HomeMy WebLinkAbout235992 08/13/14 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE
CHECK AMOUNT: $f•k M R R■670.68"
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 235992
PD Box 1630 CHECK DATE: 08/13/14
or+ GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830036184 670.68 OTHER EXPENSES
SHPN577368958
POMP'S TIRE-LEBANON INVOICE #: 830036184
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY SBR
REF NUMBER: DR1062102
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 07/30/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT225/75R16/10 TRANSFRC HT BL 6 111.53 669.18
189F752
TIRE USER FEE - IN 6 .25 1.50
950L13
Registration: Serial# T7XOTR61114 Quantity 6
CM#6426187220 DJS
MERCHANDISE: 669.18
OTHER: 1.50
INVOICE TOTAL: 670.68
GOVERNMENT 670.68
THANK YOU FOR YOUR BUSINESS! M
Printed Name -R�e,-t Mermen Signature s yA—t 1 )'17,,g_ _-TuLz/�,
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER # 141335 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
830036184 01-6500-05 $670.68
Voucher Total $670.68
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, VVI 54305-1630 Due Date 8/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/4/2014 830036184 $670.68
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