HomeMy WebLinkAbout236986 09/10/14 `y yr Coq*f
CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****1,1 16.72*
r. +` CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 236986
Po Box 1630 CHECK DATE: 09/10/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830037996 628.88 OTHER EXPENSES
601 5023990 910020863 487.84 OTHER EXPENSES
SHPN577391901
POMP'S TIRE-LEBANON INVOICE #: 830037996
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
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 08/29/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
P235/65TR16 DEST LE2 BL 4 156.97 627.88
017F936
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: serial# PJXlTR62214 Quantity 4
MERCHANDISE: 627.88
OTHER: 1.00
INVOICE TOTAL: 628.88
ON ACCOUNT A/R 628.88
THANK YOU FOR YOUR BUSINESS! ! ! !
Printed Name signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Tze
Page 1
VOUCHER # 141692 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 y
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
830037996 01-6500-07 $628.88
1
i
}
Voucher Total $628.88
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, WI 54305-1630 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 830037996 $628.88
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
SHPN577391244
POMP'S TIRE-LAFAYETTE INVOICE #: 910020863
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: •DELIVERED VIA S. RUMMEL
3450' W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DRHGS1010119
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 08/28/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
P245/70TR17 DYNAPRO RF10 4 121.71 486.84
10OH8676
TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration: Serial# 1 Quantity 4
GOV HK HGS-201402
00 DJS
MERCHANDISE: 486.84
OTHER: 1.00
INVOICE TOTAL: 487.84
GOVERNMENT 487.84
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER# 141629 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 ;1 Audit Trail Code
J
910020863 01-6500-05 $487.84
Voucher Total $487.84
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, WI 54305-1630 Due Date 8/30/2014
Invoice Invoice Description
Date Number (or note attached,invoice(s) or bill(s)) Amount
8/30/2014 910020863 $487.84
r
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
/yLy
Date Officer