HomeMy WebLinkAbout236505 08/27/14 CITY OF CARMEL, INDIANA VENDOR: 366480
I ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****7,795.00*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 236505
PO BOX 1630 CHECK DATE: 08/27/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910021833 7,795.00 TIRES & TUBES
SHPN577382302
POMP'S TIRE-LAFAYETTE INVOICE #: 910021833
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: UNIT# JD624J
3400 W 131ST STREET ALL FOUR TIRES
2264 HRS: 4419
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 08/16/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
OFF ROAD SERVICE CALL-REG HRS 9103 1.00 165.00 165.00
ORS
3400 W 131ST ST, CARMEL, IN
20.5R25/* TITAN MXL E3/L3 4 1827.25 7309.00
43PA121
TIRE USER FEE - IN 4 .25 1.00
950L13
20.5-25 DRY DISMOUNT/MOUNT 9103 4.00 65.00 260.00
ODM205D
O-RING HEMTT,PLS/HET,MTVR 4 15.00 60.00
ORING
MERCHANDISE: 7369.00
LABOR: 425.00
OTHER: 1.00
-- - INVOICE TOTAL: 7795.00
ON. A000UNT A/R 7795.00
Printed Name signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
Pomp's Tire Service, Inc. ALLOWED 20
A/R Department IN SUM OF$
p. O. Box 1630
Green Bay, WI 54305-1630
$7,795.00 -
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 910021833 I 42-320.001 $7,795.00 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
® Fr' y, AAst 22, 2014
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))
08/16/14 910021833 $7,795.00
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