212349 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC CHECK AMOUNT: $323.76
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 212349
CHECK DATE: 8128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-81736 48 . 00 TIRES & TUBES
2201 4232000 5802-82227 275 . 76 TIRES & TUBES
ORQUEST
R 27t T AUTO SUPPLY, INC PAGE 1
Mir
516 S MAIN STREET REF# 86523
AUTO PARTS SHERIDAN, IN 4606 ►
(317 ) 758-4456
SERVING A WORLD IN MO*FION ! ! I
5802-817'301 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
VICFY 01::' CARMEL 'SECT" OF CARMEL
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4 )0 W 131ST 34C)o w 131sT
MEL, IN 46074 TC EL, IN 46074
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5802--81736 2070 8/3/-2012 DRIA CHARGE
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�IS STEM 2 2 6.67 4.00 0.00 8.00 N/N
ALVE STEM
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2 2 33.33 20L7U
�IRE CHANGE
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WARRANTY DI --rrj,if any,constitutes the only warranty lth respect 10 the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. liar does not authorize eny person to grant any warranty or assume any liability by Seller.
0 0
40.00 0.00 0.00 0
48.0
PAY THIS 4E�
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IL AMOUNT CHAR
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nal Cash Bali: Invoice # — -------_-__-- __-_--
Counterpro's #
manager's Initials ,_--
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Thiti is a company policy to help .veri1v cash refunds and thus ;af,gwtrd our
'
CARQUEST
.
lop R & T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 86988
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
' 5802-82227 207O
ANY PART RETURNED FOR CREDIT MUST us ACCOMPANIED m THIS RECEIPT. SEE v*nuosor STORE FOR DETAILS op THIS COAST rn COAST au^*^wrss.
17ITY OF CARMEL F4t(,�Y OF CARMEL
400 W 131ST O W 131ST
�'ARMEL, IN 46074
» | MEL, IN 46O74
|
5802-82227 20 70 ' 8/14/201 1--3 R 1A CHARGE
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1 AR Al'HON RADIAL c r
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WARRANTY DISCLAI I nstitutes I a only ardjaith res Ito th at.of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
12'13171- TIC Iler ze arry person to grant any warranty or assume any liability by Sailer.
INCLUDING ANY IMPLIED WARRA
O3: 14 PM CHAR
CASH RlElF.UNn
us«rner Name
Ouytorner Phone # ( )
as'onier Mailing Address
al Wash Sale Invoice #
C ounces pro°s #
M,Qtn 9
aa,er s Initials
LD
hip is a company policy to help verify cash refunds and thus safeguard Our assets.
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))
08/03/12 5802-81736 $48.00
08/14/12 5802-82227 $275.76
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$323.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-81736 42-320.00 j $48.00 1 hereby certify that the attached invoice(s), or
2201 5802-82227 42-320.00 $275.76 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
hursd y Augefst/23, 2012
Street Commission r
i9prnissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund