245956 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 366480
ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****2,552.38*
r_ =q CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 245956
PO BOX 1630 CHECK DATE: 06/03/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830048675 2,253.38 AUTO REPAIR & MAINTEN
1120 4351000 910029404 299.00 AUTO REPAIR & MAINTEN
SHPN577592016
POMP'S TIRE-LEBANON INVOICE #: 830048675
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO: ENGINE 341
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY SBR
REF NUMBER: DRM942361
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/18/15 TERMS: 1 PMT DUE 10TH OF MON .AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
12R22.5/16 CNTNTL HDR2 4 491.37 1965.48
522C127
TIRE USER FEE - IN 4 .25 1.00
950L13
TRK DISMOUNT&MOUNT ON UNIT/RD 8333 4.00 38.00 152.00
TDMR
ROAD SERVICE - REGULAR 8333 1.00 85.00 85.00
RS
AT SHOP CARMEL INDIANA
SPECIALTY TRUCK VALVE STEM 2 9.95 19.90
TVALVS
STANDARD BRASS TRUCK VALVE 2 6.00 12.00
TVALV
TRUCK REJECT AND SCRAP CHARGE 2 9.00 18.00
TDISP
CM#5056472696 DJS
MERCHANDISE: 1997.38
LABOR: 237.00
OTHER: 19.00
OFFICE COPY INVOICE TOTAL: 2253.38
GOVERNMENT 2253.38
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS M !
Printed Name Signature
Page 1
SHPN577598765
POMP'S TIRE-LAFAYETTE INVOICE #: 910029404
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO: DELIVERED VIA S. RUMMEL
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY DBL
REF NUMBER: SHANE
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/27/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
STEMCO HANDBAT HANDHELD READER 1 299.00 299.00
82050000
MERCHANDISE: 299.00
INVOICE TOTAL: 299.00
ON ACCOUNT A/R 299.00
***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.
Pomp's Tire - Lafayette ALLOWED 20
IN SUM OF $
2700 Schuyler Avenue
Lafayette, IN 47905
I
$2,552.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1120 830048675 43-510.00 $2,253.38 1 hereby certify that the attached invoice(s), or
1120 910029404 43-510.00 $299.00 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
JUN _ 1 2015
NOD �8-
Fire Chief
Title
IIS
Cost distribution ledger classification if
claim paid motor vehicle highway fund
f
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))
830048675 E341 $2,253.38
910029404 $299.00
I
ISI
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