191327 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
1 0 J� CHECK AMOUNT: $386.42
Sh' CARMEL, INDIANA 46032 516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 191327
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -49791 386.42 TIRES TUBES
YOU'LL FIND |TATCAHOUEST~
ORQUEST
R T AUTO SUPPLY. INC PAGE 1
AUTO PARTS 516 S MAIN STREET REF# 52961
SHERIDAN. IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-49791 2O7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT. SEE o^nuoeT STORE FOR DETAILS or THIS COAST TO COAST ao^n^wres.
F B
CI
ORMEL. IN 46074 oCARMEL. IN
ALIGNMENT i
IDLER ARM
IDLER ARM BRACk'ET
CCH [*.'.'6S36 1 1 160.26 87.99 0.00 87.99�N/N
PITMAN ARM
LABOR
WARRANZ, DISCLAIMER: "The warranty constitutes all of warranties with respect to the sale of all items. The sialler hereby expressly di�claims all warranties, either expressed or implied. including any
implied anty of mairchantabi ty or fitness for a particular purpose and the seller neither assumes nor authorizes any other person to assume for it any liab in on action with the sale at all items."
W MOP
0.00 0.00 386.42
."CASH
C 'T
Customer Name
Customer Phone
'7
Customer Mailing; A.Odf.pss
Or iginal Cash Sale Invoice
Customer's Signature
J.
COLinterpro's Signature
Counterpro's
Manner's Initials
This is a company policy to help verify cash refunds, and thus safeguard our assets.
A ;7
::j
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
S,heridan, IN 46069
$386.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
POP Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 5802 -49791 42- 320.00 $386.42 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�dctober 21, 201 C
UUU1'
Street Commissioner
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))
10/11/10 5802 -49791 $386.42
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