HomeMy WebLinkAbout232323 05/07/2014 JY CITY OF CARMEL, INDIANA VENDOR: 366480
s �'r ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $"'''•"638.72'
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 232323
PO BOX 1630 CHECK DATE: . 05/07/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830031083 638.72 OTHER EXPENSES
SHPN577300829
POMP'S TIRE-LEBANON INVOICE #: 830031083
1316 WEST SOUTH STREET
LEBANON, IN 46052 PAGE: 1
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY SBR
REF NUMBER: DR1062095
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 04/21/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
--------------------7----------------------------------------------------------
225/70R19.5/14 B/S R250F 2 281.11 562.22
226B955
TIRE USER FEE - IN 2 .25 0.50
950L13
TRK DISMOUNT&MOUNT ON UNIT/SHP 8323 2.00 18.00 36.00
TDMS
COUNTER ACT BALANCE 2 14.00 28.00
TRU
TRUCK REJECT AND SCRAP CHARGE 2 6.00 12.00
TDISP
CM#6423267564 DJS
MERCHANDISE: 590.22
LABOR: 36.00
OTHER: 12.50
INVOICE TOTAL: 638.72
GOVERNMENT 638.72
THANK YOU FOR YOUR BUSINESS M !
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1 C V !
VOUCHER# 134877 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
II
J
830031083 01-6500-05 $638.72
- I
Voucher Total $638.72
Cost distribution ledger classification if
claim paid under vehicle highway fund
li Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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 4/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/24/2014 830031083 $638.72
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