HomeMy WebLinkAbout186486 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
i CHECK AMOUNT: $64.20
CARMEL, INDIANA 46032 516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 186486
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -42761 64.20 TIRES TUBES
ORQUEST
R T AUTO SUPPLY, INC PAGE
1
516 S MAIN STREET REF# 45565
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2 42761 2070
ANY PART RETURNED FOR CREDIT MUST as ACCOMPAN ov THIS RECE SEE CAauoEST STORE FOR DETAILS or THIS COAST TO COAST GUARANTEE.
,CITY OF CARMEL �.,ITY OF CARMEL
___F
L3400 W 131ST 00 W 131ST
TWESTFIELD, IN 46074 9�E STFIELD. IN 46074
OF
W-)-To 1 CHARGE
S802--42761 06,1"02/10 BRIA
MIS DISPOSAL 18 S.00 3.00 0.00 54.00 N/N
TIRE DISPOSAL
TUBE
��RRANTY DISCLAIMER: 'The factotx warranty constitutes all of the warranties with resp to the sple at all items. The seller hereby exprestil,"alils, '"j- r' I' Implied. Including any
implied warranty of merchantability or itness for a particular purpose, and the sailor neither assumes nor Whorl— any other person to assume for it any Ih
0.00 0.00
10:43 Am gly V@�% AMOUNT CHAR
CASH REFUND
Customer blame
Customer Phone
Customer Mailing
Original Cash Sale Invoice
Customer's Signature
Counterpro "s Signature
Counterpro's
(Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
VOU NO. WAR NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$64.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 5802 -42761 42- 320.00 $64.20 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, JuneP3, 2010
i%
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
06/02/10 5802 -42761 $64.20
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