323848 04/06/18 4iu �qp''6 CITY OF CARMEL, INDIANA VENDOR: 00350579
ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $ t*,*x 193.78
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 323848
SHERIDAN IN 46069 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 212874 193.78 AUTO REPAIR & MAINTEN
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
$193.78
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
212874 43-510.00 $193.78 I hereby certify that the attached invoice(s),or 3/29/18 212874 $193.78
1120 101 1120 101
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
Thursday, March 29,2018
David Haboush
Fire Chief
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ORQUEST
R & T AUTO SUPPLY, INC PAGE 1
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