HomeMy WebLinkAbout234094 6 /25/2014 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******564.20*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 234094
9�;�TON PO BOX 1630 CHECK DATE: 06/25/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910019897 564.20 TIRES & TUBES
SHPN577339695
POMP'S TIRE-LAFAYETTE INVOICE #: 910019897
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
REF NUMBER: SHANE
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 06/18/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
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PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
27/8.50-15/6 TITAN TRAC LOADER 2 158.15 316.30
412A339
TIRE USER FEE - IN 2 .25 0.50
950L13
INDUSTRIAL DISMOUNT/MOUNT SHOP 9118 2.00 15.00 30.00
IDMS
LIGHT TRUCT BOLT IN VALVE STEM 2 5.00 10.00
LVALVB
PASSENGER SCRAP DISPOSAL FEE 2 3.00 6.00
PDISP
MULTI SEAL ADDITIVE/PER OUNCE 9103 128 1.55 198.40
MULTI
SHOP SUPPLIES 1 3.00 3.00
SUPL
MERCHANDISE: 527.70
LABOR: 30.00
OTHER: 6.50
INVOICE TOTAL: 564.20
ON ACCOUNT A/R 564.20
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
�
Pomp's Tire Service, Inc. ALLOWED 20
A/R Department IN SUM OF $
p. O. Box 1630
Green Bay, WI 54305-1630
$564.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 910019897 I 42-320.00 j $564.20 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
Fri June 20, 2014
Stre%fEU@8Frt Iii Wpner
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))
06/18/14 910019897 $564.20
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