HomeMy WebLinkAbout166966 12/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
0 CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $1,322.88
SHERIDAN IN 46069
CHECK NUMBER: 166966
CHECK DATE: 12111/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -15577 1,322.88 TIRES TUBES
o I
ORQUEST
A T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REFu 16836
AUTO PARTS SHERIDAN, IN 4606
0317'-7 -44
SERVING A WORLD IN MOTION'!'.
5802-15577 20
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
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36
TIRE REPAIR
WARRANTY DISCLAIMER: *The factory warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either expressed or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for I liability abill'y in connection with the sale of all items.'
0 0
103.0C 0.00 0.00 1322.881
03 :SO PM W AMOUNT CHAR
1 l
CASH R
Customer Name
Customer Phone
Customer Mailin`* °Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Managers Initials
This is a company policy to help verify cash refunds and thus safeguard ow assets.
VOUC NO. WA RRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,322.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member,
2201 5802 -15577 42- 320.00 $1,822.88 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
Thursday, December 04, 2008
Street Co 4ssioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
f
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))
12/01/08 5802 -15577 $1,322.88
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