168669 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
t, ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $72.00
SHFRIDAN IN 46069
.CHECK NUMBER: 168
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
2201 4232000 5802- 17149 22.00 TIRES &.TUBES
2201 4232000 5802 -17685 50.00 TIRES TUBES
e 1119 e
CAR® T
R T AUTO SUPPLY, INC PAGE 1
S16 S MAIN STREET REFU 18587
AUTO PARTS SHERIDAN, IN 46069
(317)758 -4456
SERVING A WORLD IN MOTION!!!
5802 -17149 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
ITY OF CARMEL ["3400 ITY OF CARMEL
400 W 131ST W 131ST
ESTFIELD, TN 46074 ESTFIELD, IN 46074
F
5802- 17149 2070 01/06/09 TRUCK 200 BRIA CHARGE
LB7 TR7 1 1 36.67 22.00 0.00 22.00 N/N
TIRE REPAIR
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 for a particular purpose, 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' 1 Mov 0 0' vm 0
22.00 0.00 0.00 22.00
u PAY THIS 22
02:48 PM o D AMOUNT CP1A RA
.:i f U:,.
2,k
Customer Name
Customer Phone
Customer Mal I I n g*rAddre ss
,J
Or iginal Cash Sale Invoice
7
1 7
Customer's Signature
Counterpro's Signature
Counterpro's
Manager's Initials
This is a company policy to hell) verify cash refunds and thus safeguard our assets.
ORQUEST
IZ
lop R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET R.EF# 19140
AUTO PARTS SHERIDAN, IN 46069
(317)758 -4456
SERVING A WORLD IN MOTION!!!
5802 -17685 2070
S ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BCITY OF CARMEL HGTTY OF CARMEL
I 23400 W 131ST .3400 W 131ST
o0.�ESTFIELD, IN 46074 o ESTFIELD, IN 46074
vo,cF No cusT7Y rd
5802 -17685 2070 '01/16/09 BRIA CHARGE
F(o. F AFtI I�U-;IBC;R_ U� DES 3 b D o
MIS STEM 4 4 3.33 2.00 0.00 8.00 N/N
VALVE STEM
8.00 0.00 32.00 N/N
WHEEL BALANCE
2 .SO 0.00 10.00 N/N
TIRE DISPOSAL
WARRANTY DISCLAIMER: 'The factory warranty constitutes all oVthe 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 for a particular purpdse, and the seller neither assumes nor authorizes any other person to assume ford any liability In connection with the sale of all items'
0 11 61W 1 1 0 O' 0
32.00 0.00 0.00 50.00
D LLW .:a PAY THIS 0.0
03:57 PM Cpl o D AMOUNT CHAR
CASH REFUNR
Customer Name
Customer Phone
Customer Mailing Address
Original Cash Sale Invoice
Customer's Signature 4
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)
S.
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))
01/06/09 5802 -17149 $2.00
01/16/09 5802 -17685 $50.00
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. WARRA NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5802 -17149 42- 320.00 $22.00 1 hereby certify that the attached invoice(s), or
2201 5802 -17685 42- 320.00 $50.00 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
Thursd J ary 29, 2009
Street Commissb r
Q
isle
Cost distribution ledger classification if
claim paid motor vehicle highway fund