191807 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
0 ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CARMEL, INDIANA 46032 516 S. MAIN STREET CHECK AMOUNT: $1,623.00
•e,. SHERIDAN IN 46069 CHECK NUMBER: 191807
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -50264 22.00 TIRES TUBES
2201 4232000 .5802 -50448 1,601.00 TIRES TUBES
YOU'LL FIND |TAJCARQUEST"
OR
%o r R T AUTO SUPPLY. INC PAGE 1
516 S MAIN STREET REF 53626
AUTO PARTS SHERIDAN. IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-5O448 2O7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ov THIS RECEIPT SEE o^puurar STORE FOR DETAILS oF THIS COAST TO COAST GUARANTEE.
F "CITY OF CARMEL.. s HCIT'Y OF CARMEL
OT�C TCARMEL.. IN L4.6074 TCARMEL, IN L+6074
1,
'l, I LW 11 @MM
S802-50 2070 1. 0/ 2 S 1 0
GD2 10-16S L 4 291.67 17S.00 0.00
111 STEM 4 b. (A) :3.
VALVE STEM
��RRANTY DISCLAIMER: 'The factoiz warr a warr; ntles with"reep.." 'I"' The hereby �essly disclaims all warranties, either expressed or implied. including any
implied warranty of merchantability or triess v al,
s and the setter neither assumes nor authorizes any othe person assume ior any liability in connection with the sale of all items."
1. PM AMOUNT
CASH R
Customer Name
Customer Phone
Customer Mailing Address.
.....Origi_nal .C Sale .IDVOi.Ce
Customer's Signature
i
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
YOU'LL FIND |TATCARQUES7^
CAR
R T AUTO SUPPLY~ INC PAGE 1
Ir
516 S MAIN STREET REF# 5345O
AUTO PARTS SHERIDAN. IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-5O264 20 70
ANY PART RETURNED FOR CREDIT MUST ar ACCOMPANIED o, THIS RECEIPT SEE o^nuusor STORE FOR DETAILS op THIS COAST TO COAST ou^x^wrcs.
�L
L3400 W 131ST 3400 W 131ST
TCARMEL. IN 460 TCARMEL. IN 46074
S802—S 20 10/21/10
TIRE REPAIR
WARRANTY DISCLAIMER: The war, constitutes all of the warranties with respect to the sale of all items. The salitir hereby expressly disclaims all warranties, either expressed or implied, including any
particular purpose, and the �eflor neither assunces nor authorizes any other person to assume for it any liability in connection with the sale of all items."
implied warranty of match mabi y or 'mass to
cCASH REFUND
Customer Name
Customer Phone
Customer Mailing di ress..
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 safe -card our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,623.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 5802 -50264 42- 320.00 $22.00 1 hereby certify that the attached invoice(s), or
2201 5802 -50448 42- 320.00 $1,601.00
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
hursday,!Novern6er 04, 201 C
Street Commissioner
vu mt wl IIiJJlCiIf r
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 property 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))
10/21/10 5802 -50264 $22.00
10/25/10 5802 -50448 $1,601.00
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