180936 12/30/2009 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: $8,082.60
SHERIDAN IN 46069 CHECK NUMBER: 180936
CHECK DATE: 12130/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -34469 8,082.60 TIRES TUBES
CAR QUES
go R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 36706
SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION"!
58O2�34469 2070
�Y PART RETURNED FOR CREDIT MUST ae ACCOMPANIED ov THIS RECEIPT. SEE mmouEST STORE ponoETmLSorn+monxo TO COAST GUARANTEE.
F B s
'C IT 0 W 131ST 400 W 131ST
L 340
0 W E� TFIELD IN 46074 T:w E STFIELD, IN 46074
T_� I�USH)hff NO -F-
S602-34L+69 207 r
GD2 24S/7SR17 12 12 1 -280.00 168.00 0.00 2016.00 N/N
GD2 2LFS/7SRI.6 4 4 166.6;:;7 100.00 0.00 400.00 N/N�
I GOODYEAR G182
JGD2 22S/ 12 1.2 41 98 2S1.99
WARRANTY DISCLAIMER: "The facto warrant constitutes all of the warranties with respect to the sale of all Items. The seller hereb exp�esaI all warranties, expressed or implied, includin an
implied warrant of merchantabilit or triess for a particular purpose. and th sailor neither assumes nor authorizes an other person to assume for I an abilit in connection with h sale of all items,'
LLW 134171. 12 AMC-
09!4A Am �'FINTTPJI IFD -M
ASH REIFUMI
Customer Name
Customer Phone
Customer Mailing-i�ddress
Original Cash Sale Invoice
Customer's Signature
COLinterpro "s Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus afe(;uard our asser".
WRIQUEST
�N� R T' AUTO SUPPLY INC PAGE 2
516 S MAIN STREET REF# 36706
SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
7 58O2-34469 20 70
�Y PART RETURNED FOR CREDIT MUST os ACCOMPANIED o, THIS RECEIPT SEE mmuuESn STORE FOR DETAILS c* THIS COAST TO COAST au^nAwrsc.
oWESTFIEI—D, IN 46074 TFIELD, IN 460 7 L4.
I FaT'
S8022-34469 2070 12
DRIA CHARGE
WARRANTY DISCLAIMER: -Th No rranty colAstTlutes all of the warranties with respect to the sale of all items. Th. sailer hereby ex ressly disclaims all warranties. either exFressed or implied, Including any
implied warranty of merchantZi or itt for a particular purpose, and the sailor neither assumes nor authorizes any the, person to assume for any liability In connection with the sale 0 .11
09:48 AM CHAR
CA SH �I��'.�1 -1
Customer Name
Customer Phone
Customer Mailing
Original Cash Sale Invoice
Customer's Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thin safeguard our ir. -.'s,.
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))
12122/09 5802 -34469 $8,082.60
Il
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 RIO. WARRANT N
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$8,082.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 5802 -34469 42- 320.00 $8,082.60 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
Tuesday, December/22� 2009
r 0/bA
l� �t
Street Commissioner r Y
Sl;r% .ol'7 rnwiOner
Cost distribution ledger classification if
claim paid motor vehicle highway fund