HomeMy WebLinkAbout300204 07/12/16 °1 CITY OF CARMEL, INDIANA VENDOR: 3707,97
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ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******130.50*
x` CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 300204
9y��oN r' LEBANON IN 46052 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 8300678921 130.50 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
POMP'S TIRE- LEBANON
1316 W SOUTH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LEBANON, IN 46052 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$130.50 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
830067892 43-510.00 $130.50 1 hereby certify that the attached invoice(s),or 7/1/16 830067892 $130.50
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
--which-charge-is-made-were-ordered-and-------
received
hich-charge-is-made-were-ordered-and _-__received except
Friday,July 01, 2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer -
SHPN577028003
POMP'S TIRE-LEBANON INVOICE #: 830067892
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL FIRE DEPT SHIP TO:
2 CIVIC SQUARE
2009963 FIRE HEADQUARTERS UNIT 41 LADDER TRK
CARMEL, IN
46032
CREATED BY JM
FAX NUMBER: 317-571-2615
BUSINESS: 317/571-2600 0
SALESMAN: SHANE RUMMEL LICENSE: TT05CM IN MILEAGE: 40893
INVOICE DATE: 06/29/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
--------------------------------------F
SERVICE - REGULAR 83313 1.00 85.00 85.00
RS
2 CIVIC SQAURE
TRK DISMOUNT&MOUNT ON UNIT/RD 8333 1.00 38.00 38.00
TDMR
RAD116 REPAIR UNIT 1 7.50 7.50
SUPL
MERCHANDISE: 7.50
LABOR: 123.00
OFFICE COPY INVOICE TOTAL: 130.50
ON ACCOUNT A/R 130.50
***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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