HomeMy WebLinkAbout252104 12/02/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350579
CHECK AMOUNT: $********87.95*
ONE CIVIC SQUARE R &T AUTO SUPPLY, INCCARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 252104
SHERIDAN IN 46069 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-136746 87.95 TIRES & TUBES
' ORQUEST
PAGE 1
516 S MAIN STREET REF# 158334
AUTO PARTS SHERIDAN, IN 46069
(317 > 758-4456
| SERVING A WORLD IN MOTION ! ! !
|
58O2-136746 2O7O
ANY PART RETURNED FOR CREDIT MUST usACCOMPANIED BY THIS RECEIPT. SEE mnuosSTSTORE FOR DETAILS orTHIS COAST mCOAST GUARANTEE.
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TY OF CARMEL ����� [H,* ITY OF CAR 4OO W 131ST .ARMEL, IN 46O74 � ARMEL, IN 46O74
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58O2-136746 2070 11/19/2O STREET DEPT JIM CHARGE
AL.IGNIvIE"NT
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KES DISPOSAL 6 6 00 3.00 01100 18.00 N/N
WARRANTY DISCLAIMER:The rnanufanturer's warraj,It any,constitWes the onlypmrraWith reapct to the sale of all good.s.,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPUED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A ARTC R PUR OSE.Seller does not auth r any parson to grant any warranty or muma any IlablIlty by Seller.
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69
721�
14-1, AMOUNT
CASH REFUND
Customer .Name
-ustc ner P ione
C l,stomer Mailin- Address --- 4
Or;cy;-al Cash Sale Invoice #
S',,nature—
crn—erpro's Sigr"tore __--
counterpro's #
i'Jza,nager'j Initia?s �— --
-riiis is a company policy to help verify cash refunds and thus safeguard oar asset.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$87.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 5802-136746 j 42-320.00 $87.95 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
I
Monda , e i5
A
Street Commissioner
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))
11/19/15 5802-136746 $87.95
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� I
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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
120
Clerk-Treasurer