HomeMy WebLinkAbout245593 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $ .....499.64*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 245593
PO BOX 1630 CHECK DATE: 05/20/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910028437 499.64 OTHER EXPENSES
POMP'S TIRE-LAFAYETTE INVOICE #: 91002843/
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 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 INS
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PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSIOP
--------------------------------------------------------------------------------
LT245 75R17/10 TRANSFRC AT WL 4 124 . 66 498 . 64
20 F222
TIRE USER FEE - IN 4 . 25 1 . 0(
95OL13
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
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES .
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 5/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2015 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 fficer
VOUCHER # 151939 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910028437 01-6500-05 $499.64
Voucher Total $499.64
Cost distribution ledger classification if
claim paid under vehicle highway fund