HomeMy WebLinkAbout258176 04/29/16 4a �C�AMR
CITY OF CARMEL, INDIANA VENDOR: 366480
= 31 ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $***`***441.44*
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK NUMBER: 258176
°M,i ru`x Eo. PO BOX 1630 CHECK DATE: 04/29/16
GREEN BAY WI 54305-1630
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830063512 441.44 OTHER EXPENSES
VOUCHER # 161292 WARRANT# ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
830063512 01-6500-04 $441.44
Voucher Total $441.44
Cost distribution ledger classification if
claim paid under 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 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 4/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/2016 830063512 $441.44
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
,//"-? ,
Date Officer
.,vF,;vmy
.�zt
SHPN577935419
POMP'S TIRE-LEBANON INVOICE #: 830063512
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY JM
REF NUMBER: DR1344573
FAX NUMBER: 3177332053
BUSINESS: 317/733-2855 0
SALESMAN: SHANE RUMMEL
INVOICE DATE: 04/19/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
------------------------------------------------------------ ------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R16/10 TRANSFRC HT BL 4 110.11 440.44
189F769
TIRE USER FEE - IN 4 .25 1.00
950L13
Registration: Serial# VN11TH00316 Quantity 4
CARRY OUT ORDER
BSCM# 6445816610 PV
MERCHANDISE: 440.4.4
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 441.44
GOVERNMENT 441.44
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS M !
Printed Name Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1