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