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Home My WebLink About211008 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366394 Page 1 of 1 ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $2,171.46 CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE LAFAYETTE IN 46905 CHECK NUMBER: 211008 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 910001094 1, 086 . 68 TIRES & TUBES 2201 4232000 910001099 260 . 78 TIRES & TUBES 2201 4232000 910001298 824 . 00 TIRES & TUBES POMP' S TIRE-LAFAYETTE INVOICE # : 910001094 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA SHANE R. 3400 W 131ST STREET 2264 CARMEL, IN 46074 REF NUMBER: DR497262 FAX NUMBER: 3177332005 WORK: 317/733-2001 0 PO NUMBER: GOV SALESMAN: MICHAEL SHANE RUMMEL LICENSE: NO-VEHICLE INVOICE DATE: 06/29/12 TERMS : NET 30 DAYS ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 315/80R22 . 5/20 GDYR G291 2 447 . 34 894 . 68 756G256420 TRUCK DISMOUNT/MOUNT-LOOSE-SHP 9109 3 . 00 28 . 00 84 . 00 TDMLS 1 CUST. TIRE, 2 NEW TIRES STANDARD BRASS TRUCK VALVE 3 6 . 00 18 . 00 TVALV TRUCK SPIN BALANCE 9109 3 . 00 30 . 00 90 . 00 TBAL GOV G0001644 DR# 497262 CM#67281419 DJS MERCHANDISE: 912 . 68 LABOR: 174 . 00 INVOICE TOTAL: 1086 .68 ******THIS IS A REPRINTED INVOICE****** GOVERNMENT 1086 . 68 POMP' S TIRE-LAFAYETTE INVOICE # : 910001298 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP 3400 W 131ST STREET 2264 CARMEL, IN 46074 CREATED BY TIM REF NUMBER: DR497250 FAX NUMBER: 3177332005 WORK: 317/733-2001 0 PO NUMBER: ED MUIR SALESMAN: MICHAEL SHANE RUMMEL LICENSE: NO-VEHICLE INVOICE DATE: 06/29/12 TERMS : NET 30 DAYS ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E .T. EXTENSION ------------------------------------------------------------------------------- 11R-22 . 5/16 GOODYEAR G182 RSD 1 320 . 00 320 . 00 138G803185 POWDER COAT RIM/WHL RECONDITON 8 32 . 00 256 . 00 RECON TRK DISMOUNT&MOUNT ON UNIT/SHP 9109 8 . 00 25 . 00 200 . 00 TDMS STANDARD BRASS TRUCK VALVE 8 6 . 00 48 . 00 TVALV GOV SALE GOODYEAR:G0001644 CM#67281415 DJS MERCHANDISE: 624 . 00 LABOR: 200 . 00 INVOICE TOTAL: 824 . 00 ******THIS IS A REPRINTED INVOICE****** GOVERNMENT 824 . 00 POMP' S TIRE-LAFAYETTE INVOICE # : 910001399 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA SHANE R. 3400 W 131ST STREET 2264 CARMEL, IN 46074 CREATED BY DBL FAX NUMBER: 3177332005 WORK: 317/733-2001 0 PO NUMBER: SALESMAN: MICHAEL SHANE RUMMEL LICENSE : NO-VEHICLE INVOICE DATE: 06/30/12 TERMS : NET 30 DAYS ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 6X16 CHEVY 1-TON WHL 9110 2 130 . 39 260 . 78 139L MERCHANDISE: 260 . 78 INVOICE TOTAL: 260 . 78 ON ACCOUNT A/R 260 . 78 Signature Printed Name 4 fe VOUCHER NO. WARRANT NO. ALLOWED 20 Pomp's Tire- Lafayette IN SUM OF $ 2700 Schuyler Avenue Lafayette, IN 46905 $2,171.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 910001298 42-320.00 $824.00 I hereby certify that the attached invoice(s), or 2201 910001094 42-320.00 $1,086.68 bill(s) is (are)true and correct and that the 2201 910001399 42-320.00 $260.78 materials or services itemized thereon for which charge is made were ordered and received except Wednesdayf,djuly 11, 2012 E Street Commissioner C+rcof (nmmi¢cinnar Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/29/12 910001298 $824.00 06/29/12 910001094 $1,086.68 06/30/12 910001399 $260.78 1 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 Clerk-Treasurer