HomeMy WebLinkAbout305642 11/28/16 1� , MP
CITY OF CARMEL, INDIANA VENDOR: 370797
�/ �I ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******492.60*
f''. ?�; CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 305642
9M�*oN�. LEBANON IN 46052 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830073441 492.60 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
POMPS TIRE-LARAYE= NO'v
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
vEN IN SUM OF$ CITY OF CARMEL
LE BA r)v/�% t —I( SZ An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
4 05 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$492.60 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
830073441 42-320.00 $492.60 1 hereby certify that the attached invoice(s),or 11/8/16 830073441 $492.60
2201 201 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
received except
Tuesday, November 15,2016
Dave Huffman
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
SHPN577224660.TXT
POMP'S TIRE-LEBANON INVOICE #: 830073441
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY JH
REF NUMBER: DRM995842
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: SHANE RUMMEL
INVOICE DATE: 11/08/16 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
10R17.5/16 CNTNTL LSR1 REG-TR* 2 . 246.05 492.10
471C440
TIRE USER FEE - IN 2 .25 0.50
950L13
Emailed to srummel@pompstire.com on 11/08/16 at 09:20:01. Document type: WRKO
CM#5077657384 DJs
MERCHANDISE: 492.10
OTHER: 0.50
OFFICE COPY INVOICE TOTAL: 492.60
GOVERNMENT 492.60
***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.
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