205974 01/31/2012 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: $1,306.24
SHERIDAN IN 46069
CHECK NUMBER: 205974
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -72872 1,306.24 TIRES TUBES
WRIQUEST
��U R T AUTO SUPPLY INC PAGE 1
�N�U�N��
516 S MAIN STREET REF# 77251
AUTO PARTS SHERIDAN, IN 460 69
(317) 758-4456
SERVING A WORLD IN MOTION!!!
5802-72872 207O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED sn THIS RECEIPT. SEE o^nouem STORE FOR DETAILS or THIS COAST TO COAST ouxpm^nsc.
�CY OF CARMEL S TY OF CARMEL
r
�34OO W 131ST -14 00 W 131ST
|�CARMEL, IN 46074 IN
5802-72872 2070 O1/25/12 BR RpE
GD2 315/80R22S 77 44-34 0.00
GOODYEAR G291
GD2 24-11200-12 2 11
CARLISLE TURFMASTER
STEEL WHEEL CS' ORM-D
WARRANTY DISCLAI MER: The manufacturer's warrant with resRect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES. EITHER EXPRESSED OR IMPLIED.
rr X, if my, constitutes the only warraT
I OS
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTIC LAR PUR E. Seller do" not authorlo any person to grant any warranty or assume my liability by Seller.
09:48 AM CONTINUED --NT CHAR
OR N
me R T AUTO SUPPLY, INC PAGE 516 S MAIN STREET REF# 77251
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-72872 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ov THIS RECEIPT. SEE o^nouEST STORE FOR DETAILS o, THIS COAST TO COAST GUARANTE
CITY OF CARMEL F ITY OF CARMEL
34OO W 131ST 4O W 131ST
�CARMEL, IN 46O74 ARMEL, IN 46O74
58O2 72872 2O7O O
VALVE STEM
WARRANTY DISCLAI MER: The manufacturees warrant with rospat to the We of oil SELLER HEREBY PRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED 08 IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILI OR FITNESS FOR A PARTIC LARPUR OSE. Seller dam not =1ze any person to gTt my warranty or mums my liability by Seller.
0 7 08 1306.24
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 wssets.
CASH REFUND
1
Customer Name
Customer Phone 4
Customer Mailing Address'
Original Cash Sale Invoice
Customers Signature
Counterpro's Signature
Counterpro's
Manager's Initials
v
n.is is a.co'mpany policy to help verify cash refunds and thus safeguard our assets.
i
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))
01/25/12 5802 -72872 $1,306.24
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.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,306.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -72872 42- 320.00 $1,306.24 1 hereby certify that the attached invoice(s), or
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
Thursday,rfanuary'26, 2012
Street Commissioner f�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund