HomeMy WebLinkAbout239605 11/25/2014 �. CITY OF CARMEL, INDIANA VENDOR: 366394
;, ® �l ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*******562.72*
r. a CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 239605
9M�f iON,GO i' LAFAYETTE IN 46905 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910024031 562.72 TIRES & TUBES
SHPN577453747
POMP'S TIRE-LAFAYETTE INVOICE #: 910024031
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE
3400 w 131ST STREET
2264
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR1132351
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 11/19/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
------------------------ -------------------------------------------------------
225/70R19.5/14 B/S R250F 2 281.11 562.22
226B955
TIRE USER FEE - IN 2 .25 0.50
950L13
BRIDGESTONE GOVERNMENT SALE APPROVAL# 7130
CM#6429680200 D]S
MERCHANDISE: 562.22
OTHER: 0.50
INVOICE TOTAL: 562.72
GOVERNMENT 562.72
***A COPY OF THIS- INVOICE HAS BEEN-EMAILED** --
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc. ,?
Ay�R-B� o�2e0 -TC-A6 Ale- IN SUM OF $
p. 0. Box 1699 IAJ
4PZ28-S I
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f
$562.72
ON ACCOUNT OF APPROPRIATION FOR
i
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 910024031 I 42-320.001 $562.72 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' 014
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
r
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))
11/19/14 910024031 $562.72
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