HomeMy WebLinkAbout155870 01/23/2008 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 Sr CHECK AMOUNT: $22.00
SHERIDAN IN 46069 CHECK NUMBER: 155870
CHECK DATE: 1/23/2008
VIPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER, AMOUNT DESCRIPTION
2201 4232000 D276026 22.00 TIRES-& TUBES
YOU'LL FIND IT AT CARQUEST"
X O U S Au SUPPLY, INC-
516 SOUTH MAIM STREET
SHERIDAN, IM 46069
PHONE 758 -4456
AUTO PARTS
WAR.RAMY DISCLAIM ER: 'The f 0w I
W warranty constitutes aII of the warranties witl} res�ect to the sale of ell items. The seller hereby exDressN disclakms, all warr�t eflher ex or impl�d iaclu{iinq any
rmplted warranty of merchamabflity ,r fitness for a,pa(ticulaLpurpose,, and the se Ier _either assumes nor authorizes any, other parson to aSSSUme or n any Iiab lily In tonne lion with the sa a of ell Gems'
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F% ITY OF CARMEL ITY OF CARMEL
00 W 1.31 ST X400 W 1:31 ST O
ST "FIELD IN 46074 VESTFIELD IN 46074
3 DYER NG. DATE CF, PG- tz
D276026 2070 01/02/08 :0 1 UST. PICK -UP PALE-CHARGE
%OE:l I? r ajo I I L-140
1 P7 TR -8 1 1 0 30.800 22.000 22.00
IRE REPAIR
v
0.00 22.00 0.00 0.00 0. 0.00 0.00 22.
LLW PAY THIS 22.
10:03 AM D AMOUNT
U A. i? 14 1 AM I I I X108 3101
CAS&IRNIFUNB-1 T n3l fE
314011
Customer Name
Customer Phone
Customer Malling
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
In
COUnterpro's
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 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
U 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
oo
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Dah'ti�� 13 QL 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
20
Signat
Title
Cost distribution ledger classification If
claim paid motor vehicle highway fund