HomeMy WebLinkAbout239788 12/03/14 CITY OF CARMEL, INDIANA VENDOR: 366480
i ® ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****""249.82'
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 239788
°Mirur PO BOX 1630 CHECK DATE: 12/03/14
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910024114 249.82 OTHER EXPENSES
SHPN577455606
POMP'S TIRE-LAFAYETTE INVOICE #: 910024114
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
CARTsEL, IN - --- - - -
46074 .
CREATED BY TIM AJ
REF NUMBER: DR1132353
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 11/21/14 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
------------------------------------------------------------7------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R17/10 TRANSFRC AT WL 2 . 124.66 249.32
205F222
TIRE USER FEE - IN 2 .25 0.50
950L13
Registration: serial# 1 Quantity 2
BS CM 6429680193
MERCHANDISE: 249.32
OTHER: 0.50
INVOICE TOTAL: 249.82
GOVERNMENT 249.82
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER # 142369 WARRANT# ALLOWED
366480 i IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
,
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
j
910024114 01-6500-05 $249.82
Voucher Total $249.82
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, Wl 54305-1630 Due Date 11/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/24/201, 910024114 $249.82
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