HomeMy WebLinkAbout329502 08/30/18 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $********62.00*
:9 Via; CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 329502
Po BOX 1630 CHECK DATE: 08/30/18
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 930105251 62.00 OTHER EXPENSES
VOUCHER NO. 182542 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 366480 IN SUM OF$ 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
62.00 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
930105251 01-6500-05 $62.00 and received except 8/22/2018 930105251 $62.00
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
SHPN577469318.TXT
POMP'S TIRE-LEBANON INVOICE #: 830105251
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 7GM
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: RODNEY RICHARDSON
INVOICE DATE: 08/16/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
SCRAP TIRE DISPOSL/IND/SKIDSTR 2 6.00 12.00
IDISP
SCRAP TIRE DISPOSL/IND/SKIDSTR 2 25.00 50.00
IDISP
OTHER: 62.00
OFFICE COPY INVOICE TOTAL: 62.00
ON ACCOUNT A/R 62.00
***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 SERVICE,INC.
POMP'S TIRE—LEBANON WORK ORDER #: 830105251
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: 08/15/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
�+ MECHANIC
PROD `QUAN ITY � PRICEk F � T XTENSION
SCRAP TIRE DISPOSL/IND/SKIDSTR 2 6.00 12.00
IDISP
SCRAP TIRE DISPOSL/IND/SKIDSTR 2 25.00 50.00
IDISP
OTHER: 62.00
CUSTOMER COPY WORK ORDER TOTAL: 62.00
THANK YOU FOR YOUR BUSINESS! ! ! !
Printed Name Signature
LUG NUTS MUST BE RE—TORQUED AFTER 50-100 MILES.
*** DO NOT PAY FROM THIS WORK ORDER *** THIS IS NOT AN INVOICE ***
A'finance charge of 1.50/6 per month(18%APR)will be added to the:un aidbalance after 30 da
CUSTOMER ESTIMATE SELECTION I hereby authorize the below repair work to be done along with necessarymaledals.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$an 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 permission,YoursignalurI 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.I request an estimate in writing before you begin repairs;
in 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 X
if price will exceed "$
11 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY;.
ESTIMATED PRICE OF REPAIRS: A" Name