246503 06/17/15 �u�..FQgy
��/ �. CITY OF CARMEL, INDIANA VENDOR: 00350579 „ia,,, **
® ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $ 682.00
:�. ;�; CARMEL, INDIANA 46032 516 S ANI IN46069
CHECK NUMBER: 246503
M9�TON CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-129586 682.00 TIRES & TUBES
T–'
CAR VEST
R ® R & T AUTO SUPI')L.Y, INC PA1.3L' 1
1.6 S MAIN STREET REF# 146127
AUTO PARTS 9I- _.:RTDAN, IN 46069
(317 )7S8-44S6
SERVING A WORLD IN MOTION!
S802-1.29586 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BCITY OF CARMEL 'T'Y OF CARMEL,
X3400 W 1.31ST 00 W 131S!'
TCARMEL., IN 46074 T AI�eP'EL, IN 46074
5802-•129S66 7:070 6/1.0/201 S'T'REET DEPT
GD2 225)75R1. 4 4 1.25.00 75400 0.00 300°00 N/N
CARLISLE TRA:I:i...L-R
23!5/1 80IMS L+ L� isa'.s 92.00v .. 368.00
1-II RUN TRAILER
r 0..2 S
.a DI8I'tS 3.1133 2.00 ..J 12.00
TIRE DISPOSAL
WARRANTY DISCLAIMER:The manufacturer'a warranty,if any,constitutes the only werremy with res act to the sale of all goods.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 any warranty or assume any liability by Salley.
2.00 0.00 0.00 682.00
y Ya _ PAY THIS aJ
I' G1 ^ cit PM AMOUNT CHAR
IL— -
.... : •.,, is
.-..:-CASH REFUND
Customer Name
Customer Phone # ( )
Customer Mailing A'deiress'
Original Cash Sale .Invoice #.
Customer's Signature
Counterpro-'s Signature - -
Cou nterpro's ff
Manager's Initials
i
This is a company policy to help verify cash refunds and thus safeguard our assets. J
VOUCHER NO. WARRANT NO.
R & T Auto Supply ALLOWED 20
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$682.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I 5802-129586 I 42-320.001 $682.00 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
Th�r day a 11, 2015
Street Commissi n r
c#aase�Ce�m��sianr�r
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))
06/10/15 5802-129586 $682.00
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