HomeMy WebLinkAbout220753 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
a ONE CIVIC SQUARE POMP'S TIRE CHECK AMOUNT: $688.12
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT
v .o� PO BOX 1630 CHECK NUMBER: 220753
GREEN BAY WI 54305-1630
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910009747 688 . 12 OTHER EXPENSES
SHPN577115035
POMP'S TIRE-LAFAYETTE INVOICE #: 910009747
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: DR0850687
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
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
-------------------------------------------------------------------------------
LT245/70R17/10 BS DURAVIS 8500 4 171.78 687.12
191B894
TIRE USER FEE - IN 4 .25 1.00
95OL13
CM#6413739976 DJS
MERCHANDISE: 687. 12
OTHER: 1.00
INVOICE TOTAL: 688.12
GOVERNMENT 688.12
LUG NUTS SHOULD BE RETORQUED AFTER 50 TO 100 MILES
signature Printed Name
Page 1
VOUCHER # 131688 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
910009747 01-6500-05 $688.12
Voucher Total $688.12
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 5/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or b[II(s)) Amount
5/23/2013 910009747 $688.12
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
Date Officer