247451 07/15/15 R CITY OF CARMEL, INDIANA VENDOR: 00350579
® it ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $'";""*187.00`
4 CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 247451
SHERIDAN IN 46069 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-130511 187.00 TIRES & TUBES
CaR VEST
® ° R & T AUTO SUPPLY, INC: PAGE 1
518 S MAIN STREET REFU 14161.7
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD, IN MOTION ' r r
58012-13051.1 20.70
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE'FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
r-Tc
I—II-Y O{= CARMEL_ H CITY O{= CARMEL.
40101 W 131ST P 3400 W 131ST
ARMEL, IN 46074 o CARMEL, IN 46074
_:;802--13051.1. ; 2070 6130/201 BRIA CHARGE
L.B7 WO-10 6 15.0)0) 9.00 0.00 54.0 N/P
W1-4EEL E,'Af_.AN(;E
MIS DI:61-'UbAL 0 b S.00 3.00 . C N/11
TIRE: DISPOSAL
LB7 LAB-10 16.67 .00 0.000.0 h
TIRE- c;HArar_;E
WARRANTY DISCLAIMER:The manufacturer's warmmy if an,conatitu[es the only—no Ith respect to the agile all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. he
does not authorize any person to grant any warranty or assume any liability by Seller..
11.4.0 r 0.0q 0.0 187.00
n .6 PAY THIS 187t
C)2°57 F�hI yG»k, AMOUNT CHAR
I
C. AS , At N
Customer Name _--
Customer'Phone # ( )
Customer Mailing-Addtess
Original Cash Sale Invoice #
_
, n
Customer's Signature _ .. .....
Counter ro s Sion;ature -_-__—_--
Counterpro's # v ._:
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))
06/30/15 5802-130511 $187.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$187.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT
Board Members
2201 I 5802-130511 I 42-320.001 $187.00 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
Ryrsj�404W?015
N'/VV V %--V M
'% tWMrMFa&i'9r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund