Loading...
HomeMy WebLinkAbout328580 08/09/18 / sr CITY OF CARMEL, INDIANA VENDOR: 370797 • ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******289.68* CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 328580 yiTON�. LEBANON IN.46052 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 830103813 289.68 TIRES & TUBES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370797 POMP'S TIRE- LEBANON IN SUM OF$ 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 $289.68 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 830103813 42-320.00 $289.68 1 hereby certify that the attached invoice(s),or 8/1/18 830103813 $289.68 2201 2201 2201 2201 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,August 06,2018 Huffman, Dave 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 SHPN577426034.TXT POMP'S TIRE-LEBANON INVOICE #: 830103813 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 JGM REF NUMBER: DRHGS1045807 FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 08/01/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION -------------------------------------------------------------------- 11R22.5/14 HANKOOK AL07 + 1 289.43 289.43 H3001538 TIRE USER FEE - IN 1 .25 0.25 RODNEY TO DELIVER TODAY CM#65014691 DIS MERCHANDISE: 289:43 OTHER: 0.25 OFFICE COPY INVOICE TOTAL: 289.68 r GOVERNMENT 289.68 ***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