HomeMy WebLinkAbout257500 04/12/16 +ur CAgM
�"• CITY OF CARMEL, INDIANA VENDOR: 366394
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $*******551.45*
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK NUMBER: 257500
LAFAYETTE IN 46905 CHECK DATE: 04/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910040751 551.45 TIRES & TUBES
VOUCHER NO. WARRANT NO.
ALLOWED 20
POMPS TIRE-LAFAYETTE
2700 SCHUYLER AVENUE IN SUM OF$
LAFAYETTE, IN 46905
$551.45
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member!
I 910040751 I 42-320.00 I $551.45 1 hereby certify that the attached invoice(s), or
2201 201
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
receiv d except r
-7
Ua"
St,e t GgFnmissianer
Tuesday, April 05, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/05/16 910040751 $551.45
2201 201
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
SHPN577922342
POMP'S TIRE-LAFAYETTE INVOICE #: 910040751
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
3400 W 131ST STREET
2264
C) CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR083652
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: SHANE RUMMEL
INVOICE DATE: 04/05/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22.5/16 GOODYEAR G182 RSD 1 435.70 435.70
1386803185
TIRE USER FEE - IN 1 .25 0.25
950L13
GOV GY G0004287
TRUCK MOUNT - SHOP 9101 1.00 15.00 15.00
TMS
STANDARD BRASS TRUCK VALVE 1 8.00 8.00
TVALV
8.25X22.5 HP10 2HH STL WHL 1 85.00 85.00
SR22H25
SHOP SUPPLIES 1 7.50 7.50
SUPL
CM#72751698 DJS
MERCHANDISE: 536.20
LABOR: 15.00
OTHER: 0.25
OFFICE COPY INVOICE TOTAL: 551.45
GOVERNMENT 551.45
***A COPY OF THIS INVOICE HAS BEEN EMAILED'*
Printed Name signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
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