HomeMy WebLinkAbout220308 05/21/2013 *f CITY OF CARMEL, INDIANA VENDOR: 366394 Page 1 of 1
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE CHECK AMOUNT: $1,011.62
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE
o; LAFAYETTE IN 46905 CHECK NUMBER: 220308
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910009740 1, 011 . 62 TIRES & TUBES
SHPN577115123
POMP'S TIRE-LAFAYETTE INVOICE #: 910009740
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL STREET DEP SHIP TO: DELIVERED VIA S. RUMMEL
2264 3400 W 131ST STREET
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR497630
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 05/17/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
11R22. 5/16 GOODYEAR G182 RSD 2 417.06 834.12
1386803185
TIRE USER FEE - IN 2 .25 0. 50
950L13
GOV GY 00002624
10 OZ BAG EQUAL TYPE B 40/CASE 2 20.00 40.00
010E
TRUCK DISMOUNT/MOUNT-LOOSE-SHP 9115 2.00 28.00 56.00
TDMLS
STANDARD BRASS TRUCK VALVE 2 6.00 12.00
TVALV
POWDER COAT RIM/WHL RECONDITON 2 32.00 64.00
RECON
SHOP SUPPLIES 1 5.00 5.00
SUPL
CM#75833586 DJS
MERCHANDISE: 955.12
LABOR: 56.00
OTHER: 0. 50
INVOICE TOTAL: 1011.62
GOVERNMENT 1011.62
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
POMP'S TIRE-LAFAYETTE INVOICE #: 910009740
Page 1
-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))
05/17/13 910009740 $1,011.62
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
20
Clerk-Treasurer
aaoo
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pomp's Tire Service, Inc. .?
�-9� ;;700 5� U /to-- IN SUM OF $
$1,011.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 910009740 I 42-320.00 $1,011.62 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
Friday, May 17, 2013
n ,
/.1
t Comriisi'o e
Title
Street opt-f+rnissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund