HomeMy WebLinkAbout253180 01/11/16 4y f C�p�F
�;r 1• CITY OF CARMEL, INDIANA VENDOR: 366394
i� ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*****2,487.10*
x9` =a CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 253180
LAFAYETTE IN 46905 CHECK DATE: 01/11/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 1 910037757 2,487.10 AUTO REPAIR & MAINTEN
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SHPN577822661
POMP'S TIRE-LAFAYETTE INVOICE #: 910037757
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
_
CUSTOMER:-_ CITY__OF CARMEL FIRE_DEPT SHIP _T_O;___ DELIVERED_VI_A_ 5; 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: 12/31/!15 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
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PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
AIRBAT STEER TIRE SENSOR 8 99.95 799.60
81450090
AIRBAT RF SENSOR DUAL TIRE 10 119.95 1199.50
81650090
STEMCO HANDBAT HANDHELD; READER 1 299.00 299.00
82050000
BRACKET SST STEER SENS 'HUB-PIL 8 8.00 64.00
85050022
MOUNT BRACKET HUB PILOT WHEEL 10 12.50 125.00
85050009
MERCHANDISE: 2487.10
OFFICE COPY INVOICE TOTAL: 2487.10
ON ACCOUNT A/R 2487.10
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
i
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
910037757 $2,487.10
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire- Lafayette
IN SUM OF$
2700 Schuyler Avenue
Lafayette, IN 47905
$2,487.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 910037757 43-510.00 $2,487.10 I 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 exceptIAN _ 4 2016
-it fli� A
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund