HomeMy WebLinkAbout227080 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: • 366480 Page 1 of 1
ONE CIVIC SQUARE POMP'S TIRE
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $902.24
v«o� PO BOX 1630 CHECK NUMBER: 227080
GREEN BAY WI 54305-1630
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910015252 902 . 24 TIRES & TUBES
POMP'S TIRE SERVICE, INC. POMPIS TIRE SERVIICE,INC.
ATTN:AR DEPARTMENT
�� TIREm i.r, P.O.BOX 1630
°s°n3sTn;itiu:tiausir•
GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE INVOICE #: 910015252
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DRM998442
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12/03/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
11R22 .5/16 CNTNTL HDR2 M+S 2 397 .87 795.74
522CO42
TIRE USER FEE - IN 2 .25 0.50
95OL13
GOV CT GING3AA6
TRUCK MOUNT - SHOP 9115 2 .00 15.00 30.00
TMS
STANDARD BRASS TRUCK VALVE 2 6.00 12.00
TVALV
POWDER COAT RIM/WHL RECONDITON 2 32 .00 64.00
RECON
CM#5076741811 DJS
MERCHANDISE: 871.74
LABOR: 30.00
OTHER: 0.50
INVOICE TOTAL: 902.24
GOVERNMENT 902.24
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
A finance char a of 1.5% month(18%APR)will be atldetl to the un eld balance Brier 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 entlllad to a price esllmala for the reDaln ydu have authorizud,the rape,price may be less than the estimate but vdnlcla for purposes of testing,Inspection or oellvery at my risk An express mechanic's lion is acAnowledged an vehicle to
•.viii not exceed the es0mate tslthout your permleslon Your signature w01 lnd¢ato your estimate se[act on. secure the amount of repairs Thereto You will not De held responsible for loss or damage to vehicle or sari Tall in vehicle
1.I o ouest an estimate In writing before you begin repelrs. In case of fire,that.accident,damage from freezing due to lack of ant-freeze or any other causes beyond your control
2.Please proceed with repalm but call ma Delore conllnuing
A price wef exceed $
CUSTOMER SIGNATURE X
3.l doratwamanestlmate r1 ADDITIONAL WORK AUTHORIZED BY:
1DDo you want Me replaced pans you are entitled tap uYES �NO EST14Ai IC REPAIRS n M Name
J TP13 vehicle received without face to face confect. $ n t RTE- �kr- P M NO-ETLLLED `FF'AES'RATE--
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))
12/03/13 910015252 $902.24
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
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
$902.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 910015252 I 42-320.001 $902.24 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
Frida ec 3
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund