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HomeMy WebLinkAbout332329 11/13/18 Voided "''�� CITY OF CARMEL, INDIANA VENDOR: 370797 .; ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $********23.75* 9 i+' CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 332329 y��TON_�. LEBANON IN 46052 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 830109106 23.75 TIRES & TUBES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370797 POMP'S TIRE - LEBANON IN SUM OF$ 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 $23.75 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 830109106 42-320.00 $23.75 1 hereby certify that the attached invoice(s),or 10/23/18 830109106 Tireslrubes $23.75 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, November 05,2018 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 SHPN577665497.TXT POMP'S TIRE-LEBANON INVOICE #: 830109106 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 MT FAX NUMBER: 3177332005 BUSINESS: 317/733-2001 0 PO NUMBER: SWEEPER SALESMAN: RODNEY RICHARDSON INVOICE DATE: 10/23/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------- ------------------------------------------------ PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- TRAILER TIRE REPAIR - LOOSE 7855 1.00 16.25 16.25 PFL RADIAL 120 PATCH & R8 PLUG 1 7.50 7.50 SUPL MERCHANDISE: 7.50 LABOR: 16.25 OFFICE COPY INVOICE TOTAL: 23.75 ON ACCOUNT A/R 23.75 ***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