HomeMy WebLinkAbout257278 04/05/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 366394
ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: S*****1,917.00*
CARMEL, INDIANA 46032 1316 WEST SOUTH STREET CHECK NUMBER: 257278
LEBANON IN 46052 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830061741 1,917.00 AUTO REPAIR & MAINTEN
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn 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))
830061741 VIN 8491 $1,917.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire- Lebanon
IN SUM OF$
1316 West South Street
Lebanon, IN 46052
$1,917.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 830061741 43-510.00 $1,917.00 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
9 2016
)p'1'I C
MAR 2
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Snyder, Denise W
From: reports@pompstire.com
Sent: Thursday, March 17, 2016 15:05
To: Snyder, Denise W
Subject: POMP'S TIRE REPORTS-Point of Sale Print of Invoice#830061741
Attachments: SH PN 577899923.TXT
POMP'S TIRE-LEBANON INVOICE#: 830061741
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS
CARMEL, IN
46032
CREATED BY KSR
REF NUMBER: DR1344566
FAX NUMBER: 317-571-2615
BUSINESS:317/571-2600 0 PO NUMBER: E340 GOVT
VEHICLE: 1997 ENGINE 340 VIN 159AF4285VN058491
SALESMAN: SHANE RUMMEL LICENSE: 12418 IN MILEAGE: 100829
INVOICE DATE: 03/17/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
12R22.5/16 F/S T-663 4 403.25 1613.00
151F009
1
TIRE USER FEE- IN 4 .25 1.00
950L13
Registration:Serial#4D3X3J60216 Quantity 3
Registration:Serial#4D3X3J64815 Quantity 1
ROAD SERVICE-REGULAR 8333 1.00 85.00 85.00
RS w
SERVICE DONE ATTRUCK SERVICE 14700 HERRIMAN BLVD, NOBLESVILLE IN 46060
1
REPLACED ALL DRIVE TIRES
ALUMINUM WHEEL TRK VALVE- ROAD 2 7.50 15.00
AVALVR
STANDARD BRASS TRK VALVE- ROAD 2 7.50 15.00
TVALVR
TRK DISMOUNT&MOUNT ON UNIT/RD 8333 4.00 38.00 152.00
TDMR
TRUCK REJECT AND SCRAP CHARGE 4 9.00 36.00
TDISP
CM#6444803960 DJS
MERCHANDISE: 1643.00
LABOR: 237.00
OTHER: 37.00
OFFICE COPY INVOICE TOTAL: 1917.00
GOVERNMENT 1917.00
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS!!!!
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
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