211016 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
�4ONE CIVIC SQUARE R&T AUTO SUPPLY, INC
? CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $1,049.83
SHERIDAN IN 46069 CHECK NUMBER: 211016
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-79841 429 . 59 TIRES & TUBES
2201 4232000 5802-80351 29 . 00 TIRES & TUBES
2201 4232000 5802-I80706 591 .24 TIRES & TUBES
/
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& T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 85335
AUTO PARTS SHERIDAN, IN 46O69
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-8O7O6 2O7O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
I FJL3( r'y' -'I-1:RME1-.. 1,.rH*l V (OF C-�AFIMEL
F Ulm
1AFRATHON RADIAL
WARRANTY DISCLAI
INCLUDING ANY IMPLIED WARRANTY OF MERCFIA LI R FITNESS FOR PARTIC LAR PUR OSE.Seller d...not uth.rl-any person to grant any warranty or assume any liability by Seller.
CASH REFUND
, ,stonier Name —_--
-Aistomer 'hone (— )
C,jsionler Mailin`r Address
r ialal as[i Sale Invoice #
Customer", SILilt"WIV
ouintc;-pro's #
I'A;.il?aber's e_►lltials
This io a company policy to help verify cash refunds and thus safeguard our )sscls.
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. WRIQUEST
R & T AUTO SUPPLY, INC PAGE 1
—�=— 516 S MAIN STREET REF# 85O69
AUTO PARTS SHERIDAN, IN 46O69
(317 ) 758-4456
SERVING A WORLD T
IN MOION ! ! !
58O2-8O351 2O7O
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ITY OF CARMEL TY OF CARMEL
4OO W 131ST OO W 131ST
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M EL, IN 46O74 | 0ARMEL , IN 4
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58O2-8O351 2O7O 7/2/2O12 BRIA � CHARGE
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WARRANTY DISCLAIMER:The manufactur constimes,the only warran�with to the sai.of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
I OSE.Sailor does not authorize any person to grant any warranty or assurne any liability by Sailer.
INCLUDING ANY IMPLIED WARRANTY OF ERC=NnT OR FITNESS FOR A PARTIC LAR P'U"R
PA
0 1 :35 PI AMOUNT,=l CHAR
fir®ORQUEST
R T AUTO SUPPLY, INC PAGE: 1
516 S MAIN. STREET' REFS* 8444Q .
AUTO PARTS SHERIDAN, IN 46069
(3i7 ) 7S6-44S6
SERVING .A .WORLD IN MOTION ' ' '
5802—•79641 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
($ITY OF. CARMEL f�HI'TY OF CARMEL
`400 W 13151- -. 400 W 1:31.ST
(TARMEL, IN 46074 tvoARMEL, III 46074
INVOICE NO. CUSTOMER NO. DATE
;802-79641 �' 70 6 '20/01 . J.:".M f;HflRCiC'
MFG.PART NUMBER ORDERED '' a o - .;• o- o
S. S. 447 .34 0.0U 44/7 .34,1/1\1
_ 13CJODYEAR U>�'��1 L
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f X7 EPA TAX 1 1 0.4 0.2S 0.00 WN
,7. LAB-6 2 2 33�33 20.00 0.00 40.00 N 1 N
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rrRE CHANGE
P LA - 1 1 16.67 10.00 0.00 10.00 N/N
P 0lJt�IT TIRE
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WARRANTY DISCLAIMER:The manufacturer's warranty if any,wnstitutps the'only warranty Ith resGpct to the seta of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
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INCLUDING gANY�IMPLI�E DD—WARRANTY pOFF MERCHANTT1Bl1fLL'I"'9OR FITNESS FORA PARTICULAR PURPOSE.Sellerr doeess not yauut^hgorr}izee my person to grant any warranty or assume any liability by Seller. {— '
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S0111i,'s 0.00 .00 / 429.S 7 pr H4? .::3���.,'PAY.THIS 429. S9
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(317 ) 758-44S6
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SERVING A WORL'D.:.IN.' MOTION
5802-79841 070
{ ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
` (BITY Of CARMEL T ON= CARMEL_
'4 o- W iG'15T 31 ST. :_._.. - .:�.:•
11??. AFZMEL, IN 46074 I ��RMEL, IN 4 074
INVOICE NO. CUSTOMER NO. DATE
�I'
I- 80?-79841 70 b 20/201 :FARCE
MFG.PART NUMBER ORDERED e o -.1 -EEOof
t GD2 CAGING. : 2 2RT -'40.00 0.00 -80.00 N�I\I
RE SELL,' E;LE RETURN
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t WARRANTY DISCLAIMER:The manufacturer's warranty Ii any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
I INGLU11IN13 ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
5C?.25 C.).00 0.00 429. 5)9
.F ❑ Q �; ,u. `/• PAY-THIS 4 `7'. �Y.'
P2:46 . PM. G AMOUNT!' CHAR-'4
VOUCHER NO: WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$1,049.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-79841 42-320.00 $429.59 1 hereby certify that the attached invoice(s), or
2201 5802-80351 42-320.00 $29.00 bill(s) is (are)true and correct and that the
2201 5802-180706 42-320.00 $591.24
materials or services itemized thereon for
which charge is made were ordered and
received except
Wedo esday,JGuly 11,^2012
Street Commissioner
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))
06/20/12 5802-79841 $429.59
07/02/12 5802-80351 $29.00
07/10/12 5802-180706 $591.24
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