HomeMy WebLinkAbout302995 09/12/16 !" '� CITY OF CARMEL, INDIANA VENDOR: 370797
® "�1 ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $"""1,677.26'
s. r; CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 302995
9M�roN"�� LEBANON IN 46052 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 830070998 1,677.26 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
POMP'S TIRE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
A '3 wPS+ IN SUM OF$ CITY OF CARMEL
e-+ An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
Le)ocjr-Non rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
2�M L4(o0531
$1,677.26 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
830070998 43-510.00 $1,677.26 1 hereby certify that the attached invoice(s),or 9/6/16 830070998 $1,677.26
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 except
Tuesday, September 06,2016
David Haboush
Fire Chief
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
SHPN577127572
POMP'S TIRE-LEBANON INVOICE #: 830070998
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 CFM
REF NUMBER: DR043450
FAX NUMBER: 317-571-2615
BUSINESS: 317/571-2600 0 PO NUMBER: GOV
SALESMAN: SHANE RUMMEL MILEAGE: 93330
INVOICE DATE: 09/06/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
425/65R22.5/20 GDYR G296DURASEAL 2 729.38 1458.76
7566160366
TIRE USER FEE - IN 2 .25 0.50
950L13
Registration: Serial 39MDTEW3312 Quantity 2
ROAD SERVICE - REGULAR 8301 2.00 85.00 170.00
RS
4925 E 106TH STREET
CARMEL, IN
STANDARD BRASS TRUCK VALVE 2 7.50 15.00
TVALV
WIDE BASE SCRAP DISPOSAL FEE 1 13.00 13.00
WDISP
8 OZ BAG EQUAL TYPE C 40/CASE 2 10.00 20.00
008E
CM#77034361 DJS
MERCHANDISE: 1493.76
LABOR: 170.00
OTHER: 13.50
OFFICE COPY INVOICE TOTAL: 1677.26
GOVERNMENT 1677.26
***A COPY OF THIS INVOICE HAS BEEN EMAILED**
THANK YOU FOR YOUR BUSINESS! ! ! !
Printed Name Signature
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