188964 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CARMEL, INDIANA 46032 CHECK AMOUNT: $584.06
516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 188964
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4237000 5802 -45886 200.72 REPAIR PARTS
2201 4232000 5802 -46178 383.34 TIRES TUBES
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 49168
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!'.
5802-46178 20 7O
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED o, THIS RECEIPT. SEE o^Ruusur STORE FOR DETAILS op THIS COAST TO COAST euxnxwrs.
F L G IL ITY OF CARMEL ITY OF CARMEL OO W 131ST �34OO W 131ST
RMEL, IN 46O74 |��ARMEL, IN 46O74 N �s-� Ra__
2070 08/04/10 STREET DEPT Tom CHARGE
GOODYEAR 661
MOUNT SWEEPER TIRE
VALVE STEM
WARRANTY DISCLAIMER: "The facto� warrant constitutes all of the warn mice with respect to the/sale of all items. The seller hereby ex �esaly disclaims all warranties, Ithar or implied, including any
Implied warranty of Merchantability or I tnass for particular purpose, and the seller neither assumes no(authorizes any other person to assume for any ability In connection with the s all Items.*
gly AMOUNT 1-1 A
H l -E,FU-
�uS?;)171 iIiil ACidrerSS.,
?i.471tE'r f:) ti
of Irjoj -pr /4
i'� a iage 's nitz als
i,hi; c, c(1 11vi Policy to helm vr�ifv catih'V,:f Inds 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
$383.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -46178 42- 320.00 $383.34 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
Thu�sday, August 12, 2010
Street Commiss #r
Street Co re"�issioner
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))
08/04/10 5802 -46178 $383.34
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
(A QUEST
R- F3<: T AUTO .SUPPLY INC: PAGE 1
516 S MAIN STREET. REF# 48820
AUTO PARTS S HERIDAN, IN 460
317 }.7Sn�4456
t �a�t gpc5�,4,t��� JYltti t_• a w In A t Yea s 11 1
WO
1 M r t y+ x ho f s s ?2h+« t or k S t
S802 4 2070 t
ri r ol I v rt
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THISAECEIPT. SEE CAROUEST STORE FOR DETAILS'OF THIS COAST TO COAST-,GUARANTEE. y
r BCITY OF CARMEL ;CITY OF� .CARMEL_
L3400 W 131ST 5400 W 131ST
'CARMEL, IN 46074 F-ARMEL, :IN 46074
INVOICE NO. CUSTOMER NO. DATE
5802 -45886 070 7/28/10 }R IA CHARGE
MFG. PART NUMBER ORDERED UUD17WO 11 L1dj0 Lu" ��1 u0 I I MUMM
CQO CQ620 i i 5.48 3.29, 0.00 3.29 /N
5W -30 OIL'
00R •625- 168- _V... ,i., 4 4 88 68.9 9 0X00 68 -:93 N
OIL�CO.OLER LINE
LB7 LAB -9 1 1 21.4.17 128. SO 0,.00 128.50 /N
LABOR
WARRANTY DISCLAIMER: The factory warranty constitutes all of the warranties with respect to the sale of all items, The seller hereby expressly disclaims all warranties, either expressed or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of all items'
:O' O` 11 VOL O' O
9 JG'GP0 1�,t °'r rp.itl e i ;G><kr rv. 4'0 t•-.' 0 "Od r x.. 20
i n a" 7 �r 1, 1
1 34 a 5 PA JiHIS' i 1 1
f
r b 200 72
o AMOUNT
t.rw-
A IC
Customer Name
Customer Phone
Customer Mailing Address.
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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Car IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$200.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 I 5802 -45886 I 42- 370.00 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
Monday, August 16, 2010
Director, Administr ion
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