HomeMy WebLinkAbout218203 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
ONE CIVIC SQUARE POMP'S TIRE
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $276.00
PO BOX 1630
GREEN BAY WI 54305-1630 CHECK NUMBER: 218203
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830012522 85 . 00 TIRES & TUBES
2201 4232000 910008011 191 . 00 TIRES & TUBES
9 CUSTOMER COPY
REMITTANCE ADDRESS:
a POMP'S TIRE SERVICE, INC
.pOwp 9STME S�R V C V V
ATTN:AR DEPARTMENT
eQ'a? a,ea,e..,eaaaeaaa, P.O. BOX 1630
•tpai oneanneeaee aup��puna�near
oxannaanxvuuice�ieti, �siiiitia'siic GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE INVOICE # : 910008011
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE
3400 W 131ST STREET
2264
CARMEL, IN
46074 -
CREATED BY -TIM- ._ ---_
FAX NUMBER: 3177332005 - -- l -
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 02/28/13 TERMS : 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
USED 8 . 25X22 . 5 USED WHEEL 1 25 . 00 25 . 00
U.WHL
POWDER COAT RIM/WHL RECONDITON 2 32 . 00 64 . 00
RECON
10 OZ BAG_ COUNTERACT 2 20 . 00 40 . 00
010C
TRK DISMOUNT&MOUNT ON UNIT/SHP 9103 2 . 00 25 . 00 50 . 00
TDMS
STANDARD BRASS TRUCK VALVE 2 6 . 00 12 . 00
TVALV
MERCHANDISE: 141 . 00
LABOR: 50 . 00
INVOICE TOTAL: 191 . 00
ON ACCOUNT A/R 00
LUG' NUTS SHOULD BE RETORQUED AFTER 50, TO 10.0 MILES
Signature Printed Name
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. ' " "* 'APR 1• w'l ll be added to the uri balahce afe-r
30 da s fin ance cia r e o f 1 5% er `ohtf 8%
CUSTOMER ESTIMATE SELECTION - I hereby authorize the below repair.work to be dorie along with
necessary'materiafs.You:andt:
CUSTOMER COPY
REMITTANCE ADDRESS:POM - 9S TME SERVC 9 m co POMP' TIRE SERVICE, NC
.
ATTN,:AR DEPARTMENT
m P.O. BOX 1630
b���,4uxneuua auunoa���� nn ar
4Rafn�innu°ntiiiunn� nainiinv GREEN BAY,WI 54305-1630
POMP'S TIRE-LEBANON INVOICE ## : 830012522
.. 1.316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052 -
. 76'5/482-4359
CUSTOMER: CITY OF, CARMEL . STREET DEP SHIP TO: RF ON LOADER'
3400 W 131ST STREET
2264
CARMEL, : IN
4.6074
F
CREATED..-BY—_._JM_' --
. FAX NUMBER: 3177332005
WORK,: 317/733-2001 0
— SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 02/16/13 TERMS : 1 PMT DUE 10TH OF MON AFTR INV
---------------------'--------------------------------------------------7-------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
SERVICE CALL DURING DAY 8317 1 . 00 70 . 00 70 . 00
SC
INDUSTRIAL FLAT REPAIR IN SHOP 8317 1 . 00 15 . 00 15 . 00
IFRS
LABOR: 85 . 00
INVOICE TOTAL: 85 . 00
ON ACCOUNT A/R 85 . 00
THANK YOU' FOR YOUR BUSINESS ! ! ! !
LUG NUTS SHOULD BE RE-TORQUED AFTER 50-100 MILES
Signature Printed Name
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7 .:1
+. A finance,cha a of,1.5/ er..month 18/o.APR :willbe'addedito ttieiun'aid balance:after 30
y n nd as
P.
CUSTOMER ESTIMATE:SELECTION I hereb'y`autfi6riz'ethe below`repair work to'be done along-wiih hecessar`y,materialsrYou"and'.
You a're'entitled;to'a price estimate for the repairs'you have authorized.'The repair price'may,beae`ss. Your employees may operate vehicle for'purposes of.testing,inspection or delivery at my risk;
ahari tFie'estimate but will'not exceed the estimate•without your permission.Your signature will An express mechanic's lien is acknowledged on'4ehicle"to'secure the"amo6n4;of,repairs'
ndicate your estimate selection. thereto.You will not be held responsible icle,for Joss or damage to:veh or articles left'in vehicle
in case of fire,theft,accident,damage from freezing due to lack of anti-freeze or any,other '
1.I request an estimate in writing before you begin repairs. causes beyond your control.
2.Please proceed with repairs but call,me before CUSTOMER SIGNATURE X
continuing if price will exceed $
,3.I do not want an estimate.
Do you want the replaced parts you are entitled to? ❑YES ❑NO ESTIMATED PRICE OF REPAIRS ADDITIONAL WORK AUTHORIZED BY:
A.M. NAME
-❑This vehicle received without face to face customer contact.
DATE TIME P.M. NO.CALLED NEW ESTIMATE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc.
A/R Department IN SUM OF $
p. O. Box 1630
Green Bay, WI 54305-1630
$276.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 830012522 42-320.00 $85.00 I hereby certify that the attached invoice(s), or
2201 910008011 42-320.00 $191.00 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
r ay, rch 08, 2013
i
ttreett�o°mmssioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/16/13 830012522 $85.00
02/28/13 910008011 $191.00
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
20
Clerk-Treasurer