HomeMy WebLinkAbout229632 2/25/2014 ��q4f CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
ONE CIVIC SQUARE POMP'S TIRE
0 CHECK AMOUNT: $499.64
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT
PO BOX 1630 CHECK NUMBER: 229632
GREEN BAY WI 54305-1630
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910016709 499 . 64 OTHER EXPENSES
REMITTANCE ADDRES:
POMP'S TIRE SERVICE, INC. POMP'S TIRE SERVICE,
ATTN:AR DEPARTMENT
P.O.Box 1630
GREEN BAY,WI 54305-1630
POMP'S TIRE-LAFAYETTE
2700 SCHUYLER AVE INVOICE #: 910016709
LAFAYETTE, IN 47905
PAGE: 1
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: DR1028861
FAX NUMBER: 3177332053
WORK: 317/73]-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 02/11/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
.,�,�J :,wrmts>:,_s.��x� t ..,��° �-> <;., .;rMECHAIJIC, �QUANTZ'TY,'>rM,;,w,,,'�' 1a "i�;;" >, u•;;
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LT245/75R17/10 TRANSFRC AT WL 4 124 .66 498.64
205F222
TIRE USER FEE - IN 4 .25 1.00
95OL13
FIRESTONE GOVERNMENT SALE APPROVAL# 7130
CM#6421369518 DJS
MERCHANDISE: 498.64
OTHER: 1.00
INVOICE TOTAL: 499.64
GOVERNMENT 499.64
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
A(mance char a of LS% er month18%APR x111 be added to the on altl balance alter 00 da e.
CUSTOMER ESTIMATE SELECTION 'he,
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i Plpaae P.m mthrepers but w0 me bclom comil-9 .......................- ...........-....
1p+spa W:r:exceed 5 CUSTOMER SIGNATURE X-._...____..__.
!do x101 war.!an e5,in`818.
DPY%nam Olo replaced parrs yw aeemdkvl 10 _)YeS ;t!p co•"' =%ra:CEo aer.:ac ADDITIONAL WORK AUTHORIZED BY: _
N
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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 2/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/17/2014 910016709 $499.64
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 ifficer
VOUCHER # 134117 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
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910016709 01-6500-05 $499.64
Voucher Total $499.64
Cost distribution ledger classification if
claim paid under vehicle highway fund