182515 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $40.00
v o SHERIDAN IN 46069 CHECK NUMBER: 182515
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -35353 40.00 TIRES TUBES
ORQUEST
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R--& T AUTO SUPPLY, INC PAGE 1
AUTO PARTS 516 S MAIN STREET REFu 377,13.
SHERIDAN IN 4606
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ANY PART RETURNED'FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST'STORE FOR DETAILS OF THIS COAST TO.COAST GUARANTEE.
t F3400 CITY OF. CARMEL T1 Y OF CARMEL
B 3400 W 1,31ST W 131ST
6WESTFIELD IN 46074 ESTFIELD IN 46074
INVOICE NO. CUSTOMER N0. DATE 1 c �''-���w
:1
S802- -3S3S3 L o 01/11/10 ARIA ICHARGE
;i MFG. PART NUMBER ORDERED 61WUIA911 s o
LB7 TR7 1 1 2S.00 1So00 0.00 IS.00 N/N
'k• TLRE'REPAIR''��`
J LB7 LAD -7 i 1 33.33 20.00 _0.00 .20.00 N/N
TIRE CHANGE
MIS DISPOSAL 1 1 8.33 5.00 0.00 5.00 N/N
TIRE DISPOSAL
WARRANTY DISCLAIMER: 'Th lactory warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either expressed or implied, including any
Implied warranty of merchan(ab I ty o fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for I any liability n connection with the sale of all. items
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PAX, THIS 1 40 00�
Z AMOUNT CHAR
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #fTITLE AMOUNT Board Members
2201 5802 -35353 42- 320.00 $40.00 1 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
q February 11, 2010
p7hursday
Street Commissioner'
I e
street f7'is,55j ar
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts 'City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/11110 5802 -35353 $40.00
1 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