304115 10/10/16 %'��p CITY OF CARMEL, INDIANA VENDOR: 00350579
j; ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $*******301.41*
;9 : CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 304115
.ytseN��, SHERIDAN IN 46069 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-147866 301.41 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
R &T AUTO SUPPLY, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
516 S MAIN ST IN SUM OF$ 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.
$301.41 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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 1 hereby certify that the attached invoice(s),or 9/7/16 5802-147866 $301.41
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, October 04, 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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R & T AUTO SUPPLY. INC PAGE 1
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~�=~ 516 S MAIN STREET REF# 177734
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVIN8 A WORLD IN MOTION! ! !
5802-147866 2O7D
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F/ CITY OF CARMEL ITY OF M--
�34OO W 131ST rXIRMEL,
OO W 131�CARMEL, IN 46O74 | IN 46074
58O2-147866 2O7O 9/7/2O16 JIM �' CHARGE
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WARRMM DISCLAI MER:The rnanufsaturees warraj,If any.c...tiftdo.the only wmanly with rearA to t.ho sale of all goods,,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED.
INCLUDING ANY IMPLIEDWARRAIM OF MERCHANT BILITY OR FITNESS FOR A PARTICULAR PUR E.S lie,derw not ze any person to grant my warranty or assurne my liability by Seller.
50 3
01.41
AMOUNT
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