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HomeMy WebLinkAbout219868 05/07/2013 a CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1 i ONE CIVIC SQUARE POMP'S TIRE CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $2,179.41 PO BOX 1630 CHECK NUMBER: 219868 GREEN BAY WI 54305-1630 CHECK DATE: 517/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 910007461 471 .44 OTHER EXPENSES 2201 4232000 910008946 738 . 09 TIRES & TUBES 2201 4232000 910009162 480 . 00 TIRES & TUBES 601 5023990 910009163 489 . 88 OTHER EXPENSES SHPN577099245 POMP'S TIRE-LAFAYETTE INVOICE #: 910007461 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER 3450 W 131ST STREET 2266 CARMEL, IN 46074 CREATED BY TIM REF NUMBER: DR0775050 FAX NUMBER: 3177332053 WORK: 317/733-2855 0 PO NUMBER: GOV SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 04/19/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ----------------------- ------------------------------- PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION ------------------------------------------------------------------------------- LT235/85R16/10 TRANSFRC AT BL 4 117.61 470.44 189F633 TIRE USER FEE - IN 4 .25 1.00 95OL13 FIRESTONE GOVERNMENT SALE APPROVAL# 7130 CM#6412870250 D7S MERCHANDISE: 470.44 OTHER: 1.00 INVOICE TOTAL: 471.44 GOVERNMENT 471.44 LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES Signature Printed Name Page 1 SHPN577102766 POMP'S TIRE-LAFAYETTE INVOICE #: 910009163 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL WATER OPER olq � 2266 3450 W 131ST STREET � CARMEL, IN 46074 lX/� CREATED BY TIM REF NUMBER: DR0850681 FAX NUMBER: 3177332053 WORK: 317/733-2855 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 04/29/13 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# 7130 CM#6413181169 D3S MERCHANDISE: 488.88 OTHER: 1.00 INVOICE TOTAL: 489.88 GOVERNMENT 489.88 LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES L Signatu ` 7 Printed Name Page 1 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 4/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/30/2013 910007461 $471.44 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 # 131493 WARRANT # ALLOWED 366480 IN SUM OF $ Pomp's Tire PO BOX 1630 GREEN BAY, WI 54305-1630 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 910007461 01-6500-05 $471.44 9 I00CP/I vs 11 14$949 Voucher Total Q Cost distribution ledger classification if claim paid under vehicle highway fund SHPN577102278 POMP'S TIRE-LAFAYETTE INVOICE #: 910009162 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE 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: 04/26/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 6 OZ BAG COUNTERACT 64 7. 50 480.00 0060 MERCHANDISE: 480.00 INVOICE TOTAL: 480.00 ON ACCOUNT A/R 480.00 LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES Signature Printed Name Page 1 SHPN577100181 POMP'S TIRE-LAFAYETTE INVOICE #: 910008946 2700 SCHUYLER AVE PAGE: 1 LAFAYETTE, IN 47905 765/742-4000 CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVER VIA SHANE 2264 3400 W 131ST STREET CARMEL, IN 46074 CREATED BY TIM REF NUMBER: DR497674 FAX NUMBER: 3177332005 WORK: 317/733-2001 0 SALESMAN: MICHAEL S RUMMEL INVOICE DATE: 04/23/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV ------------------------------------------------------------------------------- PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION ------------------------------------------------------------------------------- 315/80R22.5/20 GDYR G291 1 686.84 686.84 7566256420 TIRE USER FEE - IN 1 .25 0.25 950L13 TRK DISMOUNT&MOUNT ON UNIT/SHP 9115 1.00 25.00 25.00 TDMS 10 OZ BAG COUNTERACT 1 20.00 20.00 OlOC STANDARD BRASS TRUCK VALVE 1 6.00 6.00 TVALV CM#75135788 DJS MERCHANDISE: 712.84 LABOR: 25.00 OTHER: 0.25 INVOICE TOTAL: 738.09 GOVERNMENT 738.09 LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES Signature Printed Name Page 1 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)) 04/23/13 910008946 $738.09 04/26/13 910009162 $480.00 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 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 $1,218.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 910008946 42-320.00 $738.09 1 hereby certify that the attached invoice(s), or 2201 910009162 42-320.00 $480.00 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 0 F a ]A F t All Z& 2013 StffitreGt&ffrissiksiener Title Cost distribution ledger classification if claim paid motor vehicle highway fund