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168161 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $1,432.57 CARMEL, INDIANA 46032 516 S MAIN ST SHERIDAN IN 46069 CHECK NUMBER: 168161 CHECK DATE: 1/2112009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 2201 4232000 5802 -16940 131.45 TIRES TUBES.. 1205 4232000,;= 5802 -17108 650.56 TIRES TUBES 1205 4351400 5802 -17241 650.56 AUTO REPAIR &..MAINTEN I CONQUEST/- top R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REFU 18684 AUTO PARTS tHERIDAN, IN 46069 (317)758 -4456 SERVING A WORLD IN MOTION!!! X 5802 -17241 2070 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. r ITY OF CARMEL HCITY OF CARMEL 400 W 131ST P3400 W 131ST ESTFIELD, IN 46074 oWESTFIELD, IN 46074 E 29M 5802 -17241 .2070 ;01/08/09 BRIA CHARGE PAI u.. "rZ r _'ti:,F.._.. n 0 1 L7lGD wW�"7� �I I�.t�u 1 SWUM F o GD2 245/75R16 4 4 249.82 149.89 0.00 599.56 N/N WRANGLER SILENT ARMOR 0.42 0.25 0.00 1.00 N/N MIS STEM 4 4 3.33 2.00 0.00 8:00 N/N VALVE STEM 4 4 13.33 6.00 0.00 32.00 N/N WHEEL BALANCE MIS DISHUSAL 4 4 4.17 2.50 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 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' jjL, 1 O' 11 10VI O 0 33.00 17 41 0.00 0.00 650.56 1084.28 I PAY THIS 650.56 10:03 AM u �U D AMOUPIT rHAR -7 D (7 1 Customer Name Customer Phone Customer Mailing-Addresis- 7 T Original Cash Sale Invoice Customer's Signature Counterpro's Signature 7. Coupterpro's Managers Initials T This is a company policy to help verify cash refunds and thus safeguard our CRC® T UI R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REFU 18540 AUTO PARTS SHERIDAN, IN 46069 (317)758 -4456 SERVING A WORLD IN MOTION!!! 5802 -17108 2070 ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. e ITY OF CARMEL CITY OF CARMEL X3400 W 131ST '3400 W 131ST TWESTFIELD, IN 46074 o ESTFIELD, IN 46074 0 IJ 71Ci ti� ;ir; :.r r; r,- �cna 5802 -17108 2070 01/05/09 BRIA CHARGE rm� PP,F •l se r; 1 �f i., o o sr�uit my cgm o GD2 245/75R16 4 4 249.82 149,89 0.00 599.56 N/N WRANGLER SILENT ARMOR VALVE STEM WHEEL BALANCE 00 N79 TIRE DISPOSAL WARRANTY DISCLAIMER: 'The factorryy 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 litness 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: D a a 33.00 0.00 0.00 650.56 04:10 PM 99 0 K Q/z. p A CHAR Customer Name Customer .Phone Customer .Mailing` Addres's' Original Cash Sale Invoice r Customer's Signature Counterpro's Sigilature Counterpro's Manager's Initials :i._l• r: _t :7''f This is a company policy to help verily cash refunds and thus safeguard our assets. Prescribed by Slate 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 R T Auto Supply, Inc Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Stem, Wheel Balance, etc $650.56 01/05/09 5802- 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. 01 /1 /09 ALLOWED 20 R T Auto Supply, Inc IN SUM OF 516 S. Main Street Sheridan, IN 46069 $1,301.12 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 Administration Board Members PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 56 materials or services itemized thereon for which charge is made were ordered and 205 5802 -1 71 08 320 $650.56 received except 20 Si tq tur Title Cost distribution ledger classification if claim paid motor vehicle highway fund j ORQUEST Y- a R T AUTO SUPPLY, INC,. PAGE 1 51.6 S MAIN STREET. REFS 18282 .j. AUTO PARTS SH IN 46069 (317)756-4456 d SERVING' A. WORLD-.'IN MOTIONA�� 5802 -16940 2070 a 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 I°ITY OF CARMEL L W 1 00 W 131ST TWESTFIELD; "IN 6074' o '4 ESTFIELD, IN 46074: ,j INVOICE NO. CUSTOMER NO. DATE 5802 -16940 1 2070 12/31/08 _RI'A CHARGE MFG. PART NUMBER ORDERED o o o o LB7 AL -9 1 1' 99.92 59.95 0.00 59.95 N/N ALIGNMENT b CI E F 3.33 `.00 0. 00 6.00 N/N VALVE STEM LLH, 8— 8:00. 0.00 32.00 N/N WHEEL BALANCE DISPO MIS 1.7. .2.50 0.00 2.50 N/N TIRE DISPOSAL H .00 20.00 N/N TIRE CHANGE i WARRANTY DISCLAIMER: 'The fa c to ry warranty c all of the warranties with respect to the sale all ite other The seller hereby a %pre y disclaims' all warranties, either e or implied, including any implied warranty of merchantability ty or or it for a parti ular purpose,'and the seller neither �assumes nor authorizes any other person to assume for it en yhability in connection with he of all e of all items: 111.95. 0.'00. .0.00 131.45 W W 1 LLW U PAY THIS 1 1.4 77 10:17 AM CONT INUED D AMOUNT CHAR a ORQUEST 1 R T AUTO SUPPLY, INC PAGE 2 516 S MAIN STREET REFu 18282 AUTO PARTS' S HERIDAN, IN 46069 517 7S674 in 7 G r SERVING'.' A WORLD 'IN Mt]TIf7N I I T 1 r• .7 5802 16940 2070 1 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 [F ITY'.©F..,'CARMELL3400 W 131ST W 131ST., TWESTf= IELD, -IN 46074 ESTFIELD, IN 46074 INVOICE NO CUSTOMER NO. DATE 5802 16940 ?070 2/ RIA CHARGE MFG. PART NUMBER ORDERED o o o o MIS STEM Z 1 6.67 4.00 0.00 4.00 N/N VAL'- VE STEh1 1 ,f Ulm 5H r t J45 Qu. U. .U0 7 T'IRE DISPOSAL_ i' WARRANTY DISClA1MER',yThe.i factory warranty nAnalhutes all of the erranlies, with respect l0 the sale ol items. The seller hereby expressly disclaims; all warranties, 9IIhe, a %presseC o 'pLetl,' nclutlmg• any' n mplietl warranty of me_rchaniabllify or 1)Iness for a particular purpose, and the Better neither assumes �nor authorizes any otherpereon assume fo_rlt any liability in connection wilh.lhesele bf all,ite s: V C a q•0 Z 606 PAY THIS V314:4 AMOUNT J CASH. REFUND Customer Name Customer Phone Customer Mailing Address Original Cash Sale Invoice Customer's Signature Countcrpro's Signature Counterpro's Manager's Initials This is a company policy to help verify cash refunds and thus safeguard our assets. CASH REFUND Customer Name Customer .Phone Customer Mailing'Addr6ss 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 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)) 12/31/08 5802 -16940 $131.45 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. WARRAN NO. ALLOWED 20 R T Auto Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $131.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members 2201 5802 16940 42 320.00 $131.45 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 17, 2009 Street CommissioW eel Title Cost distribution ledger classification if claim paid motor vehicle highway fund