189965 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CHECK AMOUNT: $464.16
CARMEL, INDIANA 46032 516 S. MAIN STREET
c, oy SHERIDAN IN 46069 CHECK NUMBER: 189965
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -47875 464.16 TIRES TUBES
ORQUEST
���U R T AUTO SUPPLY, INC PAGE 1
O
516 S MAIN STREET REF# 50955
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-47875 2070
ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED e, THIS RECEIPT. SEE cAnuuen STORE FOR DETAILS op`14m COAST TO COAST GUARANTEE.
F B L ICITY OF CARMEL �,CITY OF CARMEL
.400 W 131ST '400 W 131ST
RMEL, IN 46074 MEL, IN 460/
5802-4787S ?070 09/03/10 bRIA I CHARGE
MARATHON RADIAL
WARRANTY DISCLAIMER: 'Th. o n les with respect to the sale of all items. The seller hereby exp�ftaly disclaims all warranties. either expressed or implied. including any
all an
Implied warranty of merchantabi ty and the seller neither assumes nor authorizes any other person to assume for I any liability In connection with the sale of all items.'
4 L+ A AMOUNT
Customer Name
Customer Phone
Customer Mailing-Ad-dress.
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to held..) 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
$464.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, I ACCT /TiTLE AMOUNT
Board Members
2201 5802 -47875 42- 320.00 $464.16 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
Thursday, Septep ber 09, 2010
v Street Commissioner
r I/
Street CC" ?Titlesioner
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))
09/03/10 5802 47875 $464.16
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