244324 04/15/15 y a.4�qy
CITY OF CARMEL, INDIANA VENDOR: 00350579
ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $**...**582.15*
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 244324
,,,ETON SHERIDAN IN 46069 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-125699 18.00 TIRES & TUBES
2201 4232000 5802-126031 84.00 TIRES & TUBES
2201 4232000 5802-126138 468.35 TIRES & TUBES
2201 4232000 5802-126265 11.80 TIRES & TUBES
ORQUEST
& T t�I LJ T 0 63 L F`P I-- NI
-I-pi-E-r P-',EFn
S S I IAiI\I —6
AUTO PARTS SPIER11F)AN. -(.hl
(211 W11IRLD
2" 7 0-
_J
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
FB
-y I F�, .l 11"Y 0 F C i�:i IR M EL
L
L 1 c-T. -1 131 (31-
j
O� W
-D i 0 k4
T —1. . (. —L4
0, 111 El., 1 i L,� D L
60 1'..
R
CHA Mlz-
2-12 S' �7
111 D.,f.I-E,31D 0 1-1 6 6 S.CINO 0(D (1111.00 Ck N NI
WARRANTY DISCLAIMER�The mnufa'turerja mriard yxffan�alth respct to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,E.3,T,,HER EXPRESSED OR IMPLIED,
IMPU rrX,if an
g constitutes the on
IDINGANY ED WARRANTY OF MERCHANT BILI OR FITNESS FOR A ARTC R PUR OSE.Boller don not authorin any person to grant any warranty or assume my liability-by So ler.
:0 1 : 0 ,
0o A ("0
I PAY TH I S Oil. 1'JiX 0
C
JAMOUNT
J. '�8 All,
CASH REFUND
Customer Name y
Customer Phone # ( )
Customer Mailing Address
Original .Cash Sale Invoice #
Customer's Signature
------- Col-ItiteiTr-o'-s-_ignatuI'-e--- -------- ---., - --. — -_Y
Countel-Tro's #
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
WRIQUEST
8, T' A U T 0 G U I P 1-Y N C" F'AGE'
isp TF
R E Fu 14(D 0 J.
)16. S 11AI"N '--F
AUTO PARTS E�IIERIIIIAN.
3 I.J."r '1 7 511--4 L�i-'6
NO"Ff ON
W 0 1:'�I...Y.) T 1\1
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
rB s
L "*F* TY 01: CAR[ell".`1
Ty of
W 1-3.1 5T 0 0 W 3 1 FE)T
C)*7 LL
1"flIEL. .1N 6 07 Li. 1h-1
I F�f
5 8 1,. 22 1"2 6 0'.."31. Q /""'L� �20' C.F-1 A R.[D E
11 j''E3 P D S A L4. 5. 3.00 0 J.2 (D N/
k'
C).Oul /N
"RE ('%1%--A!
NGE
NJ.,S 1:1,11-E."A 6 CS 1` 4 0 011CIC 1". 1
VAL.V' M,
WARRANTY DISCLAIMER:The rnanufact...r'war. =,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHAIRIBI R PARTIC LA ac E. Ill d'a8'8'n'o't ze any person to grant my warranty or assume any llablilty by Seller.
0 1.0 0 C" 0
60.00 =2
,,/ <�, JIUMM J 4C).00 PAY THIS 4 0"D
P AMOUNT
I",=1 .3 ill, F",
.. .. - 'CASH REFUND '
Customer Name
Customer Phone #
Customer Nailing Address
Original Cash Sale Invoice #
Customer's Signature.
- - --- -Countarpro's Signature--- ------ --- - — - - - - ------- -:
Counterpro's
Manager's Initials
This is a company policy to help �,erify cash refunds andthus sate`uard our assets.
CARQUEST
'4
0.1
-u-
AUTO PARTS PI E* kin IIN L, ' ,"";6'*-
V
IN I'A D"'T
3iE*'R11j.1 A t,0 0 R L,
0
_8i I
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
E I r-
FY OF CAI-'.!Iv!El
Ty '01" R ly!
O�� W
Ll i
RNEL- .1'N 4 6 07 L, �T' V%) L. T1\1 LL 6("1 L+
1...1 A l--'G E
.S6,C 61. 8 1:2*1('17 C-1
J.':r,
E
J D 2 1 IS "8 C)P 2J2 E-1 7 f,"10 4t A 1. —r C.)e. J i I i
r-1 A J. 2 2 N
4 f
WARRANTY DISCLAIMER:The manulacturera wa,ran7,if my,constitutes the only 'IhPURPOSE.
resrctEto the sale of all goods. HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,ETHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR UR OS Seller does not authorize any person to grant any warranty or assurne any liability by Seller.
CHAR,
CASH- REFUND
Customer Flame
Customer Phone # (. )
Customer Mailing Mdress
Original Cash Sale Invoice #
Customer..'s Signature
- COuntei'7r0'S Signature- - --- - - -- - - --- — - -
i
Counterpro's #
Manager's Initials _
This is a con-ipany policy to help verify cash refunds and thus safeguard our assets.
r-- �------------ - - - - ------------
ORQUEST
��K0�
��� ~ R & T AUTO SUPPLY, INC PAGE 1
-~-- 516 S MAIN STREET REF# 14O413
AUTO PARTS SHERIDAN, I46O69
N
17
-6
SERVING A WORLD IN 1101"1 ON
58O2-126265 2O7O
�NY PART RETURNED FOR CREDIT MUST esACCOMPANIED ovTHIS ncoEIpT. SEE oAnooESTSTORE FOR DETAILS oFTHIS COAST TO COAST GUARANTEE.
FINTY OF CARMEL ITy OF CARMEL
OO W 131ST �4D0 W 131ST
MEL,
46O74 | | �ARMEL, IN 46O74
'
�
58O2-126265 207 C) 3/31/2O1 STREET DEPT TOM CHARGE
AMOUNT
.,I RANTY DISCLAI ER:The mnufacturer's warran�,if my,constitutes the ordy warts?with rospct to the of all SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIESSETHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT,SILITY OR FITNESS FOR A PARTIC LAR PUR OSE.Sailor does not u'h. my rwt my warrmty or assunno my liability by
�
�
CAS YTX UND.
Customer 'lame
Customer Phone # ( )
Customer Mailing Address _
Original Cash Sale Invoice #
Cust Mer's Signature
- Countei,prd's.Signature
Counterpro's ff
Manager's tnitl als __
This is a company policy to help verify cash refunds and thus safeguard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply I
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$582.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-125699 42-320.00 $18.00 1 hereby certify that the attached invoice(s), or
2201 5802-126031 42-320.00 $84.00 bill(s) is (are) true and correct and that the
2201 5802-126138 42-320.00 $468.35
materials or services itemized thereon for
2201 5802-126265 1 42-320.00 $11.80
which charge is made were ordered and
received except
Thu s ay, .109, 2015
S '
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))
03/17/15 5802-125699 $18.00
03/24/15 5802-126031 $84.00
03/27/15 5802-126138 $468.35
03/31/15 5802-126265 $11.80
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