169717 03/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $145.29
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDANIN 46069 CHECK NUMBER: 169717
CHECK DATE: 3/1012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER---------, DESCRIPTIO
2201 4232000 18732 T 145..29 TIRES TUBES
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I
;F.
R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 2O252
AUTO PARTS SHERIDAN, IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
5802-18732 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS or THIS COAST TO COAST GUARANTEE.
L 00 W 131ST F STFIELD, IN
S802— 1 20" rqPTA
02." 10/09 f.HAPQF
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WARRANTY DISCLAIMER: 'The factow warranty constitutes all of the warranties with respect to the sale of all Items. The sollor hereby expressly disclaims all warranties, evrelsed 1, Implied, including any
implied warranty of merchantability or mass for a particular purpose. and the seller neither assumes nor authorizes any other person to assume for 11 any liability in connection with he sale a ."'ems.,
NU K 242.1S AMOUNT 14S.29
CASH REFUND
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature
Counterpro's Signature
Counterpro's
Mana 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)
t•
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))
02/10/09 5802 -18732 $145.29
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
VOUCH NO. W ARRANT NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$145.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 5802 -18732 42- 320.00 $145.29 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
Frid y, February 13, 2009
treet Co �So r
Street Co4Rsslloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund