HomeMy WebLinkAbout234379 07/01/14 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******932.56*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 234379
PO BOX 1630 CHECK DATE: 07/01/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910019756 441.44 OTHER EXPENSES
2201 4232000 910019894 491.12 TIRES & TUBES
SHPN577343228
POMP'S TIRE-LAFAYETTE INVOICE #: 910019756
2700 SCHUYLER AVE
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: DR1076439
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 06/24/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
---------------------- ---------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R16/10 TRANSFRC HT BL 4 110.11 440.44
189F769
TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration.: Serial# 1 Quantity 4
FIRESTONE GOVERNMENT SALE APPROVAL# 7130
CM#6425119275 D]S
MERCHANDISE: 440.44
OTHER: 1.00
INVOICE TOTAL: 441.44-
GOVERNMENT 441.44
Printed Name Signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER # 135514 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
910019756 01-6500-05 $441.44
I
I
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Voucher Total $441.44
Cost distribution ledger classification if
claim paid under vehicle highway.fund
I
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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 6/26/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2014 910019756 $441.44
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
SHPN577344787
POMP'S TIRE-LAFAYETTE INVOICE #: 910019894
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DRM913554
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 06/26/14 TERMS: 1 PMT DUE 10TH. OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22.5/16 CNTNTL HDR2 M+S 1 397.87 397.87
52X042
TIRE USER FEE - IN 1 .25 0.25
950L13
GOV CN GING3AA6
TRK DISMOUNT&MOUNT ON UNIT/SHP 9115 3.00 25.00 75.00
TDMS
1 - NEW TIRE
2 - CUSTOMER TIRES
STANDARD BRASS TRUCK VALVE 3 6.00 18.00
TVALV
CM#5076017655 D7S
MERCHANDISE: 415.87
LABOR: 75.00
OTHER: 0.25
INVOICE TOTAL: 491.12
GOVERNMENT 491.12
Printed Name Signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
Pomp's Tire Service, Inc. ALLOWED 20
A/R Department IN SUM OF$
p. O. Box 1630
Green Bay, WI 54305-1630
$491.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members',
2201 I 910019894 I 42-320.001 $491.12 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
on,#June 30, 2014
`d=¢; �'
rornmicmianBoner
Streel
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))
06/26/14 910019894 $491.12
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