HomeMy WebLinkAbout253964 01/26/16 0�% 4�A\ CITY OF CARMEL, INDIANA VENDOR: 00350579
t�) ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $*****1,074.43*
:9 ,?� CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 253964
.y,�TON�. SHERIDAN IN 46069 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 161717 1,024.48 AUTO REPAIR & MAINTEN
2201 4232000 5802-138236 49.95 TIRES & TUBES
ORQUEST
R 3, "11" AUTO k R UPPLY FA ED Ni 1,
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AUTO PARTS Dill .1
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S 18 0.22 3 6 2 0
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR.DETAILS OF THIS COAST TO COAST GUARANTEE.
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WARRANTY DISCLAIMER:The manufacturer's warrant an "I with respct to the sale at all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
rrX,If 4,constitutes the.
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR WPWTIC? R PURPOSE.Seller does not authorize any person to grant my warranty or assume any liability by Beller.
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CASH REFUND
Customer Name — -
Customer Phone i/ ( ) --
Customer Mailing Address
Orir?inal Cash_Sale Invoice :#
Customer's Signature - --
Counterpro's Si-llatUre ------^ —
Counterpro's #
Manager's Initials _— ----�-.-- — —
This is a compaii5, police to help ve!-iN ;Ish refunds and thus safe.�"Yuard 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
01/06/16 5802-138236 $49.95
2201 201
1 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.
R&T AUTO SUPPLY, INC ALLOWED 20
_
516SMAIN ST IN SUM OF $
SHERIDAN, IN 46069
$49.95
ON ACCOUNT OF APPROPRIATION FOR
Street Department
r
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member;
5802-138236 42-320.00 $49.95 1 hereby certify that the attached invoice(s), or
2201 I I 201
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
Frida , January15, 2016
n
l
� SlOrlef
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ORQUE5T
�� R & T AUTO SUPPLY, INC' PAGE 1
AUTO PARTS i p � NSi-ERII1AN 4 TIS 46069
tf (317 ) 758-4456 REPRINT
5802--l'38575 1✓ 2870
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY�THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
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RMEL f=lRE DEPTt!`ARMEL FIRE DEPT AL:-: CICVIC -SQUARE 02 CICVIC SQUARE
Rtl L;, IN 46032 CARMEL 9 IN 46032
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GD2 245/70Ft.IT5 2 2 535.23 a21. 14 0.00 642.26 . /
GC)ODYEAR G622 G
(3f.)2- 245/7OR19S 1 54S e 7S 327 .45 01.00 :327 .45 N/P
GOODYEAR AR G661 1-1{3A C
VX/- EPA TAX :3 3 0.42 0.25 0.00 0. 75 '\1/1'
_ ): LAB---11 L3 x'5„00 1�,er`I{? 0.00 45.00 !/i`
TIDE: CHANGE
MIS ISIsC)S .. 3 ;3 S.00 3.00 0.00 9.00 /h
TIRE DISPOSAL
WARRANTY DISCLAIMER:The manufacturer'.warranty if any,constitutes the o warre 1 resppect to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FO A A LAR RPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
45. 75 o- c)o 1 0.001 1024.4c'
PAY THIS 1( 24 e 4�
05°04 1:111 �f,. F r e�.'. AMOUNTi':i-IfiF'
CASI .IlEF�J�I
Customer Name _
i
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice # —
Customei 's Signature -
Counite►-pro's Signature
Countez-pro's # _
Manager's Initials
This is a company policy to help verify cash refunds andAhLIS safeguard our �issets.
-escribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
161717 A349 $1,024.48
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Tire Supply, Inc. - Sheridan
IN SUM OF$
516 South Main Street
Sheridan, IN 46069
$1,024.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 161717 43-510.00 $1,024.48 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
3A6.1 d1 9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund