177370 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
+t ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CARMEL INDIANA 46032 516 S. MAIN STREET CHECK AMOUNT: $74.09
s•, sic SHERIDAN IN 46069
CHECK NUMBER: 177370
F
CHECK DATE: 911512009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER DESCRIPTION
2201 4232000 5802 -29048 74.09 TIRES TUBES
CAR QUES
ow R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 3O983
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-29048 2070
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED BY THIS RECEIPT aEEoARusST STORE FOR DETAILS m THIS COAST Tn COAST GUARANTEE.
FL3 1�+
FIELD, IN 46071-1 1 Fw cSTFIELD, 1
GD2 225/7SRIS 1 7 1 23 J]. 7 ..y
MO RAD �4- F
UA W� with
WAR" IMER1 'Tho w-only —Gfit, -ct to the Salo of all items, The Geller hereby expressly discl—S .11 orroll ith., ..passed or irl ml any
jorl a, ty f in—filintabl 'y or filme". urnes io, Sl any the, p.— to a—me lot it any liability in connection with the sale of all items'
PAY THIS
AMOUNT pop
CLIStOrner Name
C'LIstomer Phone
Customer MaililiY- Address
(fit i�-Yinal Cash Sale Invoice
Customer's Signature
M1111erpro s Sik mature
Counterpro's
Manager's Initials
This is a company policy to help verify crash refunds and thus safe uard 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
a•
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/02/09 5802 -29048 $74.09
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. W NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$74.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept, INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -29048 42- 320.00 $74.09 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
Thursda Sep ber 10, 2009
ri
treet Commissioner
Str�ee, �i"njss ioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund