HomeMy WebLinkAbout203988 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CHECK AMOUNT: $5,862.08
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 203988
CHECK DATE: 11/21/2011
DEPARTMENT ACCOU PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -69616 5,521.83 TIRES TUBES
2201 4232000 5802 -69683 20.00 TIRES TUBES
2201 4232000 5802 -69952 320.25 TIRES TUBES
OR ST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 74098
AUTO PARTS SHERIDAN, IN 46069
(317 758-4456
SERVING A WORLD IN MOTION!".
5802 -69952 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BCITY OF CARMEL PITY OF CARMEL
X W 131ST X400 W 131ST
TCARMEL, IN 46074 ,CARMEL, IN 46074 I 1W o O
5802- 69952 2070 11116 l l CHARGE—
GD2 11 R225 1 i3. 33 320 CFO 0.0C) 320 a UO N/1V
GOODYEAR G182 H
WARRANTY DISCLAIMER: The manufacturer's warranty if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF M�ERCHHAN r BILITY�OR FITNESS �FOR �^AT PARTICULAR PURPOSE
Seller an
t er does not authorize y person to grant any warranty any Ilabllity by Seller.
�1 CUts�.U' i =i L e�axJ ua .I If
0.25 0.00 0.00 320.25
o 93. 7 5 PAY THIS 3
02:49 PM AMOUNT CHAR
SASH ]1�I�I����1
Customer Name
Customer Phone .fl
Customer Mailing A Tdress
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.
WRI
w R T AUTO SUPPLY, INC PAGE 1
51 S MAIN STREET REF# 7392O
AUTO PARTS SH�RIDAN, IN 46O69
'(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-69683 2O7O
ANY PART RETURNED FOR CREDIT MUST ACCOMPANIED �THIS,RECEIPT �CARQUEST STORE FOR DETAILS OF THIo���OAST GUARANTEE.
IT OF CARMEL ITY OF CAIRI
L34OO W 131ST �34OO W 131ST
|`CARMEL, IN 46O74 ,CARMEL, IN
58O2-69683 20 7O 11/1O/11 STREET DEPT r IF
IIRE CHANGE
WARRANTY DISCLAIMER: The manufact—Q. =1 i R HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EI�Ell EXPRESSED OR IMPLIE
INCLUDING ANY IMPLIED WARRANTY OF Fl. person to grant my warranty or assurne my liability by Sallar.
PAY THIS
O1:5O PM
AMOUNT CHAR
CASH REFUND
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.
ORQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 73741
AUTO PARTS SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION�!!
58O2-69616 2O7O
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED e, THIS RECEIPT SEE mRousm STORE FOR DETAILS op THIS COAST TO COAST ovxn*wTEp.
^CITY OF CARMEL ��ITY OF CARMEL
L OO W 1 4OO W 131ST
IN 46O74 |CARMEL, IN 7
�0
AC) 16 2v/O 11/O9/11
WARRANTY DISCLAIMER: The manufacturer's warranj, If any, constitutes the only warran� with resgact to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCRAN r BILITY OR FITNESS FOR A PARTIC LAR FUR OSE. Seller do" not authorize any person to grant any warranty or assume my liability by Seller.
47 Pil
CAKMEST
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
CARMEL
WARRANTY DISCLAIMER: Th. marurf..tu—'s warranj, if any, constitutes the only W-ran
IM PARTIC reerct to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WA�RANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY PLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A FUR OSE. Seller does not authorize any person to grant any warranty or assume my !ability by Seller.
-..CASH REFUND
Customer Name
Customer Phone_#
Customer Mailing Address
Original Cash Sale Invoice
Customer's Si nature
Counterpro •s Si-gnature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
AS H REFUND
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
�L corn aaaLEajicy to help verify cash refunds and thus safeguard our assets.
g :IL�Nnoyyv E2? Hl Afld o
S� Y'`- ��.e�2'�..
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))
11/09/11 5802 -69616 $5,521.83
11/10/11 5802 -69683 $20.00
11/16/11 5802 -69952 $320.25
1 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. W NO.
R T Auto Supply ALLOWED 20
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$5,862.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -69616 42- 320.00 $5,521.83 1 hereby certify that the attached invoice(s), or
2201 5802 -69683 42- 320.00 $20.00
bill(s) is (are) true and correct and that the
2201 5802 69952 1 42 320.00 $320.25
materials or services itemized thereon for
which charge is made were ordered and
received except
'r/
jh be�17, 20�1�1
v
Stree Co mmissio
e ner, e~
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund