243307 03/18/15 CITY OF CARMEL, INDIANA VENDOR: 366480
�b ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****1,230.02*
?� CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 243307
PO BOX 1630 CHECK DATE: 03/18/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910026075 —85.00 TIRES & TUBES
601 5023990 910026508 1,032.52 OTHER EXPENSES
2201 4232000 910027208 282.50 TIRES & TUBES
SHPN577531419
POMP'S TIRE-LAFAYETTE INVOICE #: 910027208
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: UNIT# JD624
3400 W 131ST STREET__ HRS: 4819_ .
2264 LEFT FRONT REPAIR
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 03/09/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
OFF ROAD SERVICE CALL-REG HRS 9105 1.00 165.00 165.00
ORS
3400 W 131ST, CARMEL, IN
FUEL PRICE SURCHARGE 1 10.00 10.00
SURL
TRUCK SUPPLIES 1 7.50 7.50
TSUL
20.5 X 25 FLAT REPAIR - DRY 9105 1.00 85.00 85.00
OFR205D
O-RING HEMTT,PLS/HET,MTVR 1 15.00 15.00
ORING
MERCHANDISE: 22.50
LABOR: 250.00
_ OTHER: 10.00
INVOICE TOTAL: 282.50
ON ACCOUNT A/R 282.50
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
SHPN577493421
POMP'S TIRE-LAFAYETTE INVOICE #: 910026075
2700 SCHUYLER AVE SUMMARY
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: CASING CREDITS
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 01/19/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-----------------------------------------------------------------------7-------
CASING CREDIT -1 85.00 -85.00
CC
Tire ID Number:100402937
CASING GRADE: A
OTHER: 85.00-
INVOICE TOTAL: 85.00-
ON ACCOUNT A/R 85.00-
***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.
A/R Department
IN SUM OF$
p. O. Box 1630
Green Bay,WI 54305-1630
$197.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
2201 910026075 42-320.00 j ' ($85.00) 1 hereby certify that the attached invoice(s), or
2201 910027208 42-320.00 $282.50 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
StjW@ttcqR0M@per
Title
Cost distribution ledger classification if d
claim paid motor vehicle highway fund
I
I
i
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
i
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
i
Invoice Invoice Description Amount
j Date Number (or note attached invoice(s) or bill(s))
01/19/15 910026075
($85.00)
03/09/15 910027208 $282.50
I�
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
SHPN577517581
POMP'S TIRE-LAFAYETTE INVOICE #: 910026508
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
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR1205406
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 02/20/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT265/70R17/10 TRANSFRC AT WL 4 137.39 549.56
20OF190 L
TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration: Serial# VNAHTR54314 Quantity 4 4 \�a
LT245/70R17/10 TRANSFRC HT BL 4 120.24 480.96
191F316
.TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration: Serial# VNP8THo0315 Quantity 4
GOV F/S 7130
CM#6432186070 DIS
MERCHANDISE: 1030. 52
OTHER: 2.00
INVOICE TOTAL: 1032.52
GOVERNMENT 1032.52
**A COPY OF THIS INVOICE HAS BEEN EMAILED`
Printed Name Tent mo;acr Signature, l,v,.4
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER# 151142 WARRANT# ALLOWED
i
366480 IN SUM OF $
Pomp's Tire
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I1
910026508 01-6500-04 $481.96 i
910026508 01-6500-05 $550.56 .
,j.
I i
,4
s
Voucher Total $1,032.52 `
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 3/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2015 910026508 $1,032.52
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
lInAll
O
Date cer