176397 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN CHECK AMOUNT: $138.55
CARMEL, INDIANA 46032 516 S. MAIN STREET
SHERIDAN IN 46069 CHECK NUMBER: 176397
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -27223 86.55 TIRES TUBES
2201 4232000 5802 -27567 22.00 TIRES TUBES
2201 4232000 5802 -27688 30.00 TIRES TUBES
a.
ORQUEST
ILJTD S il' g
R E
R E F n 2
AUTO PARTS rlA I1\11 T
SHFERTDAN, !N1 4 b C) 6'.
3 E* R V1 N I A w c) f i- i'l 'T r ri c. r f. o r f.
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
S
CARVI'MEL I" Y 0 I__ ;i R 11 E. L.
U 131ST 00 W 131ST*
L
E'� L. rt T,114 1 -4.6 0 7 I•+ r' E I 1 460
U'S r C.
C HA R 6 E.
S 8 C'r 2 --2 7 6 8 8 7( 8 0 1.-
Or
T
4 0
L B '11 /r"j
3 3 20.00 C) 0 0 1
TIRE REPAIR
LF-0
1) 00 1 0 10 (D N N
MOUNT TIRE
VVARFt"NTY DIS i
AIMEA The ctor y fa warrant Vonstiluto all of the warranties with respect to the sale of all item. The seller hereby expressly d1sclalues all warranties, expressed or implied, including any
f et
implied war f on.'shc
fast ley or tress for particular purpose, and the seller neither assumes nor authorizes any other persooloasscriner or il� any l iability m connection with the sal. of all items'
SD ()o PAY THIS 00
:VaRM A
11 -.SS All' f'1 -IMP'
CASH REFUND
Customer Name
Customer Plume
Customer Mailing
(.original Cash Sale Invoice
C'ustomer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safe- uard.our assets.
MOM
CAR
Q UEST
T
R T AUTO SUPPLY, INC PAGE
516 S MAIN STREET REF# 2n-.-
AUTO SHERIDAN, IN 46O69
(317) 758-4456
SERVING A WORLD IN MOTION!!!
5802-27567 2O 7O
VANY PART RETURNED FOR CREDIT MUST oc ACCOMPANIED ov THIS RECEIPT SEE mmuuon STORE FOR DETAILS nr THIS COAST rn COAST GUARANTEE.
F `3400 TY OF CARMEL� ��ITY OF CARMEL W 131ST �34OO W 131ST STFIELD IN 46O74 �ESTFIELD, IN 46O74
i 2 O8/O3 O9 CHARGE
TIRE REPAIR
WARRANTY DISCLAIMER: 'The lacto7 warranty constitutes all of -1 of -11 item, This �Ilar hereby expressly disclaims all warral ith., e.ple I .ad -1 Mpli.dr 'ncl-dirig --y
implied warranty of Merchantability or Onsets to, a p.hl..Ibr not authorizes any other person to assume for it any liability in connectimr with this sets of at items:
AMOUNT
02. Pr
OR
Q,
(CASH R-EIFUNID
�y
Customer battle
y
Customer Phone
Customer MaililTg
Original. Cash Sale invoice
Customer's Signature
C ounterpro's Signature:
Counterpro's
Manager's Initials
This is a company policy to hell) verify cash refunds and thus safe: -uard our assets.
WRIQUEST
r R T AUTO 'SUPPLY, INC PAGE 1
AUTO PARTS 516 S MAIN STREET REFu 29176
S H E RID A N I ii 4 6 0 69
(31.7)7S6 L+L, S6
SERVING A WORLD IN MOTION'
S 8 0 2- 2 7 2 _1
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
FB s
L I TY Of"' C 'P RME I I Tv OF' CARMEL
L- 00 W 13 400 W 131ST
34
3
T -1
.W L+ 6 0 7 L+
STFI ELL STFIELD 1 46074
f, 0ATE CUST. Ro. J`ia.
S 8 02 7 2 2 3 '220 7 0 07/28/09 RIA CHARGE
0 L 7 1: 1-00 r um I' am UO(SUL9 11 MULAURIV "I, lvvm.
GD2 2 1. 1 1.07.1
1 64.30 0 00 64. 30 F
'11I
MARATHON RADIAL
FX7 EPA TAX 1 1 0 4r 0 22 5 0 °00 0.2S /N
MIS STEM 1 1 :1.:3 N
2. 00 0.00 2. 00
VALVE STEM
MIS WHEEL 1 33.33 20.00 0.00 *20.00 \I/N
WARRANTY DISCLAIMER: "The factor war;l c I 1 MIS 1 autho items. The sailor hereby expressly disclalms all we rantle., either expressed o Implied, Including any
[nneiled war anty .1 or =111 1 zo bny other person to assume or It any Ilab Illy In connection with the sale of all items."
ML-L—mv) P Imu am 11
WL:Cqgjo JL 25 PAY THIS 86.SS
08:1S AM W Ki V@020 AMOUNT CHAR
C' F' 4J 1 1 7 :x,
Customer Name
Customer 10ai:in«
Ori oilnal C=ash Saie llnvoic
i us,o yipn_ouure.
C. c. r of s
Mana� Initials
Phis U a company poiic} io hein cz.,Oi ro ,inn ibus our ?SS4 ti.
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))
07/28/09 5802 -27223 $86.55
08/03/09 5802 -27567 $22.00
08/05/09 5802 -27688 $30.00
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
V NO. W ARRANT N O.
R T Auto Supply ALLOWED 20
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$138.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Member
2201 5802 -27223 42- 320.00 $86.55 I hereby certify that the attached invoice(s), or
2201 5802 -27567 42- 320.00 $22.00
bill(s) is (are) true and correct and that the
2201 5802 27688 1 42 320.00 $30.00
materials or services itemized thereon for
which charge is made were ordered and
received except
I ThurSd'ay, u 1 0�
L f-
,'i
��:e #iCommis��rrer;
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund