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HomeMy WebLinkAbout218591 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1 ONE CIVIC SQUARE POMP'S TIRE CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $296.00 t� PO BOX 1630 CHECK NUMBER: 218591 ON°° GREEN BAY WI 54305-1630 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 830013611 296 . 00 TIRES & TUBES v n 9 CUSTOMER COPY ' REMITTANCE ADDRESS: P©4JV1JL'S THE SERVICE, ENC. POINC. TTN:AR DEPARTMENT O� P.O. 60X 1630 °�5t"'•°"°� ' ' °'°"""" GREEN BAY,WI 54305-1630 ¢aa�ticnasiinnniiiiiit 9iiii�nnv POMP' S TIRE-LEBANON INVOICE # : 830013611 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482=4359 CUSTOMER: CITY OF CARMEL STREET DEP 3400 W 131ST STREET 2264 CARMEL, IN 46074 CREATED BY JM FAX NUMBER: 3177332005 WORK: 317/733-2001 0 SALESMAN: MICHAEL S 'RUMMEL INVOICE DATE: 03/20/13 TERMS : 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- STANDARD BRASS TRUCK VALVE 4 6 . 00 24 . 00 TVALV .TRK DISMOUNT&MOUNT ON UNIT/SHP 8305 4 . 00 18 . 00 72 . 00 tDMS 10 OZ BAG EQUAL TYPE B 40/CASE 4 18 . 00 72 . 00 010E POWDER COAT RIM/WHL RECONDITION 4 32 . 00 128 . 00 RECON MERCHANDISE: 224 . 00 LABOR: 72 . 00 INVOICE TOTAL: 296 . 00 ON ACCOUNT A/R 296 . 00 THANK YOU FOR YOUR, BUSINESS ! ! ! ! LUG NUTS. SHOULD BE RE-TORQUED AFTER 50-100 MILES Signature '" �"_' Printed Name 4 L< A finance charge of 1.5%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 You are entitled to a price estimate for the repairs you have authorized.The repair price may be less your employees may operate vehicle for purposes of testing,inspection or delivery at my risk. than the estimate but will not exceed the estimate without your permission.Your signature will An express mechanic's lien is acknowledged on vehicle to secure the amount of repairs indicate your estimate selection. thereto.You will not be held responsible for loss or damage to vehicle or articles left in vehicle n 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 $ 3.1 do not want an estimate. ADDITIONAL WORK AUTHORIZED'BY: Do you want the replaced parts you are entitled to? ❑YES ❑NO ESTIMATED PRICE OF REPAIRS A.M. NAME ❑This vehicle received with 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 $296.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I 830013611 I 42-320.001 $296.00 1 hereby certify that the attached invoice(s), or 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 Th rsd Aarch 21, 2013 Street Comm s oner 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)) 03/20/13 830013611 $296.00 1 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