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HomeMy WebLinkAbout210517 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1 ONE CIVIC SQUARE R T AUTO SUPPLY, INC 516 S MAIN ST CHECK AMOUNT: $405.72 s;•� CARMEL, INDIANA 46032 SHERIDAN IN 46069 CHECK NUMBER: 210517 CHECK DATE: 7/512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232000 5802 -79480 405.72 TIRES TUBES ORQUEST R T AUTO SUPPLY, INC PAGE 1 S MAIN STREET REF# 84166 AUTO PARTS SHERIDAN, IN 46O69 (317)758-4456 SERVING A WORLD IN MOTION!!! 58O2-7948O 20 7O ANY PART RETURNED FOR CREDIT MUST BEACCOMPANIED BY THIS RECEIPT. SEE oARusm STORE FOR DETAILS op THIS COAST m COAST GUARANTEE. 400 W 131ST ST 41 67 12 ufuj il WARRANTY DISCLAIMER: Th. rnarnafticturer's oo"ItIM. the onl warr res ectEo the sale of all g oods. SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES. EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERC=N'T1B'1 FITNESS FOR A PARTIC PUR90S Seller does not authortze an person to grant m warrant or assurne m flabilit b Sollel, mer Name -'LIstomer Phone -mei IVlailin- Address Original Cash Sale Invoice ustnmer's Signature Fe .,LoiterPrc)"s Initials This is a company policy to help verily cash refunds and thus safeguard our as"ets. VOUCHER NO. WARRANT NO. ALLOWED 20 R T Auto Supply IN SUM OF 516 S. Main Street Sheridan, IN 46069 $405.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member; 2201 I 5802 -79480 I 42- 320.001 $405.72 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 r I Thursday, June e 28, 2012 UO VU4 4 1 V0VV -411 Street Commissione!/ JUUUC k 011111 IIJJIUI I f Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 06/13/12 5802 -79480 $405.72 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 I