320978 01/17/18 'Cqq
CITY OF CARMEL, INDIANA VENDOR: 00350579
d ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $**.......19.00*
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 320978
'•y�pN.�a: SHERIDAN IN 46069 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-1965222 19.00 TIRES & TUBES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350579 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
R&T AUTO SUPPLY, INC IN SUM OF$ CITY OF CARMEL
516 S MAIN ST 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.
SHERIDAN, IN 46069
Payee
$19.00
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
5802-165222 42-320.00 $19.00 1 hereby certify that the attached invoice(s),or 1/10/18 5802-165222 $19.00
2201 2201 2201 2201
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
Monday,January 15, 2018
Huffman, Dave
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
„ .
S1 H1 Add + T A s
(., .
0o”0
' - ',alias AQ A011lysll Aue ewnsse,o Alue„ex Rue IuwB of uos,sd Aue ezl,oyln lou ssop,sIIsS'3S0ddHrld HVl((I1011 d V HOd SS3NNd HO AL li,yY VHJtl3W d0 AINVHHtlM oandWl ANV ONianiONi
'03ndPll HO 03SS3Hd7(3 H3H113'33LLNVHHVM IN SWIVlOS10 AlSS3Hd)(3 AH3H3H H3-n3S-spooB IIs to ales eyl of Ioedse,yilM AWaue n FNo eill salnillsuoo'Aue!I'riWe„e,n sdsmloslnuew eyl:H3WIVlOS10 ALNVHHVM
70'"ST .—,'9 i x' _f Z.A.I. :f:{..,�
l-4 ,• r—. 1 T:1:.', 1r: 1^•;� 01-V ,��,r`(7:? - +
�f! I•
isE ;�1 4:47 1 ii:d UEi*F is i't �f7�li i
:s..i.�?s !_F
'331NHHVfYJ 1SV00 011SV00 SIHl d0 S11V130 HOH 3HOlS 1S3noHV0 33S -1d1303H SIHl AS(EIM W000V 3e isnim 1103H0 HOH MNHfll3H 1HVd ANV
1�??:l.T:.t.C)JAI 1`•1I C! i.1 C7M°i k;% 0MI:01.i:=?C=
r r, ,
s.ladd Olnd
1\1:1 l,'JAJ i ''''':{
?' ::.IF:1tJ�i :11`•f:i: " ,�,_?r..1 c:l('1'�; 01.1-1w .J_ )? s:? '
iS3n un)