251694 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 366480
® ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $"""'1,343.88"
i• i' CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 251694
PD Box 1630 CHECK DATE: 11/18/15
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910033286 464.76 OTHER EXPENSES
601 5023990 910033897 464.76 OTHER EXPENSES
601 5023990 910035410 414.36 OTHER EXPENSES
SHPN577767522
POMP'S TIRE-LAFAYETTE INVOICE #: 910035410
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR1328366
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 11/03/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
P235/70TR16 DEST LE2 WL XL 4 103 . 34 413.36
097F759
TIRE USER FEE - IN 4 .25 1.00
95OL13
Registration: Serial# 8X08DE11915 Quantity 4
CM 6440519826 Pv
MERCHANDISE: 413.36
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 414.36
GOVERNMENT 414.36
• **A COPY OF THIS INVOICE HAS BEEN EMAILED* f
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
SHPN577759406
POMP'S TIRE-LAFAYETTE INVOICE #: 910033897
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 JM
REF NUMBER: DR1294535
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 10/29/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R16/10 TRANSFRC AT BL 4 115 .94 463.76
189F582
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# 8X11TR71015 Quantity 2
Registration: Serial# 8x11TR71015 Quantity 2
CM 6440266936 PV
MERCHANDISE: 463.76
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 464.76
GOVERNMENT 464. 76
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
SHPN577759398
POMP'S TIRE-LAFAYETTE INVOICE #: 910033286
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER
2266 3450 w 131ST STREET i
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR1294521
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 10/29/15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R16/10 TRANSFRC AT BL 4 115.94 463.76
189F582
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# 8X11TR71215 Quantity 4
CM 6440273757 Pv
MERCHANDISE: 463.76
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 464.76
GOVERNMENT 464.76
••**A COPY OF THIS INVOICE HAS BEEN EMAILED**
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 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 910035410 $414.36
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 # 153511 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
1
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910035410 01-6500-07 $414.36
Lfmoi' tt,:53 4W 7�-
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund