236992 09/10/14 y u�.E�qM
vy/ CITY OF CARMEL, INDIANA VENDOR: 00350579
�. CHECK AMOUNT: $******"369.66
'.�; ® � ONE CIVIC SQUARE R&T AUTO SUPPLY, INC
ro. Q CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 236992
y��roN�. SHERIDAN IN 46069 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-117823 190.00 TIRES & TUBES
2201 4232000 5802-118160 157.66 TIRES & TUBES
2201 4232000 5802-118243 22.00 TIRES & TUBES
WRQUEST
gir516 S MAII'I ;STREET REF# 12'74L�bl
AUTO PARTS SHERIDAN, IN 46069
(317 )758-4456
SERVING A WORLD IN MOTION ! l i
S802•-•117323 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
'!i' OF CARMEL. QTY OF CARMEL
0(0 W .131ST 0 W 131ST
NEL, IN 46074 NEI-., IN 46074
5802--•11732:3 2070 8l�.s1x01 RRIA CHARGE
® fTl_:.t =11 Cf a` ",
B7 LAB-11 2 2 41 .67 2S.00 0.00 50.00 NN
CHANGE
L, AB-- 6 6 16.67 10.00 0.00 60.00 ITh!
1 FtC CHANGE
6 .6 15,.00 9.00 0.00 54.00 N 'N
-{EEL BALANCE
.ALVE STEM 7_�)
w,l 2 6i 4.00 3.G (v N
` ALVE STEM
WARRANTY DISCLAIMER:The mnufecturers warrardy,if any,conatitutea the on y rr 4v wit 'pact to the safe of ell goods.SELLER HEREBY IXPRESSLY DISCLAIMS ALL WARRANTIES,OTHER DRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHAMAAm-BILITY OR FITNESS FOR A P RTI tAR PURPOSE.Seller does not authonze any person to grant any warranty or assume any iiabliity by Seiler.
41 If
164.00 0.00 0.00 190.OL
1 -lr 316. 70 PAY THIS 190.00
Lei'2 58AM AMOUNT C'I-Ir1Fi
CASH REFUND _
Customer Name
Customer Phone #
Customer Mailing Address
Original Cash Sale Ilivoice,
CusSton-ier.'s Signature .
counlerprd s $1anature —
Couht ' i o's.4
Tanager's Initials _
i
This is a company policy to 1161p verify cash refun(6, and thus safenia d our assets.
t
CARQUEST
R & T `UTO '-UFIPI.. P A[.J'F'
-Y !NC
S16 S 11AI1N! s-rRE REF'# 1275481'
AUTO PARTS SHERIDAN. IINJ 46,0:,��9
(317 ) 1-158-4456
'DIERVING A WORLD IN P-10TION !
5802 118.1.60 20"70
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
B S
-RIIEL "T"FY OF' CAI-',,'IY!EL
LL'I TY 01" CAI
00 VI 131IS-1- L.-00 W 131ST
TL� IN 1-1-6074
F. RMEL, FdC('�RMEI—, IN 46074
5602-116160 ;2't7:%'0 9/2/20J.4 B R ILI CHARGE
WaY M Mo �o
GD2 205/75RIS 2 2 115.97 69. 58 0.ro 139. 16 7
IN
C"'AIRLIE-31-E TRAILER
TX7 EPA TAX 2 2 O.uv
— D,.2S 0.00 O. SO q/N
6.00 \I/N
MIS DISTOSAL 6 S.001 3.00 0.00
TIRE DISPOSAL
WARRANTY DISCLAIMER:The manufacturers warrant If any,constitutes the only -URith respectCSj. the al.of.11=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
A PARTICULAR
PIltv
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR UR Seller does not any person to grant any warranty or assume my Habl Ity by Safer.
On so 0.00 0.00 157 . 66
262,, 76 PAY THIS 157 .66.
i W, !g AMOUNT
CASH REFUND
C u s to me.r N a r Ie• --------------- --- ---------- --
Customer Pholle It
C s to in c.r Mailing, A c_lcla c,.,s —,--_ ----
vri� ina; Cash Sale. tovoice 1/ _—____—_--- ---_-----
custolliel's Signature
-------------
cou nt ;r m-cg's # ---------- ----- --------
mana"er's Initials
'Phis is a policy w thclp verify cash refuji(ts and thus safeguard our assets.
`
| �
T AUTO SUPPLY, INC ` ' PAGE 1
516 S I14IN STREET ` REF� 127933
�
|
AUTO PARTS SHERIDAN, IN 46069
| ^'
' (317 )758-4456 '
-��
SERVING A WORLD IN MOTION ! ! !
| 58O2-118243 2070
'
ANY PART RETURNED FOR CREDIT MUST BEACCOMPANIED BY THIS RECEIPT SEE oARo ESToTOnspOR DETAILS opTHIS COAST roCOAST GUARANTEE.
| «
, TY OF CARMEL @�ITY OF CARM
00 W 131sT �4��AOO W 131ST
�
F�LLLL-
5802--
IN46O74 | | RMEL, IN 46074118243 2070 9/3/2014 BRIA . CHARGE
CASH REFUND..
Ctlstonner Name
Customer Phone # _--
Customer Mailing Address
Original Cash. Sale Invoice # T
Cttstonler's Signature -
Counterpro's Signature
Counterpro's /f
Managers Initials
This is a companv policy to help verily ash refunds and thus, safeguard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$369.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-117823 42-320.00 $190.00 1 hereby certify that the attached invoice(s), or
2201 5802-118160 42-320.00 $157.66 bill(s) is (are) true and correct and that the
2201 5802-118243 42-320.00 $22.00
materials or services itemized thereon for
which charge is made were ordered and
received except
#hursdoy/Seoiber 04, 2014
uavt,if -
[ -
Street Commis o er
Street�ei Fss�
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))
08/25/14 5802-117823 $190.00
09/02/14 5802-118160 $157.66
09/03/14 5802-118243 $22.00
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