199759 07/20/2011 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: $677.94
SHERIDAN IN 46069 CHECK NUMBER: 199759
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 5802 -62266 2.69 AUTO REPAIR MAINTEN
1205 4351000 5802 -63253 675.25 AUTO REPAIR MAINTEN
CARW� R T AUTO SUPPLY. INC
516 S MAIN STREET p R 66121
AUTO PARTS SHE RI DAN IN 46069 D
(31.7)7S8-4456 JUL 182011
SERVING A WORLD IN MOTIO
S802--62266
By
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F TY OF" CARMEL -1 TY OF' CARMEL
00 W J-31FJT 00 W 131ST
RMEI—, IN 46074 -,=EL. IN 4607L+
FA
C Lis`,. '*�.C.
UqT(N-?�F�R NO. DATE F
5802-62266 2070 MAINTENANCE JIM :CHARGE
ICBF 012 1 1 4. 2.69 0.00 S).69
12 OZ. BRAk'E FLUID
WARR DISCLAIM e manufacturer's warran
INCLUDING ANY IMPLIED The WARRANTY OF MERCHANTAB If my, constitutes the only warra? with respect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
DING
BILITY OR FITNESS FOR A PARTICULAR PURP Sailor does not authorize any person to grant any warranty or assume any liability by Seller,
11 6NW 11 72 q;m 11 Iva MM 11 61AY-Nigm 1QA
0. 0c) 0.001 69
o,/ Lql
4. 4 8 1 "A' .69
1 r1 e 4q Am
CIA A R
CASH R
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.
1
ORQUEST S� 1 W
r i2 0s R T AUTO SUPPLY, INC PAGE 1
AUTO PARTS S16 S MAIN STREET REFu 67151
SHERIDAN, IN 46069
(317)7S6 -4456
SERVING A WORLD IN MOTION!!!
S802 -632S3 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
'CITY OF CARMEL CITY OF CARMEL
L3400 W 131ST '3400 W 131ST
oCARMEL, IN_ 46074 CARMEL, IN 460
5802 -632S3 2070 07 /07 /11..MAINTANCE TOM CHARGE
CLP 18 -B4729 1 1 97.98 58.79 79.00 137.79 /N
FRICTION RDY CALIPER
CLP 18 -B4729 1 1C -79.00 -79.00 /N
FRICTION RDY CALIPER CORE RETURN ORIG I V 632S3
FRI BCD78S 1 1 106.65 63.99 0.00 63.99 /N
BRAF':E PAD CERAMIC
BGS 515058 1 1 460.72 251.99 0.00 251.99 /N
HUB ASSEMBLY
BDR SSOS7 2 2 78.32 46.99 0.00 93.98 /N
BRAKE ROTOR
WARRANTY DISCLAIM mnu
ER: The afact ,we warranty If any, constitutes the only warranty with respect t° the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY�OR FITNESS �FOR �A PARTICULAR PURPOSE. Seiler d- not authorize any person to grant any warranty or assume any liability by Seller.
l`..tA1
0 I OV 7 I 0 0 0
206.50 1 0.00 0.00 675.25
p 9 @v D 1166.15 AMOIS 675.2S
02:33 PM CONTINUED UN CHAR
caRQuE
Morb R T AUTO SUPPLY, INC PAGE 2
516 S MAIN STREET _REF# 67151
AUTO PARI JUL 18 2011 SHERIDAN, IN 46069
(317)758 -4456
SE.VING.A WORLD IN MOTION!!!
5802 -63 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
"CI F- g
TY OF CARMEL I ITY OF CARMEL
00 W 131ST 1,3400 W 131ST
RMEL, I N 46074 CARMEL, IN 46074
T o
5802 -63253 2070 07107111 MAINTANCE TOM CHARGE CHARGE
LB7 RT -10 2 2 20.00 12.00 0.00 w24.. 00 /N
ROTORS TURNED
LB7 LB -10 1 1 1E-8.33 95.00 0.00 95.00 /N
LABOR BRA[-
I LB7 LAB -10 1 1 145.83 87.50 0.00 67.50 /N
L ABOR WHEEL BEAR N
WARRANTY DISCLAIMER: The manufacturer's warranty 11 any, cons the only warranttyy with respect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FlTNESS FOR A PARTCULAR PURPOSE. the does not authorize any person t° grant any warranty or assume any liability by'
j 0 0• r) 0 0 0• 0
206.50 0.00 0.00 675.25
1166. IS AMOUNT 675.25
1 02:33 PM CHAR
Customer Name
Customer Phone
Customer Mailing (Address
Orieina? Cash Sale Invoice
Customer's Signature
Cou to nto's
MIS
i, a coriip:iny policy to help verify cash refunds and thus safeguard our
lam
t
C.ustorner Nv ailjng A ddiess
Original Cash Sale invoice
�1lSiC)C17er �l�?iiJ.lL ;Pt,�
!.anauer's Initials
his i, a company policy to help verify cash refunds and thus safeguard our assets.
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))
06/16/11 5802 -62266 $2.69
07/07/11 5802 -63253 I $675.25
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.
7 ALLOWED 20
st
C IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$677.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
T
1205 j 5802 -62266 j 43- 510.00 $2.69 1 hereby certify that the attached invoice(s), or
1205 1 5802 -63253 1 43- 510.00 $675.25 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
Friday, July 15, 2011
Director, A ministration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund