HomeMy WebLinkAbout251222 11/04/15 uL.4�q,M
\� CITY OF CARMEL, INDIANA VENDOR: 366480
'1 ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $*******136.62*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 251222
y�roN PO BOX 1630 CHECK DATE: 11/04/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830057215 136.62 OTHER EXPENSES
SHPN577755806
POMP'S TIRE-LEBANON INVOICE #: 830057215
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359 -
CUSTOMER:
65/482-4359CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: PER SHANE
3450 W 131ST STREET .
2266 -
CARMEL, IN
46074
CREATED BY MT
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 10/26/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
ST205/75R15/8 TOWMAX STR II 2 68.06 136.12
MAXC49T
TIRE USER FEE - IN 2 .25 0.50
950L13
Registration: serial# ADB3TBST3415 Quantity 2
MERCHANDISE: 136.12
OTHER: 0.50
OFFICE COPY INVOICE TOTAL: 136.62
ON ACCOUNT A/R 136.62
`A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YO.U_..FOR YOUR BUSINESS!-! ! ! -- -
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
VOUCHER # 153422 WARRANT# ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
:i
Carmel Water Utility
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ON ACCOUNT OF APPROPRIATION FOR
+
� Board members
1
PO# INV# ACCT# AMOUNTAudit Trail Code
tl
830057215 01-6500-05 $136.62
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Voucher Total $136.62
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 10/27/2015
Invoice Invoice Description
Date Number (or note attached;invoice(s) or bill(s)) Amount
10/27/201; 830057215 $136.62
i
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