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Home My WebLink About192898 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1 0 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $1,288.00 SHERIDAN IN 46069 CHECK NUMBER: 192898 CHECK DATE: 1 211 512 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 5802 -52426 940.28 TIRES TUBES 2201 4232000 5802 -52631 46.00 TIRES TUBES 2201 4232000 5802 -52802 301.72 TIRES TUBES ORQUEST IN R T AUTO SUPPLY, INC PAGE `1 AUTO PARTS 1 .116 S MAIN STREET REF# 56O67 SHERIDAN, IN 46069 (317)758-4456 SERVING A WORLD IN MOTION!!! 58O2-528O2 2O7O ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUESTaTORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. F s T �C 6 R M E L. I N RMEL, IN I iN �01 C E No CLJ 1 40 i DIJ E Cus'll P.O. NO. X 7 EPA TAX WARRANTY DISCLAIMER: Implied warranty of morchan I ity n as for a particular purpose, and th soller neither assumes nor authorh,es any other person to assume for It any liability In connection with the sale of all Items.' S02.86 PAY THIS 30j. 72? CASH REFUND Customer Name Customer Phone Customer Mailing Address 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. WARRANT NO. ALLOWED 20 R T Auto Suppiy IN SUM OF 516 S. Main Street Sheridan, IN 46069 $30 1.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members 2201 5802 -52802 42- 320.00 $301.72 I 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 Fridpy, D ber 10, 2010 li i r t Street Com miss ner i Street Comrifit-*;ioner 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)) 12/10/10 5802 -52802 $301.72 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 URQUEST IN R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 55714 SHERIDAN, IN 46069 (317>758-4456 SERVING A WORLD IN MOTION!!! 5802-52426 2070 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. 24 3 CC F OT F S802-52 1 2070 121/03/10 ATRIA RADTAI I MARATHON RADIAL TX7 EPA TAX 12 121 0.42 0.2S 0.00 3.00 N/N WARRANTY DISCLAIMER: 'The facto warranty constitutes all of the warranties with respect to the sale of all item The seller hereby expressly disclaims all warranties, either expressed or implied. including any Implied warranty of merchantability or WI ness for a particular purpose, and the seller neither assumes nor BUthoriZeS any in person to assume for it any liability In connection with the sale of all items.' Y D PAY THIS 1S67.20 9 40. 2 0 -SO AMOUNT 2. Fit CHAR 1 J REFUND Customer Name Customer Phone Customer Mailing Address 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. ORQUEST R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 55936 AUTO PARTS SHERIDAN, IN 46O69 (317) 758-4456 SERVING A WORLD IN MOTION !!I 5802-52631 2070 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED m THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. F 9T�� _H�, Y S802--52631 2070 VALVE STEM TIRE CHANGES WARRANTY DISCLAIMER; "The lactow warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby epiuy all warranties. either exFressed or Implied, including any Implied warranty of merchantability or mass or a part cular purpose, and the seller neither assumes nor authorizes any other person to assume or I any liability In connection with the sale o all itams.' 11 L+3 All out,'- ;Uv1_( tIT CASH II EFUN D Customer Name Customer Phone Customer Mailing Address 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 ,afe(uard our vssets. VOUCHER NO. WARRAN NO. ALLOWED 20 R T Auto Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $986.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 5802 -52426 42- 320.00 $940.28 1 hereby certify that the attached invoice(s), or 2201 5802 -52631 42- 320.00 $46.00 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 1 1 Friday, December 10, 2010 I, Street. Commisslorier I v ErB(.T l,C;r- m;ssioner 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)) 12!03!10 5802 -52426 $940.28 12/07110 5802 -52631 $46.00 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