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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. Page 1