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CARMEL, INDIANA VENDOR: 00350579
�/ .� CITY OF CA *�*}**** t
T SUPPLY, INC CHECK AMOUNT: $ 50.00
.,, ® �• ONE CIVIC SQUARE R&T AUTO U
r•. ��; CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 237664
+11j��TpNI�/` SHERI DAN IN 46069 CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-119163 50.00 TIRES & TUBES
CSR
S16 S" MAIN S]"RE'E"'T' IREf"'U 129050
AUTO PARTSEERIDAN, 1N 4606"Y'
{31.. ) 7 S-6-4 1--
SEN-NINC-3 A 1WORLD IN N(.*."-1-1(-11,1 ! ! I
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
FB(-'41"' --,,' OF' CAR11EE".1- fY0F' CARME'l
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MID-, -111] 460-174 11\1 4 6 074
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1-11*-;E RE'PAIR
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WARRANTY DISCLAIMER:The manufacturer's warranty,If any,constitutes the onlypwarra h respect to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
A PARTICULAR rez
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR R PUR OSE.Seller does not authorize any person to grant my warranty or assume any liability by Seller.
8�11-..-* SO.00
®3 ' AMOUNT
:3 3,11-Ir PAY THIS
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VOUCHER NO. WARRANT NO.
R & T Auto Supply ALLOWED 20
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members'
2201 I 5802-119163 I 42-320.001 $50.00 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
I
Frid , Se ber 26, 2014
Stret eeteComm�is�inP er
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))
09/24/14 5802-119163 $50.00
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
I
, 20
Clerk-Treasurer