HomeMy WebLinkAbout330197 09/19/18 �� CITY OF CARMEL, INDIANA VENDOR: 370797
® ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*****5,389.28*
s. j=a: CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 330197
9M,�'roi+'�. LEBANON IN 46052 CHECK DATE: 09/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830101996 1,868.00 TIRES & TUBES
601 5023990 830104674 2,987.04 OTHER EXPENSES
601 5023990 830105283 534.24 OTHER EXPENSES
VOUCHER NO. 182652 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 96640-31i IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
POMP'S TIRE CITY OF CARMEL
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,
numbers of units, price per unit,etc.
Payee
$3,521.28 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
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
830104674 01-6500-05 $2,987.04 and received except 9/7/2018 830104674 $2,987.04
830105283 01-6500-05 $534.24 9/7/2018 830105283 $534.24
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
SHPN577507328.TXT
POMP'S TIRE-LEBANON INVOICE #: 830105283
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: DR1819241
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: RODNEY RICHARDSON
INVOICE DATE: 08/29/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R17/10 TRANSFORC AT2 OWL 8 129.64 1037.12
F000184
TIRE USER FEE - IN 8 .25 2.00'
Registration: Serial VN43TF22018 Quantity 8 warranty Period 100000
LT245/70R17/10 TRANSFORCE AT2 -4 125.97 -503.88
F000186
TIRE USER FEE - IN -4 .25 -1.00
Registration: Serial VN43TF22418 Quantity 4
REFERENCE INVOICE #830103055
CM 6477066121 TJ
MERCHANDISE: 533.24
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 534.24
GOVERNMENT 534.24
***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
SHPN577507323.TXT
POMP'S TIRE-LEBANON INVOICE #: 830104674
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: DR1819234
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: RODNEY RICHARDSON
INVOICE DATE: 08/29/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------- I----------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
21L28/14 AT UTILITY TL R-4 2 925.47 1850.94
F356093
TIRE USER FEE - IN 2 .25 0.50
15-19.5/12 SUP TRAC DUPLEX 2 444.15 888.30
F416517
TIRE USER FEE - IN 2 .25 0.50
INDUSTRIAL DISMOUNT/MOUNT ROAD; 8332 2.00 45.00 90.00
IDMR
INDUSTRIAL DISMOUNT/MOUNT ROAD 8332 2.00 25.00 50.00
IDMR
TRUCK SUPPLIES 1 5.00 5.00
TSUL
FUEL PRICE SURCHARGE 1 10.00 10.00
SURL
TR618A AIRWATER VALVES 4 12.95 51.80
618A
FARM TIRE SCRAP DISPOSAL FEE 4 10.00 40.00
FDISP
TRENT @ (765) 413 9412
CM 6477013007 TJ
MERCHANDISE: 2796.04
LABOR: 140.00
OTHER: 51.00
OFFICE COPY INVOICE TOTAL: 2987.04
GOVERNMENT 2987.04
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS! ! ! !
Page 1
i
REMITTANCE ADDRESS:
POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE, I C.
�0 0�
ATTN:AR DEPARTMENT
P.O. BOX 1630
GREEN BAY,WI 54305-1630 TIRE SERVICE,INC.
POMP'S TIRE—LEBANON
WORK ORDER #: 830105283
I
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 10THIOF MON AFTR INV
i
PRODUCT MECHANIC QiJAT�1TITY PRICE E T EXTENSION
LT245/75R17/10 TRANSFORC AT2 OWL 8 129. 64 1037. 12
F000184 II
TIRE USER FEE — IN 8 .25 I 2.00
Registration: Serial Quantity 1 '
LT245/70R17/10 TRANSFORCE AT2 —8 125. 97 I —1007.76
F000186
TIRE USER FEE — IN _ 4 .25 I 1.00
Registration: Serial Quantity 1
REFERENCE INVOICE 4830103055 & INVOICE #830105283
WRONG TIRE SIZE BILLED
MERCHANDISE: 29.36
OTHER1: 3.00
OFFICE COPY WORK ORDER TOTAL: 32.36
THANK YOU FOR YOUR BUSINESS! ! ! !
I
Printed Name Signature
LUG NUTS MUST BE RE—TORQUED AFTER 50-100 MILES.
*** DO NOT PAY FROM THIS WORK ORDER *** THIS IS NOT AN INVOKE ***
I
I�
1
A finance charge of 1.51/.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 delvery 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.I request an estimate in writing before you begin repairs. in case of fire,Iheff,accident,damage from fredDng due to lack of anti-freeze or any other causes beyond your control.
2.Please proceed with repairs but call me before continuing CUSTOMERSIGNATUREX
if price will exceed 5
3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BY
Do you want the replaced parts you are entitled to?[]YES ENO ESTIMATED PRICE OF REPAIRS --
" REMITTANCE ADDRESS:
'POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVI E, IN C. 91
ATTN:AR DEPARTMENT
P.O. BOX 1630
GREEN BAY, WI 54305-1630 TIRE SERVICE,INC.
POMP'S TIRE—LEBANON WORK ORDER #: 830104674
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: 08/04/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT _:MECHANIC , QUANT3TY PRIICE F,"E T EXTENSION
21L28/14 AT UTILITY TL R-4 2 925. 47 1850. 94
F356093
TIRE .USER FEE — IN 2 .25 0.50
15-19.5/12 SUP TRAC DUPLEX 2 444 . 15 888.30
F416517
TIRE USER FEE — IN 2 .25 0.50
INDUSTRIAL DISMOUNT/MOUNT ROAD 2.00 45.00 90.00
IDMR
INDUSTRIAL DISMOUNT/MOUNT ROAD 2.00 25.00 50.00
IDMR
TRUCK SUPPLIES 1 5.00 5.00
TSUL
FUEL PRICE SURCHARGE 1 10.00 10.00
SURL
TR618A AIRWATER VALVES 4 12. 95 51.80
618A
FARM TIRE SCRAP DISPOSAL FEE 4 10.00 40.00
FDISP
TRENT @ (765) 413 9412 L
. 7 MER HANDISE: 2796.04
LABOR: 140.00
C�h�L5 OTHER: 51.00
OFFICE COPYCb,cs+1 WORK OR ER TOTA : 2987.04
THANK YOU FOR YOUR BUSINESS! ! ! !
A finance charge of 1.5%per month 18%APR)will be added to the un aidbalance after 30 da .
CUST01,1ER ESTIMATE SELECTION I hereby authorize the bolo repair work to be doi 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 deliv ry 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 if,damage from freez g due to lack of anti-freeze or any other causes beyond your control.
2.Please proceed with repairs but call me before continuing
if price will exceed $ CUSTOMER SIGNA URE X
3,Ido not want an estimate, ADDITIONAL WORK AI THORIZED BY:
Do you want the replaced parts You are entitled to?I�YES f I NO ESTIh1ATED PRICE OF REPAIRS A 1 tiNo
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 370797 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
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
$1,868.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
830101996 42-320.00 $1,868.00 1 hereby certify that the attached invoice(s),or 8/23/18 830101996 Tiresfrubes $1,868.00
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, September 17,2018
Lunn,Amy
Admin Assistant
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVC577556859.TXT
POMP'S TIRE-LEBANON INVOICE #: 830101996
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: MOUNT 4 ON GREY WHEELS
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY JGM
REF NUMBER: DRM970823
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: RODNEY RICHARDSON
INVOICE DATE: 08/23/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22.5/16 CNTNTL HDR2 M+S 4 409.75 1639.00
005220420000
TIRE USER FEE - IN 4 .25 1.00
TRUCK MOUNT - SHOP 7855 4.00 15.00 60.00
TMS
STANDARD BRASS TRUCK VALVE 4 6.00 24.00
TVALV
PRIMER & PWDR COAT RECONDITION 4.00 36.00 144.00
RECONP
CM#5056366261 DJS
Emailed to alunn@carmel .in.gov on 08/23/18 at 09:45:35. Document type: SHPN
MERCHANDISE: 1663.00
LABOR: 204.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 1868.00
******THIS IS A REPRINTED INVOICE"`*`"
GOVERNMENT 1868.00
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Page 1