242381 02/17/15 u ��q
�' CITY OF CARMEL, INDIANA VENDOR: 00350579
4,:
® i; ONE CIVIC SQUARE R & T AUTO SUPPLY, INC CHECK AMOUNT: $ ....'}24.00"
f. �a CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 242381
,;,_roN�� SHERIDAN IN 46069 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-124506 24.00 TIRES & TUBES
/
OR
QUEST
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R & T AUTO SUPPLY INC PAGE 1
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516 S MAIN STREET REF# 137251
AUTO PARTS SHERIDAN, IN 46069
(317 > 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-1245O6 2070
ANY PART RETURNED FOR CREDIT MUST asACCOMPANIED o,THIS RECEIPT. SEE oAnuvenSTORE FOR DETAILS orTHIS COAST TO COAST eo^n^wres.
F
ITY OF CARMEL Foc
ITY OF CAR4OO W 131ST 4OO W 131ST
ARMEL IN 46O74 | ARMEL IN' ` / ' ` �""' �
2 S802---124506 2070 2/9/2O15 BRIA CHA
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WARRANTY DISCLAIMER:The rnarrufacturer's warrardX,If my,constitutes th orAdyp—,.rftjaith—pt to the sale of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES'EITHER EXPRESSED OR IMPLIED,
IT ARTIC
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR R PUR OSE.Seller does not ze any person to grant my warranty or assurne my liability by Seller.
09. S2 AM AL AMOUNT 1-HPIR, '
CASH REFUND
Customer Name
Customer Phone #
Customer Mailing Address. _
Original Cash Sale Invoice #
Customer's Signature
C'ountetpro's Signature
Counterpro's It
Manager's Initials — —
This is a company policy to help verify cash refunds and thus safeguard OUr assets.
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))
02/09/15 5802-124506 $24.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$24.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
2201 5802-124506 42-320.00 $24.00 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
UwThurs4a 015
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund