189484 08/31/2010 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: $27.00
SHERIDAN IN 46069
CHECK NUMBER: 189484
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -46989 27.00 TIRES TUBES
OR
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 5OO2O
AU�������
SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-46989 2O7O
v
ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED ov THIS RECEIPT SEE mmuuEST STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
�CITY OF CARMEL FdT� TY O F CARMEL
L 34OO W 131ST 4OO W 131ST �CARMEL, IN 46O74 ARMEL IN 46O74
3 22
MIS DISPOSAL-
TIRE DISPOSAL
WARRANTY DISCLAIMER: 'The factor warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims ail warranties, either expressed or implied, including any
Implied warranty of match nlatel ty or tn.s. for particular purpose. and t he seller neither assumes nor authorizes any other person to assume for it any liability In connection with the sale of all items:
lgll�oLjtg 11
AMOUNT
CASH HI REFUND
rru.snwii; -r Ma;liiig Address
C� -a.! 'Cash Sale Invoice
c'ustomer's Signature
011i 'Itt'.°' ro s Sicniaturc
ounterpro s
M =.,0at`er's initials
T hi, i, a company policy to help verify cash refunds and thus safeguard our assets.
r
VOUCHER NO, WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$27.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #1TITLE AMOUNT Board Members
2201 5802 -46989 42- 320.00 $27.00 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
f l Thursday, August 26, 2010
f 4.A/ il", t
i
W Street 6 mQ ner
Street Title v
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]18110 5802 -46989 $27.00
I 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