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179383 11/11/2009 CITY OF CARMEL., INDIANA VENDOR: 00350579 Page 1 of 1 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CARMEL, INDIANA 46032 516 S MAIN Sr CHECK AMOUNT: $878.18 SHERIDAN IN 46069 CHECK NUMBER: 179383 CHECK DATE: 11/1112009 DEPARTME ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 5802 -31964 364.70 TIRES TUBES 2201 4232000 5802 -31990 273.00 TIRES TUBES `-2201 4232000 5802 -32079 180.48 TIRES TUBES ORQUEST a R T AUTO SUPPLY, INC PAGE 1 p go 516 S MAIN STREET REF# 34144 AUTO PA�^`~ SHERIDAN, IN 46069 (317>758-4456 SERVING A WORLD IN MOTION!!! 5802-3199 2070 ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED m THIS RECEIPT usswmuuEST STORE FOR DETAILS op THIS COAST ro COAST auAn^wTEs. F B L IC 4 ITY OF CARMEL l OF CARMEL. 3 00 W 131ST :,400 W 131ST qWF __S TFIELD, IN 46074 (WESTFIELD, IN 46074 S802-31990 20 11/021 BRIA CHARGE J GD2 20S/7SR1S 4 103.7S 62.2S 0.00 249.001N/N MARATHON RADIAL VALVE STEM TIRE DISPOSAL TIRE REPAIR WARRANTY DISCLAIMER: 'The factow warrant, constitul.a .11 .1 the warranties with respect to the sale of .11 items. The Geller hereb ex ressl disclaims all warranties, el ressed or Implied. lncludin an implied warrant of merchantabilit or mass for a particular purpose, and the sailor neither assumes nor authorl— any other person to assume forpt an liabilit In connection with in so OFall Items.7 6.00 0.00 0.001 1 273.00 DL K L4&JV 4S5.01 PAY THIS 273.00 CASH REFUND Customer Dame Customer Phone Customer Mailing Address Original Cash Sale Invoice Customer's Signature Countcrpro's Signature Counterpro's Manager's Initials This is a company policy to help verify cash refunds and thus safeguard our assets. OR R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 34118 AUM PARTS SHERIDAN, IN 46069 (317)758-4456 SERVING A WORLD IN MOTION// 58O2-31964 2070 ANY mnrRETURNED FOR CREDIT MUST os ACCOMPANIED snrmoncoc=T SEE o^nousorord��ro�o�A/iaorrHm'o�S F�oo^�G/An^wrss. 'CITY OF CARMEL FTY OF' CARMEL 1- 3400 W 131ST 00 W 131ST T WESTFIELD, IN 46074 STFIELD, IN 46074 S802-31964 2 070 11/02/09 BRIA 'CHARGE GOODYEAR G661 I VALVE STEM TIRE CHANGE MIS DISPOSAL 1.) ITIRE DISPOSAL. WARRANTY DISCLAIMER: *The fact warranty constitutes all of the warranties with respect to the sale of all Items. The seller hereby expres disclaims all warranties. either expressed or Implied, Including any implied warranty of merchantabi Illy o for a particular purpose. and the seller neither assumes nor authorizes any other person to assume for it any in connection with the sale of all items.' 0.00 0.00 364.70 607.63 1364.70 4MI 4 D) PAY THIS CASH RETIFUND Customer Nance Customer Phone Customer Mailing Address Original Cash Sale Invoice Customer's Signature C oanierp,ro s nature Counterpro"s Manager's initials This is a company policy to help verify cash refunds and thus safeguard our as"ets. ORQUEST lir R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 34243 SHERIDAN, IN 46069 (317)758-4456 SERVING A WORLD IN MOTION!!! 5802-32079 2070 ���������w������mn�� ���S�������C�mC��� F B I I TY OF CARMEL 'r I TY OF CARMEL L 3400 W 131ST -400 W 131ST T STFIELD, IN 46074 ESTFIELD, IN. L+6074 I I F —32079 2070 111/04/09 BRIA �CHARGE MARATHON RADIAL MIS STEM 2 VALVE STEM MIS DISPOSAL 2 4.17 2.S0- 0.00 S.00 N/N .TIRE DISPOSAL WARRANTY DISCLAIMER: 'Th. factor --ty constitutes all of the wturenti., with respect to the sale of all Items. The sailer hereby expressly disclaims all warranties. either expressed or Implied. Including any impilod warranty of march ntabl ly or mass for a particular purpose. and the seller neither assumes nor authorims any other person to assume for it any liability in connection with the sale of all items." CAS HI RIEIFUHD Customer Name Customer Phone Customer Mailing Original Cash Sale Invoice Customer's Signature l.ouliterpro Signature Counterpro's Manager's initials This is a company policy to help verify cash refunds and thus safe -uard our asL'ets. Prescribed by State Board of Accounts City No. 01 (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 invoices) or bill(s)) 11/02/09 5802 -31964 $364.70 11/02/09 5802 -31990 $273.00 11/04/09 5802 -32079 $180.48 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 VOUCF-'ER NO. WARRANT NO. ALLOWED 20 R 8L T Auto Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $818.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 2201 5802 -31964 42- 320.00 $364.70 1 hereby certify that the attached invoice(s), or 2201 5802 -31990 42- 320.00 $273.00 bill(s) is (are) true and correct and that the 2201 5802 32079 1 42 320.00 $180.48 materials or services itemized thereon for which charge is made were ordered and received except I Thursday, Novembe40 2009 Street Commissioner a' JLICGL vVl fJJ: V! iG Title Cost distribution ledger classification if claim paid motor vehicle highway fund