HomeMy WebLinkAbout158596 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
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ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $775.00
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 158596
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -3122 775.00 TIRES TUBES
s R AND T AUTO SUPPLY,..INC" PAGE 1
516 S MAIN STREET REF# 3532
s AUTO PARTS S HER,IDAN IN 4606.9'...
(317 )758 -4456
SERVING A WORLD IN MOTION!.!!
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RTRETURNED,F.OR CREDIT MUSTBE ACCOMPANIED BY..THIS RECEIPT SEE'CARQUEST STORE FOR DETAILS OF. THIS COAST TO COAST GUARANTEE
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�UITY OF CARMEL ",IT`( OF CARMEL'',
`3400 W 131ST R 3 4.00 W 131ST
oWESTFIELD, IN 46074 FIELD, IN 46074
INVOICE NO. CUSTOMER NO. DATE o o
5602 -3122 6 070 03/31/06 J3EFF I BRIA I I CHARGE
MFG. PART NUMBER ORDERED e 0, o 0 tww
GD2 175L -24 2 2 533.33 320.00 0.00 640.00 N/N
GOODYEAR IT525
LB,7 LAS. -14 ��f 2..'..�. -2 58. 33 35.0-0: 70.00 N /N.
r TIRE CHANGE
LB7 LAB*14 1 1 108.33 65.00 0.00 65.00 N/N
SERVICE CALL
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WARRANTY DISCLAIMER: 'The factor 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
.Y. implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any Lability In connection with the sale of all items:
13.5° tr{}0 Cy'; UO :0;.00
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1291, 65 PAY THIS 7 7 5` 00�
(n�
o AMOUNT.
CASH. REFUND F
.Custome)* Nape
Custo.mer'.Phone
Customer. Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpr-o's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER CRy Form No. 201 (Rev. 1995)
CITY OF CARMEL
Aq 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))
�l I r, hq 5 JO
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
3 ko (:D 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
APR 4 2008 20
ILI
Y Sin
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund