HomeMy WebLinkAbout249855 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 366394
® ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*****1,750.52*
CARMEL, INDIANA 46032 1316 WEST SOUTH STREET CHECK NUMBER: 249855
+rTON. LEBANON IN 46052 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830054716 1,750.52 AUTO REPAIR & MAINTEN
SHPN577710445
POMP'S TIRE-LEBANON INVOICE #: 830054716
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO:
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN CARMEL, IN
46032 46032
CREATED BY SBR
REF NUMBER: DRM954160
FAX NUMBER: 317-571-2615
WORK: 317/571-2600 0 PO NUMBER: GOV DR55366
SALESMAN: MICHAEL S RUMMEL LICENSE: 63478 IN MILEAGE: 71259
INVOICE DATE: 09/15/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION
-------------------------------------------------------------------------------
ROAD SERVICE - REGULAR 8333 1.00 85.00 85.00
RS
CARMEL INDIANA
11R22.5/16 CNTNTL HDR2 M+S 4 368.18 1472.72
522C042
TIRE USER FEE - IN 4 .25 1.00
950L13
TRK DISMOUNT&MOUNT ON UNIT/RD 8333 4.00 38.00 152.00
TDMR
SPECIALTY TRUCK VALVE STEM 4 9.95 39.80
TVALVS
CM#5056684428 MAR
MERCHANDISE: 1512.52
LABOR: 237.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 1750. 52
GOVERNMENT 1750. 52
***A COPY OF THIS INVOICE HAS BEEN EMAILED"
THANK YOU FOR YOUR BUSINESS M !
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 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))
830054716 $1,750.52
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire - Lafayette
IN SUM OF $
2700 Schuyler Avenue
Lafayette, IN 47905
$1,750.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 830054716 43-510.00 $1,750.52 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
SEP 2 1 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund