HomeMy WebLinkAbout215147 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366394 Page 1 of 1
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK AMOUNT: $1,258.68
LAFAYETTE IN 46905
CHECK NUMBER: 215147
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 901115783 533 . 59 TIRES & TUBES
2201 4232000 910005463 545 . 09 TIRES & TUBES
2201 4232000 910006114 180 . 00 TIRES & TUBES
SHPN577045177
POMP'S TIRE-LAFAYETTE INVOICE #: 910005463
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
REF NUMBER: . DR497519
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 11/24/12 TERMS: DUE 10TH OF THE MONTH FOLLOWIN
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
TRUCK SPIN BALANCE 9115 1.00 30.00 30.00
TBAL
STANDARD BRASS TRUCK VALVE 1 7. 50 7.50
TVALV
PRIMER & PWDR COAT RECONDITION 1 32 .00 32.00
RECONP
TRUCK DISMOUNT/MOUNT-LOOSE-SHP 9115 1.00 28.00 28.00
TDMLS
315/80822.5/20 GDYR G291 1 447.34 447.34
7566256420
TIRE USER FEE - IN 1 .25 0.25
950L13
CM#71340739 D3S
MERCHANDISE: 486.84
LABOR: 58.00
OTHER: 0.25
INVOICE TOTAL: 545.09
GOVERNMENT 545.09
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
Signature Printed Name
Page 1
SHPN577045176
POMP'S TIRE-LAFAYETTE INVOICE #: 910005783
2700 SCHUYLER AVE
LAFAYETTE, IN 47905 PAGE: 1
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP
3400 W 131ST STREET
2264
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR497502
FAX NUMBER: 3177332005
WORK: 317/733-2001 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 11124112 TERMS: DUE 10TH OF THE MONTH FOLLOWIN
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
315/80R22. 5/20 GDYR G291 1 447.34 447.34
7566256420
TIRE USER FEE - IN 1 .25 0.25
950L13
TRK DISMOUNT&MOUNT ON UNIT/SHP 9113 1.00 28.00 28.00
TDMS
10 OZ BAG COUNTERACT 1 20.00 20.00
OlOC
STANDARD BRASS TRUCK VALVE 1 6.00 6.00
TVALV
POWDER COAT RIM/WHL RECONDITON 1 32.00 32.00
RECON
CM#71340734 DJS
MERCHANDISE: 505.34 _
LABOR: 28.00
OTHER: 0.25
INVOICE TOTAL: 533. 59
GOVERNMENT 533. 59
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
Signature Printed Name
Page 1
SHPN577046249
POMP'S TIRE-LAFAYETTE INVOICE #: 910006114
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: 11/28/12 TERMS: DUE 10TH OF THE MONTH FOLLOWIN
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
6 OZ BAG COUNTERACT 24 7. 50 180.00
0060
MERCHANDISE: 180.00
INVOICE TOTAL: 180.00
ON ACCOUNT A/R 180.00
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
Signature Printed Name
Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc.
A/R Department IN SUM OF $
p. O. Box 1630
Green Bay, WI 54305-1630
$1,258.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 910005463 42-320.00 $545.09 1 hereby certify that the attached invoice(s), or
2201 901115783 42-320.00 $533.59 bill(s) is (are) true and correct and that the
2201 910006114 42-320.00 $180.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, Nover ber 29,2012
S§treet,C ssioner
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))
11/24/12 910005463 $545.09
11/24/12 901115783 $533.59
11/28/12 910006114 $180.00
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
20
Clerk-Treasurer