HomeMy WebLinkAbout216163 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
` ONE CIVIC SQUARE POMP'S TIRE
CARMEL, INDIANA 46032 ATTN.AR DEPARTMENT CHECK AMOUNT: $1,075.64
Po Box 1630 CHECK NUMBER: 216163
GREEN BAY WI 54305-1630
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 830009966 585 . 76 OTHER EXPENSES
601 5023990 910006267 489 . 88 OTHER EXPENSES
SHPN577054948.TXT
POMP'S TIRE-LEBANON INVOICE #: 830009966
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: DR0728839
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12120112 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
LT265/70R17/10 TRANSFRC AT WL 4 146.19 584.76
200F190
TIRE USER FEE - IN 4 .25 1.00
950L13
CM#6409739680 D7S
MERCHANDISE: 584.76
OTHER: 1.00
INVOICE TOTAL: 585.76
GOVERNMENT 585.76
THANK YOU FOR YOUR BUSINESS! ! ! !
LUG NUTS SHOULD BE RE-TORQUED AFTER 50-100 MILES
signature Printed Name
Page 1
SHPN577054950.TXT
POMP'S TIRE-LAFAYETTE INVOICE #: 910006267
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVER VIA SHANE
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY TIM
REF NUMBER: DR0775034
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 12120112 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R17/10 TRANSFRC AT WL 4 122.22 488.88
205F222
TIRE USER FEE - IN 4 .25 1.00
950L13
FIRESTONE GOVERNMENT SALE APPROVAL# 7700
CM#6409739681 DJs
MERCHANDISE: 488.88
OTHER: 1.00
INVOICE TOTAL: 489.88
GOVERNMENT 489.88
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
Signature Printed Name
Page 1
VOUCHER # 123118 WARRANT # ALLOWED
' 366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630
Carmel Water Utility
ON AC NT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
910006267 01-6500-05 $489.88
g 0 0c)99
Voucher Total 1 ()15 $ �
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366480
Pomp's Tire Purchase Order No.
PO BOX 1630 Terms
GREEN BAY, WI 54305-1630 Due Date 12/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201; 910006267 - $489.88
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer