171049 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
0 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: 544.00
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 171049
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CHECK DATE: 4/16/2009
DEPARTM ACCOUNT PO NUMB INV NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -20238 44.00 TIRES TUBES
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P.roudty serving a world in motions
ORQUEST
R..& T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 21835
AUTO PARTS SHERIDAN, IN 4606
(317)758 -4456
h SE yTNQ, A WORLD IN MOTION!
5802 7 2628, 0 2070`
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21 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST.TO COAST GUARANTEE.
;CITY, OF. CARMEL LAITY OF .C.ARMEL'
X3400 W 131ST P340Q W 131ST
J o WESTFIELD, IN 46074 ouJESTFIELD, IN 46074
INVOICE NO. CUSTOMER NO. DATE
5802'--20238 2070 3/13/09+ CHARGE
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MFG. PART NUMBER ORDERED o o o o
LB7'TR7 2 2 33.03 20.00 0.00 40.00 N/N
TIRE REPAIR
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WARRANTY DISCLAIMER: 'The factory warranty implied of the warraraies with respect to the sale. of all items. The seller hereby expressly e
disclaims all warranties,: expressed_ or implied,' including any
implied warranty dl merchantability or fitness for a pa annd thhee seller neither assumes nor authorizes any other person to assume for it any liability In connection with the sale of all items'
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o d J i -PAY THIS' U`? j
�t 10e,48 AM o AMOUNT CHAR `.I
Prescribed by State Board of Accounts Ci.y 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 bilf(s))
03/13/09 5802 -20238 $44.00
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. WARR NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$44.00
bN ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITEE AMOUNT Board Members
2201 5802 -20238 42- 320.00 $44.00 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
Thursday, it 09, 2009
Street Commissii v
Street CcPdwnissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund