160039 05/28/2008 1
CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $872.44
SHERIDAN IN 46069 CHECK NUMBER: 160039
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CHECK DATE: 5/2812006
DEP ARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
J1 4232000 5802 -5716 872.44 TIRES TUBES
i
I
WRIQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 6298
4-AUTO PARTS� SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-5716 2O7O
ANY PART ncmnwsoFOR CREDIT mmnos^ocou�m/coo, THIS nsos/rc SEE mmuoenmnnc FOR o��moprxmooAo TO COAST GUARANTEE.
F L1f-'.,I-1,.,Y DATE CUS7. Ro. NO.
TIRE CHANGE
MIS TtTSFOSAL J 10 00 N/ N
TIRE DIS."
CHANGE
WARRANTY DISCLAIMER: "The facto7 warranty constitutes all of the warranties with respect to the sale at all items. The seller hereby expressly disclaims all warranties. either expressed or implied. Including any
implied warranty of merchantability or Qness to, a particular purpose, and the seller neither assumes nor authorizes any other person to assume for It any liability in connection with the sale of alI items:
O1:57 PM CONTINUED �����_�J CHAR
WR N
R T AU P
TO SUPLY, INC PAGE 2
516 S MAIN STREET REFt. 6298
AUTO PARTS SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-5716 2 I'D 7O
ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED e, THIS RECEIPT SEE CAmouen STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
F
WHEEL BALAINCE
VALk'E STEM
WARRANTY DISCLAIMEk warranty constitutes all "'ll wan-antie ;pefect a 116 If of all Items. The seller hereby ex ;essly disclaims all warranties, either expressed or Implied, Including any
Im wilt
Implied warranty at march ntabi y or ass for a particular purial and th -i r -as .1 hortzes any other person to assume forp any liability in conn action with the sale of all items.'
AMOUNT
0ir-57 PM
P
CASH HI R EIFUND
ustomer Name
Customer Phone
Customer bailing Address
Original Cash Sale Invoice
Customer's Signature
Signature
Counterpro "s
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
CASH REFUND
C'ustomei blame
ustomer Phone
Lisiorner Mailing Address
-'ri -inal Crash Sale Invoice
C ustomer's Signature
C'ounterpro's Signature
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
L
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
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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
1' Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 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
ti
SifIgature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund