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Home My WebLink About333196 12/11/18 ,Coq J` �''s` CITY OF CARMEL, INDIANA VENDOR: 370797 . ,• ONE CIVIC SQUARE POMP'S TIRE-LEBANON CHECK AMOUNT: $*******166.68* �_�; CARMEL, INDIANA 46032 1316 W SOUTH STREET CHECK NUMBER: 333196 M�*oN�. LEBANON IN 46052 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 830110904 166.68 OTHER EXPENSES VOUCHER NO. 183509 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor ACCOUNTS PAYABLE VOUCHER �1 IN SUM OF$ POMP'S TIRE — C"b"fvrA ./ V CITY OF CARMEL R9-BQX 630 (, (N� 0JCk* 5� An invoice or bill to be properly itemized must show: kind of service,where performed, GREEN QAy XA/T 54205_1620 dates service rendered, by whom, rates per day, number of hours, rate per hour, 1,156NJo,�j /AJ q6D!!�2-- numbers of units, price per unit,etc. Payee 166.68 366480 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR POMP'S TIRE Terms Carmel Water Utility PO BOX 1630 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), GREEN BAY, WI 54305-1630 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 830110904 01-6500-05 $166.68 and received except 11/30/2018 830110904 $166.68 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and Ihave audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer SHPN577762113 POMP'S TIRE-LEBANON INVOICE #: 830110904 1316 WEST SOUTH STREET PAGE: 1 LEBANON, IN 46052 765/482-4359 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332053 BUSINESS: 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 11/27/18 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- ST235/80R16/12 TOWMAX STR II 2 83.09 166.18 CMAX25T TIRE USER FEE - IN 2 .25 0.50 Registration: Serial ADB3TBT13318 Quantity 2 MERCHANDISE: 166.18 OTHER: 0.50 OFFICE COPY INVOICE TOTAL: 166.68 ON ACCOUNT A/R 166.68 ***A COPY OF THIS INVOICE HAS BEEN EMAILED** THANK YOU FOR YOUR BUSINESS! ! ! ! Printed Name Signature Page 1 INC. REMITTANCE ADDRESS: POMP'S TLRE SERVICE IVPOMP'S TIRE SERVICE, INC ATTN:AR DEPARTMENT P.O.BOX 1630 GREEN BAY,WI 54305-1630 POMP ' S. TIRE-LEBANON INVOICE #: 830110904 1316 WEST SOUTH STREET PAGE: l. . LEBANON, IN 46052 765/482-4359• CUSTOMER: CITY OF CARMEL WATER OPER :3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY JGM FAX NUMBER: 3177332053 - BUSINESS : 177332053BUSINESS : 317/733-2855 0 SALESMAN: RODNEY RICHARDSON INVOICE DATE: 11/27/18 TERMS : 1 PMT DUE 10TH OF MON AFTR INV , -------------------------------------•-----.----_------------------------------ PRODUCT MECHANIC QUANTITY PRICE_ F.E.T. EXTENSION.' ------------------------------- ----------.---.----•----- --------- ST235/80R16/.12 TOWMAX STR II 2 . 83•. 09 166 . 18.. CMAX25T TIRE USER FEE - IN 2 . 25 0 . 50... Registration: Serial ADB3TBT13318Q,antity 2 Emailed to kloveall@carmel . in..gov on 11/27/18 at 14 ; 50 : 57 . Document type :-, SHPN MERCHANDISE: 166 . 18 OTHER: 0 . 5,0. EXTRA COPY INVOICE TOTAL.:' 166 :68 ON ACCOUNTA/R 16.6 . 68 THANK YOU FOR YOUR BUSINESS ! ! ! ! Printed ,Name Signature 3��4 LUG NUTS MUSP BE RE-TORQUED-AFTER i �J