180240 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $5,974.31
i` CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 180240
CHECK DATE: 1218/2009
DEPA ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -32982 81.61 TIRES TUBES
2201 4232000 5802 -33586 5,892.70 TIRES TUBES
OR QUEST
op R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF-# 35807
AUTO PARTS SHERIDAN, IN 46069
(317 )758 -4456
SERVING A WORLD IN MOTION!!!
5802-33586 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BCITY OF CARMEL HCITY OF CARMEL
X3400 W 131ST P3400 W '131ST
oWESTFIELD, IN 46074 o ESTFIELD, IN 46074
ujjm
5802 -33586 2070 12/04/09 DRIA CHARGE
FM -Il
GD2 245/75R16 10 10 166.67 100.00 0.00 1000.00 N/N
WRANGLER RTS OWL
U132 111322 c j
GOODYEAR 6182 H
UU2 z
GOODYEAR 6622 G
IX/ EPA 1AX :28 .2
LS/ W81 8 U.
WHEEL BALANCE
WARRANTY DISCLAIMER: 'The factory warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either expressed or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for It any liability in connection with the sale of all items'
I- 00 0 0' 0
63.00 0.00 0.00 5892.70
0 PAY THIS S 2 f V
10414 AM a22G AMOUNT CHAR
_:.G:A9H.. REFUND
Customer Hanle
Customer Phone
Customer Mailing Addeess 4
Original Cash Sale Invoice fl.
g
Customers Signature
Coimterpro's Signature
Counterp.ro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
OR EST
P R T AUTO SUPPLY, INC PAGE 1
S16 S MAIN STREET REF# 35190
AUTO PARTS SHERIDAN, IN 46069
(317)758 -4456
SERVING A WORLD IN MOTION!!!
5802 -32982 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F B I s TY OF CARMEL ;CITY OF CARMEL
400 W 131ST P 3400 W 131ST
ESTFIELD, IN 46074 daJESTFIELD, IN 46074
5802 -32982 2070 11/20/09 BRIA CHARGE
o F a CCCir I t
CQO CQ420 8 8 3.98 2.39 0.00 19.12 N/N
CARQUEST ATF DEX /M RC QT F
LB7 LASS -9 1 1 56.67 34.00 0.00 34,00 N/N
FLUSH TRANSMISSION
MIS FLUSH 1 1 1 47.48 28.49 0.00 28.49 N/N
WARRANTY DISCLAIMER: "The factory wawa co rtutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either expressed or implied, including any
implied warranty of merchantability or hmess for rucular purpose, and the seller neither assumes nor authorizes any other person to assume for It any liability in connection with the sale of all items'
0' 11 wjj--d 0 0' A
34.00 0.00 0.00 81.61
K 13S .99 PAY THIS 81.61
OUNT
02:34 PM AM CHAR
J 1
A
Customer Name
Customer Phone
Customer Mailing
4J Ll
OriginA Cash Sale Invoice
d A D
Customer's Signature ::3 -::4-;-
Counterpro's Signature
Counterpro's
Manac 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))
11/20/09 5802 -32982 $81.61
12/04/09 5802 -33586 $5,892.70
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 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
$5,974.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member:
2201 5802 -32982 42- 320.00 $81.61 1 hereby certify that the attached invoice(s), or
2201 5802 -33586 42- 320.00 $5,892.70 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
Fri6dy, D.ecember._ 0 2009
t V
S81 e4 0-6`m`m ss over
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund