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HomeMy WebLinkAbout319982 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 370797 ;.j; d 31• ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $****`**299.00` CARMEL, INDIANA 46032 1316,W SOUTH STREET CHECK NUMBER: 319982 LEBANON IN 46062 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 830092715 299.00 OTHER EQUIPMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 370797 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER - POMP'S TIRE-LEBANON IN SUM OF$ CITY OF CARMEL 1316 W SOUTH STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. LEBANON, IN 46052 Payee $299.00 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 830092715 44-670.99 $299.00 I hereby certify that the attached invoice(s),or 12/11/17 830092715 $299.00 1120 102 1120 102 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 Monday, December 11,2017 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 , 20- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer SHPN577838542 POMP'S TIRE-LEBANON INVOICE #: 830092715 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 JGM FAX NUMBER: 317-571-2615 BUSINESS: 317/571-2600 0 PO NUMBER: SCOTT SALESMAN: RODNEY RICHARDSON INVOICE DATE: 12/11/17 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- STEMCO HANDBAT HANDHELD READER 1 299.00 299.00 82050000 MERCHANDISE: 299.00 OFFICE COPY INVOICE TOTAL: 299.00 ON ACCOUNT A/R 299.00 ***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. Page 1