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HomeMy WebLinkAbout208845 05/10/2012 „sf CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1 ONE CIVIC SQUARE R T AUTO SUPPLY, INC CHECK AMOUNT: $217.32 CARMEL, INDIANA 46032 516 S MAIN ST SHERIDAN IN 46069 CHECK NUMBER: 208845 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 5802 -77254 217.32 TIRES TUBES p R T AUTO SUPPLY, INC PAGE 1 516 S MAIN STREET REF# 817O6 AUTO PARTS SHERIDAN, IN 46O69 (317)758-4456 SERVING A WORLD IN MOTION/'' 58O2-77254 2O7O ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE. I. ITY OF CARMEL TY OF CARME 4OO W 131ST OO W 131ST �ARMEL, If. N 46O74 c�RMEL, IN 4 58O 7725 2O7O /2 P 'T'JJ F1 K I Q T�. T ia 1 Li WARRANTY DISCLAI MER: T inty, t'Nkny, constitutes the only muarftj with respect to the set' of all HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED. INCLUDIN ANYIMPLEDW RRANTY F E ABI1ITYnRFITNESqFORAPARTIC LARPUR OSE. Seller does not ze any person to grant my warranty or assurna my liability by Sailer. PAY THIS AMOUNTP I CASH REFUND CUStomer Name Customer Phone Customer Mailing Address Orlgimil Cash Sale Involce C.uStomer s Slgnatul'e---- coullterpro s si-liitturc Counterpro'S Manager's Initials This is 9 compan% policy if) help verity .'asii t4fwlk.!S and t lUS 001' 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)) 04/26/12 5802 -77254 $217.32 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. WARRANT NO. ALLOWED 20 R T Auto Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $217.32 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I 5802 -77254 I 42- 320.001 $217.32 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 Wednesday,May 02, 2012 jo� v V v W Street Commission N p er rl Street C ftsioner Cost distribution ledger classification if claim paid motor vehicle highway fund