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Home My WebLink About328191 07/25/18 4�p�C�„Mf J/ .� CITY OF CARMEL, INDIANA VENDOR: 370797 ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*****1,492.96* ;� ;?� CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 328191 ',N,�TON`�. LEBANON IN 46052 CHECK DATE: 07/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830100833 235.68 OTHER EXPENSES 601 5023990 830101372 693.80 OTHER EXPENSES 2201 4232000 830102922 563.48 TIRES & TUBES VOUCHER NO. 182099 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 POMP'S TIRE Vendor# RE 1 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER 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 929.48 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 830100833 01-6500-07 $235.68 and received except 7/10/2018 830100833 $235.68 830101372 01-6500-07 $693.80 7/10/2018 830101372 $693.80 44 �/— 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 SHPN577345611.TXT POMP'S TIRE-LEBANON INVOICE #: 830101372 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 REF NUMBER: DR1754481 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 07/06/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- P235/70SR16 DESTINATION AT OWL 4 119.33 477.32 F026767 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial WB08DAZ4316 Quantity 1 Registration: Serial WB08DAZ4416 Quantity 3 235/70TR16/XL DESTINATION LE2 WL 2 107.49 214.98 F097759 TIRE USER FEE - IN 2 .25 0.50 Registration: Serial VN08DE24917 Quantity 1 Registration: Serial VN08DEZ5017 Quantity 1 CM 6474603264 TJ MERCHANDISE: 692.30 OTHER: 1.50 OFFICE COPY INVOICE TOTAL: 693.80 GOVERNMENT 693.80 ***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 5HPN577345577.TXT POMP'S TIRE-LEBANON INVOICE #: 830100833 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: DR1754480 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 07/06/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- P185/60TR15 CHAMP FUEL FIGHTER 4 58.67 234.68 F014791 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial NR Quantic 4 Emailed to jmiller@pompstire.com on 06/01/18 at 09:40:07. Document type: ESTM CM 6474319355 TJ MERCHANDISE: 234.68 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 235.68 GOVERNMENT 235.68 ***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 REP1t•T7A4NCEADDRESS: P.OMP'S TIRE SERVICE, INC. / \ POMP S TIRE SERVICE, INC. ATTN:AR DEPARTMENT P.O. BOX 1630 GREEN BAY; WI 54305=1630 TIRE SERVICE,INC. WORK ORDER #: 830101372 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: 06/11/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT. MECHANIC. QUANTITY PRZ'CE E' T "EXTENSION , P235/70SR16 DESTINATION AT OWL 4 119.33 477.32 F026767 TIRE USER FEE — IN 4 .25 1.00 Registration: Serial Quantity 1 235/70TR16/XL DESTINATION LE2 WL 2 107.49 214 . 98 F097759 TIRE USER FEE — IN 2 .25 0.50 Registration: Serial Quantity 1 MERCHANDISE: 692.30 OTHER: 1.50 OFFICE COPY WORK ORDER TOTAL: 693.80 THANK YOU FOR YOUR BUSINESS! ! ! ! jtj.4$ a A finance charge of 1.51/6 per month 18%APR)will be added to the un aid 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 authonzed..The'repair price may 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 witfiout.your Permission,Your signature will indicate your estimate'selecfidn. secure the.amount of repairs thereto,You will not be held responsible for loss or damage to vehicle orarticles left in vehicle in case of fire,theft,accident,damage from freezing due to lack of anti.freeze or any 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 if price will exceed $ 3.1 do not want an estimate. ADDITIONAL`WORK AUTHORIZED BY: nn vnn want the renla6ed Darts you are entitled to?1-1YESEINO ESTIMATED PRICE 11 REPAIRS A M Name REMITTANCE ADDRESS: POMP'S TIRE SERVICE, INCP O MP'S TIRE S E RV I E IN [;. . � P 0® ATTN:AR DEPARTMENT P.O. BOX 1630 GREEN BAY, WI 54305-1630 TIRE SERVICE,INC. ORK ORDER #: 830100833 POMP'S TIRE—LEBANON 1316 WEST SOUTH STREET AGE: 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: 06/04/18 TERMS: 1 PMT EUE 10TH DF MON AFTR INV PRODUCT MECHANIC QUANTITY PR3' ,E'' F. T,-. EXTENSION P185/60TR15 CHAMP FUEL FIGHTER 4 58 67 234 . 68 F014791 TIRE USER FEE — IN 4 25 1.00 Registration: Serial Quantity 1 MER HANDISE: 234 . 68 OTHER: 1.00 OFFICE COPY WORK ORDER TOTAL : 235. 68 THANK YOU .FOR YOUR BUSINESS! ! ! ! 5a A finance charge of 1.5%per month 18%APR)will be added to the unpaid balance after 30 da 3. CUSTOMER ESTIMATE SELECTION I hereby authorize the 6elow repair work to be doe 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 test ng,inspection or deli ery 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 repaii s 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,accede it,damage from freez ng due to lack of anti•f.reeze or any other causes beyond your control. 2.Please proceed with repairs but call me before continuing CUSTOMER SIGN URE X if price will exceed $ 3.I o ou want h estimate. ADDITIONAL WORK, U "XA. . BY: Do you want the replaced Darts You are entitled to?[]YES []NO ESTIMATED PRICE OF REPAIRS A M Name VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370797 IN SUM OF$ CITY OF CARMEL POMP'S TIRE- LEBANON 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 $563.48 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 830102922 42-320.00 $563.48 1 hereby certify that the attached invoice(s),or 7/19/18 830102922 $563.48 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 Monday,July 23,2018 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 SHPN577381829.TXT POMP'S TIRE-LEBANON INVOICE #: 830102922 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 REF NUMBER: DR1819229 FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 07/19/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT235/85R16/10 DURAVIS 8500 HD 4 140.62 562.48 B191843 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial EH9JHDL0517 Quantity 4 CM 6475892594 TJ MERCHANDISE: 562.48 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 563.48 GOVERNMENT 563.48 ***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