257284 04/05/16 +��.�,A" CITY OF CARMEL, INDIANA VENDOR: 00350579
4/
j ® �•;
ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $"'*****29.00'
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 257284
x+M,�oN, ;? SHERIDAN IN 46069 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-139853 29.00 TIRES & TUBES
CAR
-F AUTU
16 S IN P'l I N S'f'R'V--".1 R.E Fu 16 4 0-2)
AUTO PARTS
(;:31 7 ---4L,Fye,
C.31:11RVIN(3 A WORLD IN
2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
S
L T
CARIIEL. ' "',-I'Y Of---- CAPMEL
131S0
I N 46074 M E- , I 1\1 4601-4
L
OF L------------
Nt)
1
I--11A R C-3 E 5
8012 L 3")8 S 3 2 0/7 0 :2/22/201 D E P'11"
Lis:' 7'R-•-i 1 1 71 48.33 9 C) 21-2 00
0.00
TIRE'.' RE'PADR
c
t�
C, k
WARRANTY DISCLAIMER:The manufacturer's conatitutesthe o v warranty wl h respect to the safe of Ed[goods,,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCH ROR FITNESS FORA d PARTICULAR PURPOSE.Sailor does not authorize
n any person to grant any warranty or assume any liability by Seller.
4 2,y'3133 PAY THIS 2'.CX
AMOUNT
CASH REFUND
Customer Name
Customer Phone # D
Customer Mailing Address
Oi-j'-Inal Cash-Sailc Invoice
stomc -iature
Cu I r's Sigi
L"
counterpro's Signature
coulltarpro's #1
Manager's Initials
'I'll-is is a company policy to hell) verify CLIS11 I'CFLMCs and OILIS safcouud our MSL[S.
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))
02/22/16 5802-139853 $29.00
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
R&T AUTO SUPPLY, INC
516SMAIN ST IN SUM OF$
SHERIDAN, IN 46069
$29.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member
5802-139853 I 42-320.00 I $29.00 1 hereby certify that the attached invoice(s), or
2201 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
Tuesd , March f5, 2,
I street cafflIftlsworw
Cost distribution ledger classification if
claim paid motor vehicle highway fund