HomeMy WebLinkAbout214406 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 366394 Page 1 of 1
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $112.98
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE
o� LAFAYETTE IN 46905 CHECK NUMBER: 214406
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910005466 112 . 98 TIRES & TUBES
SHPN577037855
POMP'S TIRE-LAFAYETTE INVOICE #: 910005466
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
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 10/31/12 TERMS: NET 30 DAYS
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PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
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Tire ID: 50972036 --SERIAL #: H3PH2110 ---------------------MF
9-17. 5 HIGHWAY (HWA) 1 112.98 112.98
274HWA
MERCHANDISE: 112.98
INVOICE TOTAL: 112.98
ON ACCOUNT A/R 112.98
Signature Printed Name
Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire- Lafayette
IN SUM OF $
2700 Schuyler Avenue
Lafayette, IN 46905
$112.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 910005466 1 42-320.001 $112.98 1 hereby certify that the attached invoice(s), or
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
j Thursday,,NoVember 01, 2012
4
Street Commissioner
-- --- - - ....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))
10/31/12 910005466 $112.98
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
120
Clerk-Treasurer