188491 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CARMEL,, INDIANA 46032 516 S. MAIN STREET CHECK AMOUNT: $200.72
SHERIDAN IN 46069 CHECK NUMBER: 188491
CHECK DATE: 8!3!2010
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 5802 -45886 200.72 AUTO REPAIR MAINTEN
CQR no
P cz R T AUTO SUPPLY, INC PAGE 1
IWO 516 S MAIN STREET REFu 46820
AUTO PAR I SHERIDAN, IN 4606?
D (317)758-44S6
C �vi
S802-458, AUG 0 2 20 10 VINE A WORLD IN MOTIONI!! 2070
B
ANY PART RETURNED
E)-E1 THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
"C ITY OF CAR n MEL OF CARMEL
'3 00 W 131 W 131ST
T
OCA .46074 RMEL, IN 46074
RMEL, IN F
I D/\ E ugg
5802-45866 2070 07 /28/10 BRIA ;CHARGE
[Ax
CQO CQ620 1 1 5. 3.2? 0.00 3.29 'q/N
SW-•30 OIL
DOR 625 -168 1 1 114.88 66.93 0.00 68-93 N/N
OIL COOLER LINE
L-B7 LAB-9 1. 1 214.1.7 128.50 0.00 128. 50 N/N
LABOR
WARRANTY DISCLAIMER: 71ha y fitness for a pa warranty consillules all of the warranties with respect to the sale of all items. The seller hereby r'
ex Ily disclaims all warranties, either expressed or implied, including any
Implied warranty of merch or frticular purpose, and the seller neither assumes nor authorizes any other person to a ssum e for i liability in connection with the sale of all iterna:
-0-
128.50 4 04 0. OC) 1 0.001 1 200.72
[;jgCL:VVyLUD LLL6�V 3 3 4 S 3 1 PAY TH 1 200.72
04.34 PM -90 �A�, I V@Unl� I JAMOUNST CHAR
Name
o,.tome."
';,sh Sale Invoice t#
S Si ,onalurC i
Ma er "ninals
This is a conp;:ny policy to help verify cash refunds and thus safeguard our assets.
V NO. WARRANT NO.
Car Quest ALLOWED 20
IN SUM OF
i
516 S. Main Street
Sheridan, IN 46069
$200.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# I Dept. INVOICE NO. ACCT #fT1TLE AMOUNT Board Members
1205 I 5802 -45886 43- 510.00 I $200.72 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
Friday, July 30, 2010
Director, Administratio
Title
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))
07/28/10 5802 -45886 $200.72
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