HomeMy WebLinkAbout222122 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366394 Page 1 of 1
ONE CIVIC SQUARE POMPS TIRE-LAFAYETTE
CARMEL, INDIANA 46032 2700 SCHUYLER AVENUE CHECK AMOUNT: $911.36
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LAFAYETTE IN 46905 CHECK NUMBER: 222122
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 910010937 911 . 36 OTHER EXPENSES
SHPN577136876
POMP'S TIRE-LAFAYETTE INVOICE #: 910010937
2700 SCHUYLER AVE
PAGE: 1
LAFAYETTE, IN 47905
765/742-4000
CUSTOMER: CITY OF CARMEL WATER OPER SHIP TO: DELIVERED VIA S. RUMMEL
3450 W 131ST STREET
2266
CARMEL, IN
46074
CREATED BY DBL
REF NUMBER: DR0850696
FAX NUMBER: 3177332053
WORK: 317/733-2855 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 06/28/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
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PRODUCT MECHANIC QUANTITY PRICE F. E.T. EXTENSION
-------------------------------------------------------------------------------
LT245/75R16/10 TRANSFRC AT BL 8 113 .67 909. 36
189F582
TIRE USER FEE - IN 8 .25 2.00
95OL13
GOV F/S 7130
CM#6414927510 D7S
MERCHANDISE: 909.36
OTHER: 2.00
INVOICE TOTAL: 911.36
GOVERNMENT 911.36
Signature Printed Name
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
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Page 1
VOUCHER # 132016 WARRANT # ALLOWED
366480 IN SUM OF $
Pomp's Tire
PO BOX 1630
GREEN BAY, WI 54305-1630 I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR d
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Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
1
910010937 01-6500-04 $455.68
910010937 01-6500-05 $455.68
Voucher Total $911.36
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 7/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/2013 910010937 $911.36
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
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Date Officer