HomeMy WebLinkAbout200077 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $714.12
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 200077
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -63554 116.00 TIRES TUBES
2201 4232000 5802 -64280 598.12 TIRES TUBES
ORQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 68232
AUTO PARTS SHERIDAN, IN 46069
(317) 758-4456
SERVING A
W RL
5802-64280 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT NJ SEE CARQuen STORE FOR DETAILS op THIS COAST m COAST GUARANTEE.
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/CITY OF CARMEL v F-3400 ITY OF CARMEL
�34OO W 131ST W 131ST
|�CARMEL,IN 46O74 ARMEL, IN 46074
5802-64280 207O O7/26/11 BRIA CHARGE
CARLISLE ALL. TRAIL I
CARLISLE ATL�69
CARL-ISLE AT489
WARRANTY DISCLAI M ER: The manufacturer's warranj, it my, constitutes the only warran� with rear to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
OS
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTIC LAR PUR OSE. Seller does not authorize my person to grant any warranty or wsurno my liability by Seller.
CASH REFUND
F UND
Customer Name
Customer Phone
Customer Mailinu 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.
ORQUEST
®r® R T AUTO SUPPLY, INC PAGE 1
AUTO PARTS 516 S MAIN STREET REF# 67474
SHERIDAN, IN 46069
(317)758-44S6
SERVING•A WORLD IN MOTION!!!
5802 -63554 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F
S ITY OF= CARMEL 'CITY OF CARMEL
00 W 131ST X3400 W 131ST
RMEL, IN 46074 CARMEL, IN 46074
5802 -63SS4 2070 07/13/1.1 BRIA CHARGE
MIS STEM 4 4 6.67 4.00 0.00 16.00 /N
VALVE STEM
LB7 LAB -7 4 4 33.33 20.00 0.00 80.00 NIN
TIRE CHANGE
LB7 LAB -7 1 1 16.67 10.00 0.00 10.00 VN
DISMOUNT TIRE
MIS DISPOSAL 2 2 8.33 S.00 0.00 10.00 /N
TIRE DISPOSAL
WARRANTY DISCLAIMER: The manufacturer's warranttyy h any, constitutes the only Men ty with resp�t to the Sal e of all pooda. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT ABILfTY OR FlTNESS FOR A PARTICULAR PURPOSE. Seiler dose not authorize any person to Arent any w.e7rren�ry
or�a an
assume y liability by Seller.
90.00 0.00 0.00 116.
D D 193.33 MOUNT 116.00
10:47 AM CHAR
�'U >itli;lC3 Manic
�'l�:,ionter
C,istcnier Mailhig Ad&css
Origin aI F=ish Sale invoice
us (:)n:er y SignatUI a
Courrerpro "s
Mapa .o;er's initials
This is a company policy to help verily cash refunds and thus ;afeguard our as.ets.
r
VOUCHER NO. WARRANT NO.
R T Auto Supply ALLOWED 20
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$714.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members
2201 5802 -63554 42- 320.00 $116.00 1 hereby certify that the attached invoice(s), or
2201 5802 -64280 42- 320.00 $598.12
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
I �F,rida Jul 29 2011
ref+% Fr
tJ w v
Sfreetz Commissi6iierer
Title
Cost-distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/13/11 5802 -63554 $116.00
07/26/11 5802 -64280 $598.12
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
Cleric- Treasurer