192547 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $12,689.21
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 192547
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -52132 10,688.21 TIRES TUBES
2201 4232000 5802 -52133 2,001.00 TIRES TUBES
WRIQUEST
limp R T AUTO GUPPLY INC PAGE 1
516 S MAIN STREET REF# 55302
SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-52132 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F E'l T"' OF CARMEL 4 1 TY I-IF CARMEL
3400 W 131ST W 121ST
S802-52132 20 11/29/10, BRIA CHARGE
W DURATRAC E
GD2 1IR225 16 16 533.33 320.00 0.00 5120.00 N/N
GOODYEAR G182 H
GOODYEAR G291 L
WARRAN DISCLAIMER 'The f= warranty constitutes all of the warrantles with respea to the sale of all The senior hereby exp�ossly disclaims all warranties, al ax r.e,5sed or Implied, including any
ad warranty of rr—ha Wbi IV or It—. I.- perfli,ular purpose, -d the sailer neither assumes nor authorizes any the, par... to a..urne for any ladbilily in contlection with In as o of Items.
10.2S 1000 0.00 1.0688,21
AMOUNT CHAR
1().S7 AM TM
;A
Customer Name
Customer Phone
Customer Mailing Ad.dressi
Original Cash Sale Invoice
Customer's Signature..
Counterpro's Signature T
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safe card our assets.
ORQUEST
R T AUTO SUPPLY, INC PAGE 1
l im p
516 S MAIN STREET REF# 55303
SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-52133 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS mTHIS COAST mCOAST GUARANTEE.
F
TX7 EPA TAX L+ 7 0 L+2 0.2S 0.00 1.00 N/N
MIS FOAM FILL 4 4 391.67 23S.00 0.00 940.00 N/N
WARRANTY DISCLAIMER: *The facto� warranty constitutes all of the warranties with respect to the of all items. The seller hereby exp�essly disclaims all warranties, either expressed or Implied, including any
Implied warranty of merchantability or I mass for a particular purpose, and the seller neither assumes no uthorizes any other person to ssume for I any liability In connection with the sale of all Items.'
kj[D) 'L 3335. 04 PAY THIS 2001 00
10t57 AM CHAR
:cA�II:1
Customer Name
Customer Phone
Customer Mailin Addres s
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. WARRAN NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$12,689.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT
Board Members
2201 5802 -52133 42- 320.00 $2,001.00 1 hereby certify that the attached invoice(s), or
2201 5802 -52132 42- 320.00 $10,688.21
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
/71hursday� /December 02,, 2010 J
Street Commissi'o�er
8tree't C^Title''S"icl °r
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City f=orm 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))
11/29/10 5802 -52133 $2,001.00
11/29/10 5802 -52132 $10,688.21
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