303759 09/30/16 CITY OF CARMEL, INDIANA VENDOR: 00350579
® ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $*******313.41*
4 ,=Q CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 303759
SHERIDAN IN 46069 CHECK DATE: 09/30/16
t,TON c�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-147866 301.41 TIRES & TUBES
2201 4232000 5802-148634 12.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
R &T AUTO SUPPLY, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
516 S MAIN ST IN SUM OF$ 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.
$313.41 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
5802-147866 42-320.00 $301.41 I hereby certify that the attached invoice(s),or 9/7/16 5802-147866 $301.41
2201 201 2201 201
5802-148634 42-320.00 $12.00 bill(s)is(are)true and correct and that the 9/26/16 5802-148634 $12.00
2201 1 1 201 1 materials or services itemized thereon for 2201 1 201
which charge is made were ordered and
received except
Tuesday,September 27,2016
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
ORQUEST
R & T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF * 179O81
AUTO PAnnnxo SHERIDAN. IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-148634 2070
ANY PART RETURNED FOR onso7MUST osACCOMPANIED ovTHIS neop/pz acco^nouEST STORE FOR DETAILS orTHIS COAST TO COAST GUARANTEE.
FLL3400
ITY OF CARMEL ITY OF CARMEL
W 131ST F�3
4OO W 131ST
ARMEL, IN 46074 | ARMEL, IN 46O74
58O2-148634 2070 9/26/2O1 JIM CHARGE
CASH I ES I VND
Customer Mame
Customer Phone # ( )
Customer Mailing.Address
Original Cash Sale invoice #
Custoiner's Signature
Cot:nter-pro's Signature
Counterpro's #
Manager's hnhlals
This is a company policy to help verify cash refunds and thus safeguard our assets.
R & T AUTO SUPPLY, INC PA8E 1
516 S MAIN STREET REF# 1777,3L
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION! ! !
58O2-147866 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BYTHIS RECEIPT SEE oARoenSTORE FOR DETAILS orTHIS COAST mCOAST GUARANTEE.
FLL-,'.'4
ITY OF CARMEL ITY OF CARMEL
OO W 131ST '4OO W 131ST
ARMEL, IN 46074 | | TCARMEL, IN 46)074
5802-147866 207O 9/7/2016 JIM OHARGE .
Cu-tomer l�ak n-'•.G -- -- --- ---— ---- ---
OriL na'f Cash Sale ]",ivolce ----
i
Initials
}115 lS !I COlTij)tillj' pohc`. to ll�:Ip Vcrif-, �:aAl refunds and Lhusoul- 'ISsoti).