302243 08/22/16 Q
CITY OF CARMEL, INDIANA VENDOR: 00350579
ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $*******171.00*
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 302243
SHERIDAN IN 46069 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-146350 171.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
R&T AUTO SUPPLY, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
516 S MAIN ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SH ERI DAN, IN 46069 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$171.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5802-146350 42-320.00 $171.00 1 hereby certify that the attached invoice(s),or 7/28/16 5802-146350 $171.00
2201 201 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
Tuesday,August 09,2016
Dave Huffman
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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5l6 S IlAIIN1. STREET 17495!
AUTO PARTS SHERIDAN, IN 46069 /
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(317 )758-4456
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