HomeMy WebLinkAbout186995 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
0 CHECK AMOUNT: $1,111.05
CARMEL, INDIANA 46032 516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 186995
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -43217 1,111.05 TIRES TUBES
OR
IN R T AUTO SUPPLY, INC PAGE 516 S MAIN STREET REF# 460 47
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-43217 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ev THIS RECEIPT SEE o^nuuen STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
L 3400 W 131ST p W
0 1 0
II.R.1 .1SCIAMER: 'The 1-1.w warranP constitutes all of the warranties with respect to the sale of all Items. The seller hereby expres5ly disclaims all warranties, either expressed or Implied, including an,
Implied warranty of merchantability or mass particular purpose, and the soller neither assumes nor authorizes any other person to assume for I any liability in connection with the sale of all items:
CHAR
CASH REFUND
UND
C'ustorner Name
'usti Omer Phone;
C Mailim /Address
Original Wash 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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,111.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 5802 -43217 42- 320.00 $1,111.05 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
i
�l Thursday, une 17, 2010
Street Commiss'ior
G,treet lorriminpigrigr
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))
06/09/10 5802 -43217 $1,111.05
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