205579 01/17/2012 a CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $88.04
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 205579
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 5802 -72054 68.04 REPAIR PARTS
2201 4237000 5802 -72267 20.00 REPAIR PARTS
ORQUEST
T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF'# 76401
AUTO PARTS SHERIDAN, IN 46069
(317) 756 -4456
SERVING A WORLD IN MOTION!"
5802- ...72054 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F B TY O!= CARMEL SCITY OF CARMEL
X3400 W 131ST P;3400 W 131ST
oCARMEL, IN 46074ARMEL, IN 46074
V
5602-72054 2070 01/OS/12- STREET .DEP.T TOM CHARGE
t Tl
UJ 2 -0054 1 1 38.40 23.04 0.00 23.04 N/N
S'1 ANDARD U —JOINT
L97 LAB--6 1 1 75.00 45.00 0.00 45,00 N/N
LABOR BALL JOINT MER: The rnanufactuer's warrant W INCLUDING ANY MP LIED WARRANTY OF ABILITY R FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person E o grant my w aanty or l assume myyllebllltylby EXPRESSED OR IMPLIED,
0
45.00 0.00 0..00 68.04
D 113. +0 PAY THIS 68.04
10:10 AM AMOUNT
CHAR
t
Customer Name
Customer Phon6
Customer Mailin r Ad&6s
®rigi 41 Cash Sale Invoice
Customer's Signature_
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard Our assets.
CAR
lo R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 76634
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-72267 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT SEE o^nuvsSn STORE FOR DETAILS or THIS COAST TO COAST uuAnxwrcs.
|CITY OF CARMEL �3400 ITY OF CARMEL
'34OO W 131ST W 131ST
IN 46074 �rARMEL, IN
S802-72267 2070 01
TIRE REPAIR
WARRANTY DISCLAI MER: The manufacturees warraj, If my, conslitut. the oni rrarV to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHAN BILITY OR FITNESS FOR ARTIC UR OSE. Sailor does not authorize any person to grant my wwranty or mums my liability try Seller.
33.33 20.00
02:23 PM CHAR
is
CASH: REFUND.
Customer Name
Customer Phone y
Customer Mailing7Ad.d.ress�
Original Cash Sale Invoice
Customer's Signature
Cc)tLn!( Si e
Counterpro's
Manager's initials
This is a company policy to lielp 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))
01/05/12 5802 -72054 $68.04
01110112 5802 -72267 $20.00
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. WARR NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$88.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 5802 -72054 42- 370.00 $68.04 1 hereby certify that the attached invoice(s), or
2201 5802 -72267 42- 370.00 $20.00 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
Wednesday, January 11, 2012
I b
Street Commisspner
Street Cc
Cost distribution ledger classification if
claim paid motor vehicle highway fund