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HomeMy WebLinkAbout195625 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $188.84 CARMEL, INDIANA 46032 516 S MAIN ST SHERIDAN IN 46069 CHECK NUMBER: 195625 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 5802 -26543 122.84 TIRES TUBES 2201 4232000 5802 -55991 66.00 TIRES TUBES UEST R T AUTO,. SUPPLY, INC 5 i` t PAGE 1 Slb S'MAIN STREET REF# 5954S' AUTO PARTS S HERIDAN,'IN 46 (317)758 4456 jxrs WORLD` �N M ©f�7hf 559L t r 580 r ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE•CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE BCTTY. OF CARMEL F lTll` OF G( L3400.W 131ST 00 W 131ST TCARMEL,.IN' 46074 RMEL, IN 46074 INVOICE N0. CUSTOMER N0. DATE U 5b02- 55991 070 2/17/11 TREET DEPT JEFF rom ICHARGE �gv�- MFG. PART NUMBER ORDERED o o uwmag wjux US 2 LB7 LAB -7 3 3 16.67 10.00 0.00 30.00 /N TIRE QISMOUN1' i B' T LAB -6 2 rr,.: 16 677 'TO'. OQ 0.0(x 2{� QO TIRE MOUNT MIS STEM 2 .2 5.00. 3.00 0.00 6.00 /N VALVE STEM MIS DISPOSAL_ 2 2 8.33- 5.00 0.00 10.00 \I /N TIRE DISPOSAL WARRANTY DISCLAIMER: The manufacturer's warrenj, if any, wnstltutes the only wa ranty Ith respect to the seta of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANT OR FITNESS FOR A I PARTICULAR PURPOSE. the does not authorize any person to grant any warranty or assume my liability by Seller Immugag I REV I Mm YM TAM 0.:00 0� .00 66 0 4 u i10 G r >66 0 51:07, PI"k Chi x S7 AMOUNT R,. CAS RF" .UJ. Y jED. r Customer Flame Customer Phone Customer 1Vlailing.Address Original Cash Sale Invoice Customer's_ Signature Counterpro's Signature. Counterpro's Manager's Initials This is a compAny. policy to help vcrify cash refunds and thus safeguard our assets. WRIQUEST R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 60129 AUTO PARTS SHERIDAN, IN 46069 (317)758-4456 SERVING A WORLD IN MOTION!!! 5802-56543 2070 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. FCI�T OF CARMEL °rITY OF CARMEL W 131ST '34OO W 131ST RM EL, IN 46O74 |�CARMEL, IN 5802-56543 2070 O3/O1/11 BRIA CHARGE FUND M RADIAL MIS DISPOSAL 3 4.17 2.50 0.00 7.SO N/N rIRE DISPOSAL WARRANTY DISCLAIMER: Th. rharfacnver'a arrapj, It any, consillutes th—ly warran withres 0 a] EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCWDING ED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PART UR OSE. Sailor does not authorize my penion to grant my warranty or wourne my liability by Iter. (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 Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $188.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 5802 -55991 42- 320.00 $66.00 1 hereby certify that the attached invoice(s), or 2201 5802 -26543 42- 320.00 $122.84 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 ThursdeiyrMarch 10, 2011 f Street Commissioner r :rep `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)) 02/17/11 5802 -55991 $66.00 03/01/11 5802 -26543 $122.84 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