HomeMy WebLinkAbout182059 02/03/2010 of, N., CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
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ONE CIVIC SQUARE R T AUTO SUPPLY, INC
F
I, CARMEL INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $66.00
SHERIDAN IN 46069
,,4 CHECK NUMBER: 182059
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -35606 66.00 TIRES TUBES
CaR T
r
I R &»|'AUTO SUPPLY. INC PAGE 1
516 S MAIN STREET REF 37987
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-35606 2070
ANY PAR RETURNED FOR CREDIT MUST BE ACCOMPANIED BY T}-11S RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAS TO COAS GUARANTEE
u CITY OF CARMEL ITY OF CARMEL
L340O W 131ST 34O0 W 131ST
`WESTFIELD, IN 46O74 �WESTFIELD, IN 46074
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5802-35606 2070 01/15/10 BRIA 1 GE
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7 P^RT ,h11�■ 7�Di_ un/ppso BKO u/orpnms NET NET CORE IIMT�A0SLUmr 'Tan
LB7 WB14 4 4 13.33 8.00 0.00 32.00 N/N
WHEEL BALANCE
L87 LA8-14 4 4 8.33 5.00 0.00 20.00 N/N
TIRE CHANGE
MIS DISPOSAL 4 4 5.83 3.50 0.00 14.00 N/N
TIRE DISPOSAL
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52.00 0.00 0.00 66.00
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Customer Name
Customer Phone
Customer Mai ling •AcktPL—.5i
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Original Cash Sale Invoice
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Customer's Signature
Couriterpro's..SiL
Cottnterpro's It
Manager's Initials
This k a company policy to help verifv cash refunds and thus ,afeguard c or asseis.
VOUCHER NO, WARRANT NO,
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$66.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Membe
2201 5802 35606 42 320.00 $66.00 I hereby certify that the attached invoice(s), or
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
6 f Thursd' r?uary 28, 201C if
t f�% 1
Street Commissiofaer
Sui4kd l C;C4(, 1! 111QZ l sl
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199"
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be property 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bili(s))
01/15/10 5802 -35606 $66.00
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
Clerk- Treasurer