244778 04/29/15 4y/ur..F�gyF`
4; CITY OF CARMEL, INDIANA VENDOR: 00350579
i; 3l ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $"""'174.00'
:9 ,?q CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 244778
M,�oN.�o. SHERIDAN IN 46069 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-126881 174.00 TIRES & TUBES
ORQUEST
loop R & T AUTO SUPPLY, INC PAGE I
516 S MAIN STREET REF# 11+151.3.
AUTO PARTS SHERIDAN. IN 46069
(317)756-44S6
'ERVING A WORLD IN MOTION !
5802-126881 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
I'rY OF-- CARMEL
B 00 w 131ST [8400 w 1131.ST
I-Y OF CARMEL
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F-tL--,(-,,'R11EL- IN 46074 (4RMEL., IN 46074.
5602-1-26881 2070 4/1$/201 STREET DEPT TOM CHARGE
Elan
2
GD2 700-15 2 145.00 87 .00 0.00 174.00 N/N
SAKSONG BIAS TRUCK
WARRANTY DISCLAIMER:WARRANTY warraj,If any,constitutes the onlyPARTICULAR
warral�vllthprea act to the We of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIE EITH R EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHx.IT 011111— -R A ARTO A PURPOSE Sell.,does net ze any pars-on to-grant-any warranty or mume any Ilablilty,by Seller'
D.00 0.00 174.00
PAY THIS
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> 290.00
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Mantatiei's Initials _
This is a compaup policy to, help verity Ca'tih refatnds and thus safeguard our assets.
M
VOUCHER NO. WARRANT NO.
R & T Auto Supply ALLOWED 20
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$174.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 5802-126881 I 42-320.001 $174.00 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
T phi 15
2��rn;visa ones'
Street Commissioner
Title
Cost distribution ledger classification if
i
claim paid motor vehicle highway fund
i
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))
04/13/15 5802-126881 $174.00
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