HomeMy WebLinkAbout223614 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 366480 Page 1 of 1
` ONE CIVIC SQUARE POMP'S TIRE
CARMEL, INDIANA 46032 ATTN:AR DEPARTMENT CHECK AMOUNT: $1,652.45
PO BOX 1630 CHECK NUMBER: 223614
GREEN BAY WI 54305-1630
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 910012330 741 . 09 TIRES & TUBES
601 5023990 910012331 911 . 36 OTHER EXPENSES
SHPN577162369
POMP'S TIRE-LAFAYETTE INVOICE #: 910012330
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
REF NUMBER: DR594131
FAX NUMBER: 3177332005
WORK: 317/733-2001 0 PO NUMBER: GOV
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 08/16/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
PRODUCT MECHANIC QUANTITY PRICE F.E.T. EXTENSION
-------------------------------------------------------------------------------
315/80R22. V20 GDYR G291 1 686.84 686.84
7566256420
TIRE USER EE - IN 1 .25 0.25
950L13
STANDARD BRASS TRUCK VALVE 1 6.00 6.00
TVALV
POWDER COAT RIM/WHL RECONDITON 1 32.00 32.00
RECON
TRUCK MOUNT - SHOP 9115 1.00 16.00 16.00
TMS
CM#7833981Z' DJS
MERCHANDISE: 724.84
LABOR: 16.00
OTHER: 0.25
INVOICE TOTAL: 741.09
GOVERNMENT 741.09
Printed Name- Signature
LUG NUTS MUST BE RE-TORQUED AFTER 50-100 MILES.
Page 1
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
$741.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I 910012330 I 42-320.001 $741.09 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
Fr Aug st 23, 2013
V %.,v = - ----�
StreetS1MrehGmpm4sioner
Title
Cost distribution ledger classification if
claim paid motor 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 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))
08/16/13 910012330 $741.09
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
SHPN577161731
POMP'S TIRE-LAFAYETTE INVOICE #: 910012331
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: DR0907305
FAX NUMBER: 3177332053
WORK: 317/733-2855 0
SALESMAN: MICHAEL S RUMMEL
INVOICE DATE: 08/15/13 TERMS: 1 PMT DUE 10TH OF MON AFTR INV
-------------------------------------------------------------------------------
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
950L13
FIRESTONE GOVERNMENT SALE APPROVAL# 7130
CM#6416174516 DJS
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.
Page 1
VOUCHER # 132470 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
iBoard members
PO# INV# ACCT# AMOUNT Audit Trail Code
910012331 01-6500-05 $911.36
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 8/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2013 910012331 $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
Date Officer