212344 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
ONE CIVIC SQUARE POMP'S TIRE
� CARMEL, INDIANA 46032 1316 WEST SOUTH STREET CHECK AMOUNT: $1,327.50
LEBANON IN 46052 CHECK NUMBER: 212344
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830003285 1, 312 . 00 OTHER EXPENSES
601 5023990 830004538 15 . 50 OTHER EXPENSES
r
POMP' S TIRE-LEBANON INVOICE # : 830003285
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 SBR
REF NUMBER: DR0692800
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV 0692800
SALESMAN: MICHAEL SHANE RUMMEL LICENSE: NO-VEHICLE
INVOICE DATE: 08/06/12 TERMS : NET 30 DAYS
----------------- --------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
225/70R19 . 5/14 B/S M729F 4 289 . 00 1156 . 00
227BO23
TRK DISMOUNT&MOUNT ON UNIT/SHP 8316 4 . 00 18 . 00 72 . 00
TDMS
TRUCK SPIN BALANCE 8316 4 . 00 12 . 00 48 . 00
TBAL
STANDARD BRASS TRUCK VALVE 4 6 . 00 24 . 00
TVALV
TRUCK REJECT AND SCRAP CHARGE 2 6 . 00 12 . 00
TDISP
CM#6405872256 DJS
MERCHANDISE: 1180 .00
LABOR: 120 . 00
OTHER: 12 . 00
INVOICE TOTAL: 1312 . 00
GOVERNMENT 1312 . 00
Signature Printed Name
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366480
Pomp's Tire Purchase Order No.
1316 West South Street Terms
Lebanon, IN 46052 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 830003285 $1,312.00
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
Date Officer
VOUCHER # 121857 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
1316 West South Street
Lebanon, IN 46052
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
830003285 01-6500-05 $1,312.00
Voucher Total $1,312.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
(�
POMP 'S TIRE-LEBANON c � \CL INVOICE # : 830004538
1316 WEST SOUTH STREET U
PAGE : 1
LEBANON, IN 46052
765/482-4359
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: C/I REPAIR
3450 W 131ST STREET
2266
CARMEL, IN 46074
CREATED BY SBR
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: JIM
SALESMAN: MICHAEL SHANE RUMMEL LICENSE : NO-VEHICLE
INVOICE DATE: 08/08/12 TERMS : NET 30 DAYS
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
PASSENGER REPAIR ON UNIT SHOP 8316 1 . 00 12 . 00 12 . 00
PDMS
REMA REPAIR UNIT 1 3 . 50 3 . 50
SUPL
MERCHANDISE : 3 . 50
LABOR: 12 . 00
INVOICE TOTAL: 15 . 50
ON ACCOUNT A/R 15 . 50
Signature �� Printed Name
i
f
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366480
Pomp's Tire Purchase Order No.
1316 West South Street Terms
Lebanon, IN 46052 Due Date 8/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2012 830004538 $15.50
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
-Fb-7 L -
Date Officer
VOUCHER # 121949 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
1316 West South Street
Lebanon, IN 46052
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
830004538 01-6500-07 $15.50
Voucher Total $15.50
Cost distribution ledger classification if
claim paid under vehicle highway fund