233333 06/04/14 (9, )
CITY OF CARMEL, INDIANA VENDOR: 00350579
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECKAMOUNT: $""""'*58.00`
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 233333
SHERIDAN IN 46069 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-112981 58.00 TIRES & TUBES
ORQUEST
T AUTO SUPPLY. INC PAGE 1
516 S MAIN STREET REF# 121698
AUTO PARTS SHERIDAN. IN 46O69
(317 ) 758-44S6
SERVING A WORLD IN MOTION ! ! �
58O2-112981 2O7O
ANY PART RETURNED FOR CREDIT MUST BEACCOMPANIED BY THIS RECEIPT. SEE cARuUEmSTORE FOR DETAILS orTHIS COAST mCOAST GUARANTEE.
ITY OF CARMEL QITY OF CARM
4OO W 131ST OO W 131ST
|��ARMEL, IN 46O74 | |�ARMEL, IN 46O74
58O2-112981 2O7O 5/14/2O1 ST DEPT—SWEEPER TOM CHARGE
CAS.0 R-I"FUN-P,
Costoxner ------
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Original Cash Saie
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1 ills ;s a will1mrly potic-,, to help boo! oi'
VOUCHER NO. WARRANT NO.
R & T Auto Supply ALLOWED 20
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$58.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 5802-112981 I 42-320.001 $58.00 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
Fri 0, 014
Sf��� T�§}�Jkt@fir
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))
05/14/14 5802-112981 $58.00
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