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Home My WebLink About227819 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1 ONE CIVIC SQUARE POMP'S TIRE { CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $2,565.48 PO BOX 1630 CHECK NUMBER: 227819 3+„ ON GREEN BAY WI 54305-1630 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830026675 1, 817 . 80 OTHER EXPENSES 601 5023990 910015735 455 . 68 OTHER EXPENSES 2201 4232000 910016013 292 . 00 TIRES & TUBES SHPN577231300 POMP'S TIRE-LAFAYETTE INVOICE #: 910016013 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 FAX NUMBER: 3177332005 WORK: 317/733-2001 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 12/18/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- TRK DISMOUNT&MOUNT ON UNIT/SHP 9115 4.00 25.00 100.00 TDMS POWDER COAT RIM/WHL RECONDITON 4 32.00 128.00 RECON FLAT REPAIR OFF UNIT IN SHOP 9115 1.00 30.00 30.00 TFLS TRUCK REPAIR UNIT 1 5.00 5.00 TRU SHOP SUPPLIES 1 5.00 5.00 SUPL STANDARD BRASS TRUCK VALVE 4 6.00 24.00 TVALV MERCHANDISE: 162.00 LABOR: 130.00 INVOICE TOTAL: 292.00 ON ACCOUNT A/R 292.00 Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1 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 $292.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 910016013 I 42-320.001 $292.00 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 Tu�jsday cember 31, 2013 Streek., , ner 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)) 12/26/13 910016013 $292.00 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 SHPN577230506 POMP'S TIRE-LEBANON INVOICE #: 830026675 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: JIM HAAG 3450 w 131ST STREET 317-733-2853 2266 CARMEL, IN 46074 CREATED BY SBR FAX NUMBER: 3177332053 WORK: 317/733-2855 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 12/17/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 12. 5/80-18 GALAXY SUP IND LUG R4 2 277. 50 555.00 2016289 TIRE USER FEE - IN 2 .25 0. 50 950L13 19. 5L24/12 GALAXY EZ RIDER R4 2 503.90 1007.80 2006439 TIRE USER FEE - IN 2 .25 0. 50 950L13 INDUSTRIAL DISMOUNT/MOUNT SHOP 8304 2.00 18.00 36.00 IDMS INDUSTRIAL DISMOUNT/MOUNT SHOP 8304 2.00 57.00 114.00 IDMS SCRAP TIRE DISOPSL/IND/SKIDSTR 2 7.00 14.00 IDISP SCRAP TIRE DISOPSL/IND/SKIDSTR 2 45.00 90.00 IDISP MERCHANDISE: 1562.80 LABOR: 150.00 OTHER: 105.00 INVOICE TOTAL: 1817.80 ON ACCOUNT A/R 1817.80 THANK YOU FOR YOUR BUSINESS! ! ! ! POMP'S TIRE-LEBANON INVOICE #: 830026675 PAGE: 2 Page 1 REMTTANCE POMP'S TIRE SERVICE, INC. POMP'STIRE S RDVIICE,INC. - ATTN:AR DEPARTMENT P.O.BOX 1630 tiff.^.f�SS4t.tSS5SL56S� 51Y�t'.2:5' GREEN BAY,WI 54305-1630 POMP'S TIRE-LAFAYETTE INVOICE #: 910015735 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVER VIA SHANE 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY TIM REF NUMBER: DR0960183 FAX NUMBER: 3177332053 WORK: 317/733-2855 0 PO NUMBER: GOV SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 12/18/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT " " MECHANIC QUANTITY P.R'ICO�, ,Y F.E 'T EXTENSION LT245/75R16/10 TRANSFRC AT BL 4 113 .67 454.68 189F582 TIRE USER FEE - IN 4 .25 1.00 95OL13 FIRESTONE GOVERNMENT SALE APPROVAL# 7130 CM#6419955687 DJS MERCHANDISE: 454.68 OTHER: 1.00 INVOICE TOTAL: 455.68 GOVERNMENT 455.68 Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. A li.....char a of 1.5`5 a month 18%APR)will be added to the unpaid balance after l days. CUSTOMER ESTIMATE SELECTION naety aulholize:hc t^Ivy r,paii work to be dc�.e along wim.......dlI nalenal you and you empoyecs:nay op-le led are en.itfed to o of ce-nate fe,Ih,•cca'rs you have a.lhhn,ee The re Fa•,k,may ce mss loan:he cs ino ue Jr I +chs rt for euros._of te'";i� lien.,r e,-r;ry w ly risk.Ar, tecnar C.Fe r:s acknar ICCead ea v0u,*!o xil no! .eztl the zst mase w thocl your Ocnn'ssien.ye*" s'c ta:urc ry H date""du ct r esltmamrecur,,the amo nl of p?:•s lha ,.You ss;l:wl be nc.i re.pons'o.e ler loss cr canaye to vee c a or articles 11111,ventre !cr t. CQI eS'ar est male n`o'"dg C�Mayou bee"'Epa rE tool f cm`rCe2log dJf lc 1a,4 el ant''rcee el ahv tl, aures b� d y >.vo: i. IG ....... ............. .. ........ p "it th l�p,.a5 but call xf .cr:;im. y .ly t.Mr ex,.eed s CUSTOMER SIGNATURE X..____...._._____—. 3 1 k net r:an e,molo. --- --ADDITIONALWORK AUTHORIZED BY:. DoY nthet dl Y tAlutl c% .Y .. J $ —id.l„cc,cd don.ul ole a aceL lwt VOUCHER # 133682 WARRANT # ALLOWED 366480 IN SUM OF $ Pomp's Tire PO BOX 1630 GREEN BAY, WI 54305-1630 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 830026675 01-6500-05 $1,817.80 9 ob-7 35 Lt 5s.l02�. f Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund .?v; 3 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 366480 Pomp's Tire Purchase Order No. PO BOX 1630 Terms GREEN BAY, WI 54305-1630 Due Date 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 830026675 $1,817.80 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 Date Officer