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Home My WebLink About333918 12/27/18 CITY OF CARMEL, INDIANA VENDOR: 370797 � ,• ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******902.24* CARMEL, INDIANA 46032SOUTH STREET CHECK NUMBER: 333918 LEBANON N CHECK DATE: 12/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830110939 519.56 OTHER EXPENSES 601 5023990 830111215 382.68 OTHER EXPENSES VOUCHER NO. 183682 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) 444 ALLOWED 20 Vendor#96640T Y1 V r V I IN SUM OF$ ACCOUNTS PAYABLE VOUCHER POMP'S TIRE - sDS CITY OF CARMEL �PA-B9X14W ��O � 501T'tf '�;;r An invoice or bill to be properly itemized must show: kind of service,where performed, GREEN - dates service rendered, by whom, rates per day, number of hours, rate per hour, Ad°o C /^j gun- numbers of units, price per unit,etc. Payee 902.24 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 830110939 01-6500-05 $519.56 and received except 12/20/2018 830110939 $519.56 830111215 01-6500-07 $382.68 12/20/2018 830111215 $382.68 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 SHPN577818756 POMP'S TIRE-LEBANON INVOICE #: 830110939 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-435.9 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY JGM REF NUMBER: DR1892043 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 12/17/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- LT245/75R17/10 TRANSFORC AT2 OWL 4 129.64 518.56 F000184 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial VN43TF44518 Quantity 1 Registration: Serial VN43TF20718 Quantity 1 Registration: Serial VN43TF21818 Quantity 1 Registration: Serial VN43TF24518 Quantity 1 CM 6481472139 TJ MERCHANDISE: 518.56 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 519.56 GOVERNMENT 519.56 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** Page 1 SHPN577821454 (002) POMP'S TIRE-LEBANON INVOICE #: 830111215 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: DR1892047 FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 12/18/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- P235/65TR16 DESTINATION LE2 4 95.42 381.68 F017936 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial VN74DE13616 Quantity 2 Registration: Serial VN74DE14415 Quantity 1 Registration: Serial VN74DE14114 Quantity 1 CM 6481672721 TJ MERCHANDISE: 381.68 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 382.68 GOVERNMENT 382.68 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** Page 1 i REM. TADDRESS: POMP'S TIRE SERVICE, INC. o� 9 POMP'S TIREIRESERVICE, INC. � ATTN:AR DEPARTMENT P.O. BOAC 1630 \✓� GREEN BAY, it 54305-1630 TIRE SERVICE,INC. WORK ORDER #: 830110939 POMP'SITIRE-LEBANON 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOM�R: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 226E CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON WRK ORD DATE: 11/28/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV I PRODUCTI.'- MECHANIC 'QuAN•T11TY: PRICE F.!E.T. EXTENSION LT245/75R17/10 TRANSFORC AT2 OWL 4 129. 64 518.56 F000184 TIRE USER FEE - IN 4 .25 1.00 Registration: Serial Quantity 1 Registration: Serial Quantity 1 Registration: Serial Quantity 1 Registration: Serial Quantity 1 MERCHANDISE: 518.56 OTHER: 1.00 OFFICECOPY WORK ORDER TOTAL: 519.56 i 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 *** i I pv ✓� i P, i A finance charge of 1,5%per month 18%APR will be added to 1he unpaid balance after 30 days. CUSTOMER ESTIMATE SELECTION I hereby author a 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 maybe less than the estimate but vehicle for pure ses 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 amo int 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 yvriling before you begin repairs: in case of fire,it ieft,accident,damage from freezing due to lack of antifreeze or any other causes beyond your control. 2.Please proceed with repairs but call me before continuing CUSTOMER SIGNATURE L. if price will exceed S 3.1 do not want an estimate;. ADDITIONA WORK AUTHORIZED BY; M vnn want tha ranlaraii nartc vnll are entitled in?I—I YES I-I NO ESTIIIATED PRICE OF REPAIRS A M Name 'XO P'S TIRE SERVICE, POMP'S TIRE SERVICE, INC. a ATTN:AR DEPARTMENT P.O: BOX 1630 \`�� GREEN BAY, WI 54305=1630 *IRESERVICE,INC. POMP'S TIRE—LEBANON WORK ORDER #: 830111215 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: 12/04/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRQDUCT: ', MECHANIC F E T EXTENSION g : ''QUANT ,TY, PRGE _ P235/65TR16 DESTINATION LE2 4 95.42 381.68 F017936 TIRE USER FEE — IN 4 .25 1.00 Registration: Serial Quantity 1 MERCHANDISE: 381. 68 OTHER: 1.00 OFFICE COPY WORK ORDER TOTAL: 382. 68 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 1.5%per month 18%APR)will be added to theun aid balance after 30 days. CUSTOMER ESTIMATE SELECTION I hereby authorize4he below repair work to be done along with necessary materials.You and your employees may operate You are entitled to aprice estimate for the repairs you have authoriied,;The repair price may be less than the estimate but vehicle for purposes of testing,inspection or delivery at my rM..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 repairsin 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 continuing39Y CUSTOMER SIGNATURE X c '..��ry .� G if price will exceed $ 3,1 do not want an estimate. ADDITIONAL WORK AUTHORIZED BYE Do you want the replaced parts you are entitled to?[I YES ❑NO RSTIMATEU PRICE OF REPAIRS` ADDITIONAL A.M. Name