207585 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $492.50
SHERIDAN IN 46069 CHECK NUMBER: 207585
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802 -74935 272.50 TIRES TUBES
2201 4232000 5802 -75264 220.00 TIRES TUBES
QQUEST
510 S I* STREET R.EF3* ;•97
AUTO PARTS SHERIDAN. IN 40069
317 i SEA- 44!:;0
SER`VIIN G A WORLD IN i MG I'ION I I I
S802 7 S204
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BCIT`r' OF' CARMEN._. IT`r OF* t_ "t�1I?I�IEL
1-34 0 W .1..Si.ST P 3400 W 13.L'ST
T CARMEL IN 46074 T ARMEL, IN 46074
0 0
M IS TIRE I 1\1 F" L A T 0 R 1 a o 0 r`��' t s�.� r t
WARRANTY DISCLAIMER: The manufacturer'. warramy, if any, constitutes the orgy warranty with respect to the aela of.al!goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTAABILITY OR FITNESS FORA PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller.
77 wl
o PAY THIS
PM p AMOUNT i. =H
MQUEST
rr OD R T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 79325
AUTO PARTS SHERIDAN IN 46069
(317)758-4456
SERVING A WORLD IN MOTION!!!
58O2-74935 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BYrHmnsuEIPT SEE oARosm STORE FOR DETAILS nr THIS COAST m COAST GUARANTEE.
�CITY OF CARMEL F ITY OF CARM
�34OO W 131ST 4OO W 131ST
|rCARMEL, IN 46O74 ARMEL, IN
58O2-74935 2070 O3/13/12
FIRESTONE REGENCY 8 PLY
WARRANTY DISCLAIMER: The rnanufactwer's r an co the only ""7 �ith respect to the sale of all goods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, ETHER EXPRESSED OR IMPLIED,
IMPU WAR
INCLUDING ANY ED RANTY OF MERCH 14'OR F A FOR A PARTIC LAR FUR OSE. Seller does not authorl� any person to grant my warranty or assume my liability by Seller.
PAY THIS
02. L PM AMQILINT�� CHAR
S TI
L1 >>iIti r =i 41d'-,,e`•s s
1 his it a r rp.ly pokey to he ?p verify cash rofunds and +hus 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))
03/13/12 5802 -74935 $272.50
03/19/12 5802 -75264 $220.00
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. WAR NO.
ALLOWED 20
R T Auto Supply
IN SUM OF
516 S. Main Street
Sheridan, IN 46069
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
2201 5802 -74935 42- 320.00 $272.50 bill(s) is (are) true and correct and that the
2201 5802 -75264 42- 320.00 $220.00
materials or services itemized thereon for
which charge is made were ordered and
received except
fThu�sd y, March 22, 2012
Street Commjssioner
Slreec hummissi; r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund