175090 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $540.00
516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 175090
CHECK DATE: 7/22/2009
DEPART A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -26632 540.00 TIRES TUBES
go R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 28551
PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WO MOTION!!!
5802-26632 2070
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED m THIS RECEIPT SEE oAnuusur STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
'C I �9FS
S602-26632 2070
I It 1K
GD2 12-165 4 4 224.S8 134.7S 0.00 S39.00 /N
TX7 EPA TAX 4 4 0.42 0.2S 0.00 1.00 ill N
WARRANTY DISCLAIMER: 'Th. factor warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either exFressed or implied. including any
an 11 y
implied warranty of match tabi ty or mess for a particular purpose, and the seller neither assumes nor authorins any other person to assume for It any liability in connection with the sale a all Items.*
MOW Y'UT5nT@UPj1 61%Ma M.
10 PAY THIS po. S40.00
10:32 AM AMOUNT n4icp
rt�
l� i R�i'�iI.�111�
Customer Nanie
CustoYT?er Phone
Custonik 1'biatl �lc�res
®rit wal Czish Sale Invoice
Ott- -1,..
Counterpro's A
Manager's Littials
This is a company polic% tv 'uric ven} y ca ;:;'anti~ .incl t;-us 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
r
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/15/09 5802 -26632 $540.00
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. WARRAN NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$540.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -26632 42- 320.00 $540.00 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
Fri y? July 17, 2009
Street Commies[ ner
QL1 CC, ;1. ;iJ :LA
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund