HomeMy WebLinkAbout185405 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CHECK AMOUNT: $296.36
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 185405
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -40283 296.36 TIRES TUBES
UR VEST
AUTO PARTS
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE,
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WARRANTY DISCLAIMER: 'The factory war r o Wea all W the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, elther expressetl or Implletl, Inclutling any
Implied warranty of merchantability or Less a art lar purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of ell Items'
:O' O' O O' O
C�'l o D AMOUNT
(CASH RIEFUNID
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
ManaLler's Initials
This is a company policy to help verify cash refunds and thus'safenuard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$296.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO #I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -40283 42- 320.00 $296.36 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
Thursday A y 06, 2010
i j e
r
f :1
Street CommissioA
t
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))
04/16110 5802 -40283 $296.36
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