247443 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 366480
® l ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*****3,032.17*
i•. .a� CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 247443
PO BOX 1630 CHECK DATE: 07/15/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830051111 2,271.38 AUTO REPAIR & MAINTEN
601 5023990 830051487 74.67 OTHER EXPENSES
601 5023990 910029604 686.12 OTHER EXPENSES
SHPN577628620
POMP'S TIRE-LAFAYETTE INVOICE #: 910029604
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR1247220
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 06/25/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT215/85R16/10 B/S M779 BLK 4 171.28 685.12
293B695
TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration: Serial# EHBAHDL1014 Quantity 4
CM36435920287 MAR
MERCHANDISE: 685.12
OTHER: 1.00
INVOICE TOTAL: 686.12
GOVERNMENT 686.12
***A COPY OF THIS INVOICE HAS BEEN EMAILED'°*
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
SHPN577638910
POMP'S TIRE-LEBANON INVOICE #: 830051487
1316 WEST SOUTH STREET
LEBANON, IN 46052 PAGE: 1
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 07/02/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
ST225/75R15/8 TOWMAX RADIAL ST 1 74.42 74.42
MAXC51
TIRE USER FEE - IN 1 .25 0.25
950L13
Registration: Serial# ADB4GPB3714 Quantity 1
MERCHANDISE: 74.42
OTHER: 0.25
OFFICE COPY INVOICE TOTAL: 74.67
ON ACCOUNT A/R 74.67
***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
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 7/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2015 910029604 $686.12
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
Date Officer
VOUCHER # 152370 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
910029604 01-6500-05 $686.12
Voucher Total �( �� i 2
Cost distribution ledger classification if
claim paid under vehicle highway fund
SHPN577643299
POMP'S TIRE-LEBANON INVOICE #: 830051111
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052 -
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO: ENGINE 45
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY SBR
REF NUMBER: DRM947121
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV DR55303
SALESMAN: MICHAEL s RUMMEL LICENSE: 64540 IN MILEAGE: 78327
INVOICE DATE: 07/09/15 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
5220127
TIRE USER FEE - IN 4 .25 1.00
950L13
ROAD SERVICE - REGULAR 8333 1.00 85.00 85.00
RS
CARMEL FIRE
TRK DISMOUNT&MOUNT ON UNIT/RD 8333 4.00 38.00 152.00
TDMR
STANDARD BRASS TRUCK VALVE 2 6.00 12.00
TVALV
SPECIALTY TRUCK VALVE STEM 2 9.95 19.90
TVALVS
TRUCK REJECT AND SCRAP CHARGE 4 9.00 36.00
TDISP
CM#5056562271 MAR
MERCHANDISE: 1997.38
LABOR: 237.00
OTHER: 37.00
OFFICE COPY INVOICE TOTAL: 2271.38
GOVERNMENT 2271.38
• ;;*A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS! ! ! !
Printed Name signature
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 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))
830051111 $2,271.38
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
120-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire - Lafayette
IN SUM OF $
2700 Schuyler Avenue
Lafayette, IN 47905
$2,271.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 830051111 43-510.00 $2,271.38 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
JUL 13 ZU15
..�f) A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund