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Home My WebLink About228676 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1 ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $673.24 ip'�• CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT PO BOX 1630 CHECK NUMBER: 228676 GREEN BAY WI 54305-1630 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 910016400 206 . 00 TIRES & TUBES 601 5023990 910016412 467 . 24 OTHER EXPENSES SHPN577248495 POMP'S TIRE-LAFAYETTE INVOICE #: 910016400 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: CUSTOMER TIRES 3400 W 131ST STREET DELIVER VIA SHANE 2264 CARMEL, IN 46074 CREATED BY TIM FAX NUMBER: 3177332005 WORK: 317/733-2001 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 01/23/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- TRUCK FLAT REPAIR ON UNIT-SHOP 9118 1.00 30.00 30.00 TFOS TRK DISMOUNT&MOUNT ON UNIT/SHP 9103 4.00 25.00 100.00 TDMS STANDARD BRASS TRUCK VALVE 4 6.00 24.00 TVALV 10 OZ BAG EQUAL TYPE B 40/CASE 1 20.00 20.00 010E POWDER COAT RIM/WHL RECONDITON 1 32.00 32.00 RECON MERCHANDISE: 76.00 LABOR: 130.00 INVOICE TOTAL: 206.00 ON ACCOUNT A/R- 206.00 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 $206.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 1 910016400 1 42-320.001 $206.00 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 24, 2014 v� treet 9PLreffb8ifiN§sioner 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)) 01/23/14 910016400 $206.00 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 ,per,p� POMP'S TIRE SERVICE, INC. POMFISTIRE SE SERVICE, ® ATTN:AR DEPARTMENT P.O.SOX 1630 GREEN BAY,WI 54305-1630 POMP'S TIRE-LAFAYETTE INVOICE #: 910016412 2700 SCHUYLER AVE t 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: DRHGS209302 FAX NUMBER: 3177332053 WORK: 317/733-2855 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 01/20/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV PRODUCT ` MECHANIC QUANTITY PRICE �„ F E. T EXTENSIONSaAt P235/70TR17 HANKOOK RH12 XL BL 4 116.56 466.24 101H2468 TIRE USER FEE - IN 4 .25 1.00 95OL13 00 DJS MERCHANDISE: 466.24 OTHER: 1.00 INVOICE TOTAL: 467.24 GOVERNMENT 467.24 Printed Name Signature LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. V� A A f a c char a of 7 55 onlh 18A APR rnll be ad to the unpaid b nc after 30 days. CUSTOMER ESTIMATE SELECTION li cL a 'w's t l e a k t b d.. You a e e ll d Io Pr c 1 I Ih F S' have Ih .Theop-on.- ma to esii l i the cs nate oUl nor (o V la cc 5� 1.1 J .,y may (rate nin no ^ctl h esti a without P'Cose of to 1 J to e: ya y i k.A s ch i Ic: ]ckno gee chidi Y Vc -Y s c la a t,II:H)Ie)� al male sele_'c r. ee r he amounl of cp Ih ru I of n d-con,o to loss ear aye Io 'i r enols II Ven%:e 1. req s, ost -le t ole y' Sa ir.c se.1 b e,Ihol .ecr,ca.ra.c hour teec'iC due 1 lacr,�I anI rs.c nr any of ,a..cs boy"i ror.CSnIrPi. 2.Plto v P_'Vi lh ..... ............. ........ ._.. -Pale bul call nie loi;'c.,. li:ivg d Pica a:6 eseec S__. CUSTOMER SIGNATURE :.1 dC not"Jtal:do ADDITIONAL WORK AUTHORIZED BY. Do Yu IAe '13 CUV 5Y v !11]I � .•iyp I[ c vkicE fi'Pc 5• _ - _. '�h veb ce r.,i vatl nThorl iDa.e c,n a.L _. _..... ,A�.... .. .. .__.. VOUCHER # 133903 WARRANT # ALLOWED 366480 i IN SUM OF $ Pomp's Tire PO BOX 1630 GREEN BAY, WI 54305-1630 f ,a Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 910016412 01-6500-04 $467.24 Voucher Total $467.24 Cost distribution ledger classification if claim paid under 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 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 1/22/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/22/2014 910016412 $467.24 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