HomeMy WebLinkAbout231365 04/08/14 (9)
CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: S*****1,233.04*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 231365
PO BOX 1630 CHECK DATE: 04/08/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910016896 467.24 OTHER EXPENSES
2201 4232000 910017891 765.80 TIRES & TUBES
SHPN577287305
POMP'S TIRE-LAFAYETTE INVOICE #: 910017891
2700 SCHUYLER AVE SUMMARY -
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 03/31/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
10-16.5 BANDAG DRIVE MIXED 4 161.45 645.80
744BDM
Tire ID Number:100402533,100402534,100402535,100402536
LABOR CHARGE W/FOAM FILLED TIRE 4.00 30.00 120.00
FOAML
MERCHANDISE: 645.80
LABOR: 120.00
INVOICE TOTAL: 765.80
ON ACCOUNT A/R 765.80
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
$765.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 910017891 I 42-320.001 $765.80 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
u 2014
ree�°�omr�l��s�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))
03/31/14 910017891 $765.80
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
SHPN577281497
POMP'S TIRE-LAFAYETTE INVOICE #: 910016896
2700 SCHUYLER AVE
LAFAYETTE, IN 47905 PAGE: 1
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED LOOSE
3450 W 131ST STREET
2266
CARMEL, IN
46074 l /
CREATED BY DBL
v l�
REF NUMBER: HGS209306
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: CHAD ZOPF
VEHICLE: SHANE
SALESMAN: MICHAEL S RUMMEL MILEAGE: ]
INVOICE DATE: 03/25/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION
-------------------------------------------------------------------------------
P235/70TR17 HANKOOK RH12 XL BL 4 116. 56 466.24
101H2468
TIRE USER FEE - IN 4 .25 1.00
950L13
GOV HK HGS201302
00 DIS
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.
Page 1
VOUCHER # 134559 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
910016896 01-6500-05 $467.24
I
Voucher Total $467.24
i
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 3/31/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/31/2014 910016896 $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 5711-10-1.6
Date cer