HomeMy WebLinkAbout200980 08/30/2011 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: $1,298.79
'4 SHERIDAN IN 46069 CHECK NUMBER: 200980
ro
t
CHECK DATE: 8/30/2011
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -65436 22.00 TIRES TUBES
2201 4232000 5802 -65581 1,276.79 TIRES TUBES
ORQUEST
go R T AUTO SUPPLY, INC PAGE 1
AUTO PARTS 516 S MAIN 'STREET REFu 69455
SHERIDAN, IN 46069
(317)758 -4456
SERVING A WORLD IN MOTION!!!
5802 -65436 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
B t4T
CITY OF' CARME:L ITY OF CARMEL
L 3400 W 131ST 00 W 1315
oCAPMEL, IN 46074ARMEL, IN 46�
5802— _65436 20 08/17/11 —I BRIA CHA G
o aQ 1 yLou p
L97 TR7 1 1 36.67 22.00 0.00 22.00 /N
TIRE REPAIR
WARRANTY DISCLAIMER: The manufacturer's warranty if y n Ittaes the only warranty with respect to the sale of all gootls. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARR MERCHANT I NESS FOR A PARTICULAR PURPOSE. Seller doe. not eulhorize any person to grranttaanyy{wI warranty or a any liability by Seller.
22.00 0.00 0.00
36.67 AMOUNT 22.00
D D
11:08 AM CHAR
ASH. E WND
Customer Name
Customer Phone
Customer Mailing address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Manaoer's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
ORQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 69491
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-65581 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT SEE u^nuusur STORE FOR DETAILS op THIS COAST TO COAST eo^n^NTEs.
Y OF CARMEL ITY OF CARMEL
(34OO W 131ST 84OO W 131ST
|�CARMEL IN 46074 I CARMEL, IN 46074
5802-65581 2070 68/20/11 STREET DEPT BRIA CHARGE
r cE
H GD2 31S80R22S 3 3 677.80 406.68 0.00 1220.04 N/N
GOODYEAR G291
VALVE STEM
TIRE CHANGES
MIS DISPOSAL 2 2 8.33 S.00 0.00 10.00 4/N
TIRE DISPOSAL
WARRANTY DISCLAIMER: The manufacturer'. wan—j. if my. c-stit-b"' the mly to the "al of all g-ds. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IM LIED WARRANTY OF MERCHANT BILITY OR FITNES FOR URrOS Seller d:-not authorize my person to grant my warranity or assurne my liability by
40.7SI 1 0.00 0.00 1276.79
06-S2 AM APWOMT 1276.79
CHAR
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:
VOUCHER NO. WAR NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,298.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -65436 42- 320.00 $22.00 1 hereby certify that the attached invoice(s), or
2201 5802 -65581 42- 320.00 $1,27619 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
F riday August 26, 2011
Street Commissioner
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))
08/17/11 5802 -65436 $22.00
08/20/11 5802 -65581 $1,276.79
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