170545 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
A kl CARMEL, INDIANA 46032 516 S MAIN Sr CHECK AMOUNT: $121.5fi
SHERIDAN IN 45069 CHECK NUMBER: 170545
CHECK DATE: 4/1/2008
DEPARTME ACCOUNT PO NUMBER IN VOICE NUMBER AMOU DESCRIPTION
2201 4232000 5802- 20895 121.56 TIRES TUBES
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loop R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REFS# 22524
AUTO PARTS SHERIDAN, IN 46069
(317)758 -4456
SERVING A WORLD IN MOTION!!!
?2 -20895 2070
AN7141ART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
F ITY OF' CARMEN_.. HCITY OF GARMEL
400 W 131ST P3400 W 131ST
ESTFIELD, IN 46074 oWESTFIELD, IN 46074
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5802 -20895 2070 ;03/26/09' TOM CHARGE
t r ;11 !'ai O C_i_:'nEC o c u i_ lo c U
GD2 309SOR15 1 1 197.18 118.31 0.00 116.31 N/N
COURSER MT
TX7 EPA X 1 1 0.42 0.2S 0.00 0.25 N/N
MIS DISPOSAL 1 1 S
3.00 0.00 3.00 N/N
TIRE DISPOSAL
A it
4% "1 7
WARRANTY DISCLAIMER: 'The factory warranty n e all of the warranties with rasped to the sell e of all Items. The seller hereby expressly disclaims ell warranties, either .:pressed or implied, Including any
implied warranty of merchantability or fitness for a rt lar urpose, and the seller neither assumes nor authorizes any other person to assume for It any liability in connection with the sale of all items'
0.25 0.00 0.00 121.56
o 02. 60 PAY THIS 1 7 2 17
10:10 AM o AMOUNT CHAR
CASK II$IF UI`1D
1 ...:I M ?.�_-il 1 ?t J
Customer Name
Custorrief 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.
Prescribed by Stale 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))
03/26/09 5802 -20895 $121.56
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.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$121.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 5802 20895 42 320.00 $121.56 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
/Ffiday /rch 27, 2009
Street Commissioner
street nr)7T71T'm :r g
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund