206788 02/28/2012 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: $220.71
SHERIDAN IN 46069 CHECK NUMBER: 206788
CHECK DATE: 2/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -73693 59.95 TIRES TUBES
2201 4232000 5802 -73860 160.76 TIRES TUBES
ORQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 7829O
AUov�n�*Rn�� SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-7386O 2O7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED e, THIS RECEIPT SEE o^nuuEST STORE FOR DETAILS op THIS COAST TO COAST au^n^wroE.
OF CARMEL ITY OF CARMEL
W 131ST �34OO W 131ST
F- IN 46O74 |]CARMEL, IN
58O2-7386O 2O7O O2/17/12 BRIA CHARGE
r AL
WARRANTY DISCLA) ER: The iranufacturer's .11 -4 consthurep the h resi;ect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
Blu PUR OSE. Seller does not authorize arry wton to grant my warranty or assurne any liability by Seller.
INCLUDING ANY IMPLIED WARRANTY OF MERCHAIT OR FITNESS PON TIC?L;R
I 6C
PAY THIS %.J
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 wmd thus safeguard our assets.
i
WRIQUEST
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 781O4
AUTO PARTS SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-73693 2O7O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE oARuen STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
F00 TY OF CARMEL «`ITY OF CARMEL
W 131ST ��4OO W 131ST
RMEL, IN 46O74 |��ARMEL IN
O2�73693 2O7O O2/14/12 BRIA CHARGE
WARRANTY DISCLAIMER: The mmifacturee. warral, If an wnstltulm the ad a EXPRESSED OR IMPLIED,
pct to the sale of all HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER
INCLUDING ANY ED WARRANTY OF MERCHANrT BILITY OR FITNESS FO R PUR OSE. Seller does not ze any person to grant any warranty or —u.. any liability by Seller.
Is
�n n
CASH. IIIEIFUNIID
Customer Name
Customer Phone
Customer Mailing Address
Oriuinal Cash Sale Invoice
Customer's Signature
Counterpro's Sigtature
Counterpro's
Manager's Initials
This is a company policy to help 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))
02/14/12 5802 -73693 $59.95
02/17/12 5802 -73860 $160.76
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. WARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$220.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member:
2201 5802 -73693 42- 320.00 $59.95 1 hereby certify that the attached invoice(s), or
2201 5802 -73860 42- 320.00 $160.76
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
Thin "sday, February 23, 201:
Street Commissioner
ill CCl Vl+'t i II I I(JJiv
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund