HomeMy WebLinkAbout245242 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 366394
® 11 ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*****1,472.44*
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 245242
''aruN LAFAYETTE IN 46905 CHECK DATE:. 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910028437 499.64 OTHER EXPENSES
2201 4232000 910028931 972.80 TIRES & TUBES
SHPN577581568
POMP'S TIRE-LAFAYETTE INVOICE #: 910028931
2700 SCHUYLER AVE SUMMARY
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264 ,
CARMEL, IN
46074
CREATED BY TIM
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/05/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
12-16.5 BANDAG DRIVE MIXED 4 213.20 852.80
745BDM
Tire ID Number:110620044,110620045,110620046,110620047
LABOR CHARGE W/SOLID TIRE 4.00 30.00 120.00
FOAML
MERCHANDISE: 852.80
LABOR: 120.00
INVOICE TOTAL: 972.80
ON ACCOUNT A/R 972.80
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER NO. WARRANT NO.
Pomp's Tire Service, Inc. ALLOWED 20
IN SUM OF$
A/R Department
p. O. Box 1630
Green Bay, WI 54305-1630
$972.80
f i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
I'
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 910028931 42-320.00 $972.80 ' 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
Th ®1
Fm
Street Commissioner
Title
I I
Cost distribution ledger classification if
claim paid motor vehicle highway fund l j
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 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))
05/05/15 910028931 $972.80
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
SHPN577574617
POMP'S TIRE-LAFAYETTE INVOICE #: 910028437
2700 SCHUYLER AVE
LAFAYETTE, IN 47905 PAGE: 1
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVER VIA SHANE
2266 3450 w 131ST STREET
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR1247201
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 04/29/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
---------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R17/10 TRANSFRC AT WL 4 124.66 498.64
205F222
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# VN43TR50615 Quantity 4
FIRESTONE GOVERNMENT SALE APPROVAL# 7130
CM#6434298406 MAR
MERCHANDISE: '498.64
OTHER: 1.00
INVOICE TOTAL: 499.64
GOVERNMENT 499.64
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name signature
. LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER# 151757 WARRANT# ALLOWED
°i
IN SUM OF'$
366480
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630 I
1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
i
II �
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I I
910028437 01-6500-05 $499.64
i
'i
i
if
of
Voucher Total $499.64
Cost distribution ledger classification if
claim paid under vehicle highway fund i
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 5/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/2015 910028437 $499.64
1 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