244050 04/08/2015 u ��q
�' ';F. CITY OF CARMEL, INDIANA VENDOR: 366394
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: S"'""*535.85"
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 244050
+M.roN� LAFAYETTE IN 46905 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910027510 535.85 TIRES & TUBES
SHPN577545525
POMP'S TIRE-LAFAYETTE INVOICE #: 910027510
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP
2264 3400 W 131ST STREET
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DRM937656
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 03/28/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
315/80R22. 5/20 CONT HSU2 WT US 1 468.10 468.10
514C045
TIRE USER FEE - IN 1 .25 0.25
950L13
TRUCK DISMOUNT/MOUNT-LOOSE-SHP 9101 1.00 28.00 28.00
TDMLS
POWDER COAT RIM/WHL RECONDITON 1 32.00 32.00
RECON
STANDARD BRASS TRUCK VALVE 1 7. 50 7. 50
TVALV
CM#5056385826 DJS
MERCHANDISE: 507.60
LABOR: 28.00
OTHER: 0.25
INVOICE TOTAL: 535.85
GOVERNMENT 535.85
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be property 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))
03/28/15 910027510 $535.85
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc.
IN SUM OF $
7CC
p.
$535.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 910027510 I 42-320.001 $535.85 1 hereby certify that the attached invoice(s), or
1 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
r
Thur d y, April 02, 2015
4
Street Com mi loner
Meet v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund