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Home My WebLink About328715 08/09/18 / CITY OF CARMEL, INDIANA VENDOR: 370797 ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******504.88* ,aa; CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 328715 M�roN LEBANON IN 46052 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830103055 504.88 OTHER EXPENSES VOUCHER NO. 182254 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor#366486 370 7?7 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER POMP'S TIRE ``C�� CITY OF CARMEL -�-� 8 �' `�0J rq- 57— An invoice or bill to be properly itemized must show: kind of service,where performed, GREEN BP W! Cd2A=, 1 6;9 ��rTr;•*r�� r�� dates service rendered, by whom, rates per day, number of hours,rate per hour, (1j q60:5,? numbers of units, price per unit, etc. Payee 504.88 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 830103055 01-6500-05 $504.88 and received except 7/25/2018 830103055 $504.88 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 SHPN577378311.TXT POMP'S TIRE-LEBANON INVOICE#: 830103055 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: DR1819230 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 07/18/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT245/70R17/10 TRANSFORCE AT2 4 125.97 503.88 F000186 TIRE USER FEE - IN 4 .25 1.00 Registration: serial VNP8TF21018 Quantity 2 Registration: Serial VNP8TFL2417 Quantity 2 * TIRES COMING FROM LAFAYETTE 7/9/18 P.M. CM 6475632000 TJ MERCHANDISE: 503.88 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 504.88 GOVERNMENT 504.88 **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 RPA CE ADDRESS POMP'S RESERVICE, N:C. POMP'S TIRE SERVICE, INC. o o� 91no ATTN: AR DEPARTMENT p P.O. BOX 1630 GREEN BAY, WI 54305-1630 TIRE SERVICE,INC. POMP'S TIRE—LEBANON WORK ORDER #: 830103055 1316 WEST SOUTH STREET ` PAGE: 1 LEBANON, IN 46052 765/482-4359 1 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: 07/09/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT MECHANTC QUANTITYPRICE - F';::E;.;T,. EXTENSION' LT245/70R17/10 TRANSFORCE AT2 4 125. 97 503.88 F000186 TIRE USER FEE — IN 4 .25 1.00 Registration: Serial Quantity 1 ** TIRES COMING FROM LAFAYETTE 7/9/18 P.M. MERCHANDISE: 503.88 OTHER: 1.00 OFFICE COPY WORK ORDER TOTAL: 504 .88 THANK YOU FOR YOUR BUSINESS! ! ! ! A finance charge of 1.590 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 mechanics 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 damage to vehicle or articles left in vehiclE 1.1 request an estimate in writing before you begin repairs, 1n 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 continuing CUSTOMER SIGNATURE -,Ja,_1 /r✓I if price will exceed $ 3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY: m_ MIA1AMPREFUREPAIRS _.