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HomeMy WebLinkAbout258005 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 366480 ,. CHECK AMOUNT: $*******460.00* ONE CIVIC SQUARE POMP'S TIRE CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 258005 vM�TON` PO BOX 1630 CHECK DATE: 04/26/16 GREEN BAY WI 54305-1630 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 910040791 460.00 OTHER EXPENSES 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 4/11/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4111/2016 910040791 $460.00 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# 161197 WARRANT# ALLOWED 366480 IN SUM OF $ Pomp's Tire PO BOX 1630 GREEN BAY, W1 54305-1630 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 910040791 01-6500-07 $460.00 Voucher Total $460.00 Cost distribution ledger classification if claim paid under vehicle highway fund SHPN5779230I0 POMP'S TIRE-LAFAYETTE INVOICE #: 9I004079I 2700 S[HUYLER AVE PAGE: I LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL �450 W I3I5T STREET 2260 CARMEL, IN 46074 CREATED BY DBL REF NUMBER: DRI388400 FAX NUMBER: 31773]205] BUSINESS: 3I7/7]]-2855 0 PO NUMBER: GOV SALESMAN: SHANE RUMMEL INVOICE DATE: 04/06/I8 TERMS: l PMT DUE 10TH OF MON AFTR INV -----------------------------------------------------_-_--_---_----_-_------_-_ PROOU[T MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- ' P23S/7USm16 DEST A/T OWL 4 114.75. 459.00 OZ6F707 TIRE USER FEE - IN 4 .35 1.00 95DLI] Registration; Serial# W80804233I5 Quantity 4 GOV QF5 7130 BSCM# 6445399788 PV MERCHANDISE: 459'00 OTHER: 1.00 OFFICE COPY INVOICE TOTAL: 460.00 GOVERNMENT 460.00 +**A COPY OF THIS INVOICE HAS BEEN EMAILED** Printed Name signature ~ 5O LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES. Page 1