HomeMy WebLinkAbout244776 04/29/15 4�u.c,pMf
q; CITY OF CARMEL, INDIANA VENDOR: 366480
g it ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****1,990.22"
d, =Q CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 244776
PO BOX 1630 CHECK DATE: 04/29/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830046026 1,990.22 OTHER EXPENSES
SHPN577553394
POMP'S TIRE-LEBANON INVOICE #: 830046026
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: TRK# 72
3450 w 131sT STREET
2266
CARMEL, IN
46074
CREATED BY "MET
REF NUMBER: DR1183127
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
VEHICLE: CHEVY C5500
SALESMAN: MICHAEL S RUMMEL LICENSE: 78410 IN MILEAGE: 44142
INVOICE DATE: 04/03/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
TRK DISMOUNT&MOUNT ON UNIT/SHP 8331 6 38.00 228.00
TDMS
225/70819.5/14 B/S R250F 2 274.46 548.92
226B955
TIRE USER FEE - IN 2 .25 0.50
950L13
225/70819.5/14 B/S M729F 4 302.95 1211.80
227B023
TIRE USER FEE - IN 4 .25 1.00
950L13
CM#6433453270 DJS
MERCHANDISE: 1760.72
LABOR: 228.00
OTHER: 1.50
OFFICE COPY INVOICE TOTAL: 1990.22
GOVERNMENT 1990.22
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU" FOR YOUR BUSINESS! ! ! !
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER # 151603 WARRANT# ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
4
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
830046026 01-6500-05 $1,990.22
i.
i
I
II i
Voucher Total $1,990.22
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, VVI 54305-1630 Due Date 4/21/2015
I
Invoice Invoice Description
Date Number (or note attached'invoice(s) or bill(s)) Amount
4/21/2015 830046026 $1,990.22
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