HomeMy WebLinkAbout253959 01/26/16 CITY OF CARMEL, INDIANA VENDOR: 366394
iL ® ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*'*'"'"352.92*
s.. ° CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 253959
LAFAYETTE IN 46905 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910037984 352.92 OTHER EXPENSES
SHPN577839710
POMP'S TIRE-LAFAYETTE INVOICE #: 910037984
2700 SCHUYLER AVE
LAFAYETTE, IN 47905 PAGE: 1
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: DR1358208
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 01/18/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
P225/70TR15 DEST LE2 WL 4 87.98 351.92
140F344
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: serial# w2UVDE12515 Quantity 4
GOV BFS 7130
BSCM# 6442941148 Pv
MERCHANDISE: 351.92
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 352.92
GOVERNMENT 352.92
• *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 1/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/2016 910037984 $352.92
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 # 154118 WARRANT# ALLOWED
366480 iIN SUM OF
Pomp's Tire
PO BOX 1630
GREEN BAY, W1 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
fi
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910037984 01-6500-07 $352.92
ti
Voucher Total $352.92
Cost distribution ledger classification if
claim paid under vehicle highway fund