179817 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $447.00
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 179817
CHECK DATE: 11/24/2009
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 580232140 447.00 TIRES TUBES
OR
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 34302
AUTO PARTS SHERIDAN, IN 46O69
(317>758-4456
SERVING A WORLD IN MOTION!!!
5802-32140 2O7O
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED sn THIS RECEIPT SEE cmnuuESn STORE FOR DETAILS or THIS COAST TO COAST GUARANTEE.
F OF CARMEL �CITY OF CARMEL
W 13 1ST "34OO W 131ST
STFIELD�_ IN 46O74 �WESTFIELD, IN 46O74
F- VUST
1 ,4 1 R A N G L ER R TS 0.00 396.00 JN/N
IX7 EPA TAX 4 4 0.42 O.2S 0.00 1. oo �/I
MIS STEM L
VALVE STEM
WHEEL BALANCE
TIRE DISPOSAL
WARRANTY DISCLAIMER: 'The factoW warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, t athIl s ox to sed or implied, including any
implied warranty of merchantability or tness for a particular purpose. and the seller n assumes nor authorizes any other person to assume to, it any liability in connection with he sal Fatilorns.
7L 00 PAY THIS
09211 AM W7 AMOUNT IaR
f R
r
CASH REIFUNID
Customer Name
Customer Phone
Customer bailing Address
Original Cash Sale Invoice
Customer's Signature
Counterhro's Signature
Counterpro's
Manager.'s 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)
f,
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))
11/05/09 5802 -32140 $447.00
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: WARRANT N
ALLOWED 20
R T Auto Supply
IN SUM OF
616 S. Main Street
Sheridan, IN 46069
$447.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 5802 -32140 42- 320.00 $447.00 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
/Thursd ay, No /I er 19, 2009
Street Commiss r
Street C' T mm s
Cost distribution ledger classification if
claim paid motor vehicle highway fund