HomeMy WebLinkAbout329503 08/30/18 +e�_C�H6
CITY OF CARMEL, INDIANA VENDOR: 370797
�/ �; ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*****1,868.00*
:� CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 329503
9M,fi0t1 c�r9 LEBANON IN 46052 CHECK DATE: 08/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 830101996 1,868.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 370797 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
POMP'S TIRE- LEBANON IN SUM OF$ 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
$1,868.00
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
830101996 42-320.00 $1,868.00 1 hereby certify that the attached invoice(s),or 8/23/18 830101996 Tires $1,868.00
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
Tuesday,August 28,2018
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
SHPN577488013.TXT
POMP'S TIRE-LEBANON INVOICE #: 830101996
1316 WEST SOUTH STREET
PAGE: 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: MOUNT 4 ON GREY WHEELS
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY JGM
REF NUMBER: DRM970823
FAX NUMBER: 3177332005
BUSINESS: 317/733-2001 0
SALESMAN: RODNEY RICHARDSON
INVOICE DATE: 08/23/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22.5/16 CNTNTL HDR2 M+S 4 409.75 1639.00
005220420000
TIRE USER FEE - IN 4 .25 1.00
TRUCK MOUNT - SHOP 7855 4.00 15.00 60.00
TMS
STANDARD BRASS TRUCK VALVE 4 6.00 24.00
TVALV
PRIMER & PWDR COAT RECONDITION 4.00 36.00 144.00
RECONP
CM#5056366261 DJS
MERCHANDISE: 1663.00
LABOR: 204.00
OTHER: 1.00
OFFICE COPY INVOICE TOTAL: 1868.00
GOVERNMENT 1868.00
***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.
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