243040 03/11/15 .�1�d Cgq�f
CITY OF CARMEL, INDIANA VENDOR: 00350579
,• ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $*******357.57*
=9, �� CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 243040
y,�roN..�` SHERIDANIN 46069 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-124805 357.57 TIRES & TUBES
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QUEST
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AUTO,PARTS
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ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
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'WARRANTY DISCLAIMER:The manufacturer's werranI,If any,constltutes�the oNy wera?withrespect to the'eale of all gooQs.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant my warranty or assume any Ileblllty by Seller. t
r3; i.7L r 1 00'
o.® cf9 r. ;::r. PAY THIS
m ` � AMOUNT
VOUCHER NO. WARRANT NO.
ALLOWED 20
R&T Auto Supply
IN SUM OF$
516 S. Main Street
i
Sheridan, IN 46069
$357.57
ON ACCOUNT OF APPROPRIATION FOR
,1
Carmel Street Department
I
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
I
2201 5802-124805 j 42-320.00 $357.57 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
4' Fri ay, r 15
f ri a
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A7 y
stteatebmnimmWir
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))
02/18/15 5802-124805 $357.57
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