206404 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
0 CHECK AMOUNT: $1,367.84
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 206404
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -72977 691.50 TIRES TUBES
2201 4232000 5802 -73152 24.00 TIRES TUBES
2201 4232000 5802 -73460 652.34 TIRES TUBES
W~~ T
V ol
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 77549
AU�������y���
SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-73152 20 70
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ov THIS RECEIPT. SEE CAmuuEST STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
�CITY OF F CARMEL �CITY O CARMEL
�34OO W 131ST '�4OO W 131ST
|�CARMEL, IN 46074 JrARMEL IN
580S—)—.73152 2070 021/
VALVE S'TEM
TIRE CHANGE
WARRANTY DISGLAI MER: Th. rnamlacturor's warrark If my, constitutes the only wama7 with reepci to the ale of ell goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES. EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BIUTYORFFTNESSFORAPARTIC LARPUR OSE. Seller does not authorize any person to grant anywarranty or assurno my liability by Seller.
AMOUNT
09.00 Am, CHAR
CASH REFUND
FUND
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.
OR UEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 77320
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-72977 2O7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED av THIS RECEIPT SEE o^nuuon STORE FOR DETAILS or THIS COAST TO COAST GUARANTEE.
ITY OF CARMEL [�3�00 ITY OF CARME �34OO W 131ST W 131ST
IN 46O74 ARMEL, IN
S8O2-72977 2070 O1/27/12 BRIA CHARGE
If 17 1w. OEM 7 UKZ90=
CARLISLE S1 IYI::'.ER
MIS STEM 6.67 4.00 0.00 28. 00 I/ N
VALVE STEM
TIRE CHANGE
WARRANTY DISCLAI MER: The rnanufactwees "rrurd If an constitutes the Or rea t the sale of all HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCWDING ANY IMPLIED WARRANTY OF MERCHAN BIL14 OR FrTNESS FOR TIC PUR E Seller does not zo any person to grant my warranty or toaurne my liability by Seiler
A
CASH R
D.
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 road thus safeguard our assets.
CdRpj R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 77864
AUTO PARTS SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-7346O 2O7O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT oEEoARosST STORE FOR DETAILS or THIS COAST ro COAST GUARANTEE,
F-Tr��RMEL, ITY OF CARMEL YCITY OF CARMEL
4OO W 131ST '�4OO W 131S
IN 46O74 |�rARMEL, IN
S802-73460 2070 02
BA JOINT UPPER
BALL JOIN L-0
ALIGNMENT
R C� BALL JOINTS
"?,A�w r 5-07
ARRAflTY DISCLAIMER The rnanufactursee %farml, If my, constitutes the only wana? with rearct to the sale of all SSED OR IMPLIED,
not SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRE
INCLUDING ANY IMPLIEDWARRANTY OF IT 4ESS FOR A PARTIC LAR PUR OSE. Seller does ze any pmeon to or assume any liability by Seller.
AMOUNT
OQ- 56 Am CHAR
CASH REFUND
UND
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. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$1,367.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street. Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -72977 42- 320.00 $691.50 I hereby certify that the attached invoice(s), or
2201 5802 -73152 42- 320.00 $24.00 bill(s) is (are) true and correct and that the
2201 5802 -73460 42- 320.00 $652.34
materials or services itemized thereon for
which charge is made were ordered and
received except
re
We dnesday ,/February 08, 2012
f
Street, Com i missioner
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))
01/27/12 5802 -72977 $691.50
02/01/12 5802 -73152 $24.00
02/08/12 5802 -73460 $652.34
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