174476 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352955 Page 1 of 1
e ONE CIVIC SQUARE R T TIRE AUTO SHERIDAN
CARMEL, INDIANA 46032 516 S MAIN STREET
CHECK AMOUNT: $555.68
SHERIDAN IN 46069 CHECK NUMBER: 174476
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT P O NUMBE IN NUMBER AMO UNT DESCRIPTION
1205 4351000 T 5802 -25211 56.68 AUTO REPAIR MAINTEN
2201 4232000 5802 -25376 50.00 TIRES TUBES
2201 4232000 5802 -25555 449.00 TIRES TUBES
CAR QUES r
%o r R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 27239
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!�
58O2-25376 2O7O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE oARosST STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
F B iC�I1 Y OF' CARMEL TY OF* CARM1_ L
Z:i CHARGE
L97 LAB-
16.67 1.0.00 0.00 20.00 NIN
TIRE CHANGE
WHEEL BALANCE
VALVE STEM
MOUNT I
WARRANTY DISCLAIMER: 'The factow warranty constitute all of the warranties with e respe ct to the sale of all items. The salter hereby expressly disclaims all warranties. either expressed or implied. lncluding any
implied warranty of merchantability or moss for a particular purpose. and the seller nelth r assumes nor authorizes any other person to assu me (or R any liability in connection with the sale at all items:
L 11
t
CAS 11.11. R
VD
Z
Customer Name
Customer Phone
Customer Mailing Address
rt
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
>f
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
WRQUEST
l op R T AUTO SUPPLY, INC PAGE 1
-S16 S MAIN STREET REFu 27409
AUTO PARTS SHERIDAN, IN 46069
(317)758 -4456
SERVING A .WORLD IN' MOTION!
S802- 25S5'S 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F ITY OF CARhIEL "CITY OF CARMEL
400 W 131ST P3400 W 131ST
E
STFIELD, IN 46074 4 o6JESTFIELD, IN 46074
I� VGCf U i 171:;11 F�
5802 -25555 '2070 06%25/09 STNS TOM !CHARGE
IF_. PAFsI o o 1`i1J 11 Lowaguo L11f-
GD2 LT24S7SR16 4 4 16S.83 99.50 0.00 398.00 N/N
WRANGLER RT'S E RANGE
TX7 EPA TAX 4 4 0.42 0.2S 0.00 1.00 N/N
LB7 WB7 4 4 13.33 8.00 0.00 32.00 N/N
WHEEL BALANCE
MIS STEM 4 4 3.33 2.00 0.00 8,00 N/N
VALVE STEM
MIS DISPOSAL 4 4 4.17 2.SO 0.00 10.00 N/N
TIRE DISPOSAL
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 tore particular purpose, and the seller neither assumes not authorizes any other person to assume for It any liability in connection with the sale of all items' 1 MOT 11 p I
33.00 0.00 0.00 449.00
a 4 A K D 748.32 AMOUNT D 449.00
03:06 PM l CHAR
V
J
C W A V
Customer Name
Customer Phone
Customer Mal li n -y 7 Addwss
Y .:I
J
7 Original Cash Sale Invoice It
J .j
a Pi 51
Customer's Signature ..I A .::.1 1 5
Counterpro's Signature
Counterpro*-s
1
Manm7er. InitiAls .J
�1 J
This is a company po
,,,!icy to hell) verify cash refunds and thus safeguard our
G C.
+1
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))
06/22/09 5802 -25376 $50.00
06/25/09 5802 -25555 $449.00
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
VOUCHER NO, WAR NO.
R T Auto Supply ALLOWED 20
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$499.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
O# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 5802 -25376 42- 320.00 $50.00 1 hereby certify that the attached invoice(s), or
2201 5802 -25555 42- 320.00 $449.00 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
We�dnes a, July 01, 2009
L Y A, .^�i,' \f 1Jl v
Street C mm' d dner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R T AUTO SUPPLY, INC PAGE 1
lo 516 S MAIN STREET REF# 27066
AUTO PARKS SHERIDAN, IN 46O69
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-25211 2O7O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED mTHIS RECEIPT SEE uARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
7 Ff-`!' OF C Ty' CiF CARMEL
I F
S802 2~'~ TOM CHARGE*
LABOR UJOINT
hn"Ied ."anly rchant ill or Itness, for ic r purpose, and the sail r neith., a—mits no, authorizes any other person to assume for it any liability in connection with the safe of all items:
94.46 PAYTHIS 56.68
'01.2`4 PM AM CHAR
.R
CASH REFUND
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale :invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
.J
.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
CarQuest Auto Parts Purchase Order No.
Terms
Date Due
Irivoice Invoice Description Amount
'Date Number (or note attached invoice(s) or bill(s))
5802 262 "'a-rd U-cloont $b6.68
;z
Total
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
VOUCHER NO. WARRANT NO.
t ALLOWED 20
IN SUM OF
516 S. Main Street
bherFdan, IN 46069
$56.68
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 5802-25211 .68 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Si t e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund