187422 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN CHECK AMOUNT: $157.36
s CARMEL, INDIANA 46032 516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 187422
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -43722 78.68 TIRES TUBES
2201 4232000 5802 -53921 78.68 TIRES TUBES
t
CAR UE
D A 13 E i
R T A LJ T* C." '�S L) F" P L Y I N C' P I,
S16 `3 MAIN STFZEET REFi* 4 67'1 7
AUTO PARTS SHERIDAN, IN L+606?
SE RVING RVING A WORI E J.' N 110 T I0 1\J
s 8 3 c?';-) 1 0 7 0
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F iCITY OF CARPIEL S- TV 01::- CARMEL
L.. T 1.. 7
L...3L. -31
,00 W 131S [P400 W 1.31(.:) -1
T IN 460'7LI. STFIELD, !N 46C'i7Lj•
iNwov'r .!o N').
DATE
1. F
S 8 0 2 4 9 2 1 2()7 0 0 TOM LCH".`RGE
16/ 1
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GD2 22 J. 31.13 78.68 0. 00 8. 68 N/N
CARLISLE S'*1
WARRANTY DISCLAIMER: "The facto7 err for fo
ns a all of the warranties with respect to the sale of all items, The ..Ile, hereby expressly disclaims all warrami.s, either expressed or implied, including any
implied warranty of merchantability or fitness p ane urpose, and the sailor neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of all items'
.0 �41 k�j �O 11 0 1119VU[9 am 0
0. 00 0.00 7 8.68
0 -7 1 CHAR
S AMOUNT
I AM
CASH. REFUND
,-js 'ni -rer" Name
,ustOrner Phome
'ustomer Mailing Address
ri final Cash Sale Invoice
FM )M'Cl- Signa"llare
A4,mager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
OR w
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 46579
AUTO PARTS SHERIDAN, IN 460 69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-43722 2O7O
CNY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
�CITY OF CARMEL ITY OF CARMEL
L3400 W 131ST F4OO W 131ST `WESTFIE LD, IN 46O74 ESTFIELD, IN 460 74
WARRANTY DISCLAIMER: h a t r vfarranty constitutes .11 of the warranties with respect to the Sale of all items. The Belle, hereby expressly disclaims all warranties, either .."ressed or implied, including any
implied warra ty of match a lity ness for a particular purpose, and the sailor neither assumes nor authorizes any other person to assume for it any liability in connection with I a as a of a] Items:
t
(CASH REFUND
Customer Dame
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
1�ilU)t
Counterpro's
Manager's Initials
']'his is a company policy to help verify cash refunds and thus safeguard our assets,
VOU CHER NO. WARRA NO.
ALLOWED 20
R T Auto Supply
W SUM OF
516 S. Main Street
Sheridan, IN 46069
$157.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT
Board Members
2201 5802 -43722 42- 320.00 $78.68 1 hereby certify that the attached invoice(s), or
2201 5802 -53921 42- 320.00 $78.68 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
Thu pday 01, 2010
y Street Commissioner/
Stre @t Title m; iJi
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))
06/18/10 5802 -43722 $78.68
06/23/10 5802 -53921 $78.68
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