211435 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $543.31
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 211435
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-81166 79 . 39 TIRES & TUBES
2201 4232000 5802-81167 463 . 92 TIRES & TUBES
ORQUEST
R
N. T AUTO SUPPLY, INC PAGE 1
MAIN STREET REF# 85859
AUTO PARTS SHERIDAN, IN 46O69
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-81166 2O7O
`
ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED m THIS RECEIPT sEEoARuUEST STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
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Id Al R
WARRANTY DISCLAIMER:The manufacturer's warrarij,if any.constItutes the only warrain with octEo the sale of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTICKAR PUR90S .Seller does not ze my person to grant my wwwty or assurne my liability by Sellec
PAY THIS
AMOUNT Ir- I%
CASH REFUND
�-�istcwne, Mime
i L�:r l:onie - 'hone .-Y
Custi;mer i/xailin< Address
Original Cw.h Sale [nvoiCe # --- —
jonature-
i'-111aldre _. -- ------ ---.____- -- - _
Counierpro's #
Manager's Initials
This is a company policy to help verify,cash refunds and thus safeguard our assets
ORQUEST
S!1PPLY, INC PAGE 1
516 S MAIN STREET REF# 85856
`
AUTO PARo SHERIDAN, IN 46O69
' 6�4 ' (317 ) 758-4456
| SERVING A WORLD IN MOTION ! ! !
58O2-81167 2O7O
\ ,~\
. /
^
�
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT oEEcARuUEST STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
OF CAR�UEL TY OF CARM
W 131S� OO W 131ST
�ARMEL, IN ' 46O74 | ��RME� , IN
— —
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ME
58O2-81167 2O7O 7/2O/2O1 ' BRIA � CHARGE
WARRANTY DISCLAIMER:The manul-w—'s warran,�,if any,constitutes the only warr-U,with respet to the sale of all goods.SELLER HEREBY E)(PRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTIC LAR FUR OSE.Seller d...not authorize my person to grant any warranty or assume my liability by Sailer
PAY THIS
0, AMOUNT CHAR
C.A S k� P�EYUND
C', s.,)i-i i c r t ho,P,
Custemer "I'lailki- Address
Original Cash Sale Invoice #
4-ustomer°s Signature _.__._ --
,-0L..nterprWs 4
Manager's Initials
This is a company policy to help verify casli refunds and thus safeLuard our ,�� ;t
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$543.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 5802-81167 j 42-320.00 j $463.92 1 hereby certify that the attached invoice(s), or
2201 5802-81166 1 42-320.00 $79.39 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
e
Thursdayy,J ulyy26, 2012
StrieetoCommissioper
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))
07/20/12 5802-81167 $463.92
07/20/12 5802-81166 $79.39
I 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