secure the amountof repairs thereto,You not be held responsible for loss or damegg will not exceed the estimate without your permission.Yuur signature will indicate your estimate selection. incase.of fire,theft.ac idem;damage from freezing;due to lack of antl freeze orany other causes beyond your control. 1..1 request an estimate in writing before you begin repairs. 2..Please proceed with repairs but call me before continuing CUSTOMER SIGNATURE X: if price will exceed $ 3,1 do not want an`est'imate. n -,m�asltie�enlocad nadc Onu LNO E OREPAIRS ADDITIONACWORKAUTHORIZED BY. Name diaantfiddlo7—IYEA M —__.— VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370797 POMP'S TIRE- LEBANON IN SUM OF$ CITY OF CARMEL 1316 W SOUTH STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. LEBANON, IN 46052 Payee $322.50 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 830101046 42-320.00 $322.50 1 hereby certify that the attached invoice(s),or 6/6/18 830101046 $322.50 2201 2201 2201 2201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,June 12,2018 Huffman, Dave Director 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer SHPN577259669.TXT POMP'S TIRE-LEBANON INVOICE #: 830101046 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL STREET DEP 3400 W 131ST STREET 2264 CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 VEHICLE: TWO MOWERS SALESMAN: RODNEY RICHARDSON MILEAGE: 111 INVOICE DATE: 06/06/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- ROAD SERVICE - REGULAR 8341 2.00 95.00 190.00 RS TRUCK SUPPLIES 2 5.00 10.00 FUEL PRICE SURCHARGE 2 10.00 20.00 REPAIR 1 AND INSTALL SEALANT IN 4 TOTAL (10 PUMPS EACH) PRIMA PLUS PLUG 1 2.50 2.50 SUPL TEXAS REFINERY TIRESEAL/PUMP 40 2.50 100.00 TEXASSEAL MERCHANDISE: 112.50 LABOR: 190.00 OTHER:" 20.00 OFFICE COPY INVOICE TOTAL: 322.50 ON ACCOUNT A/R 322.50 ***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