213629 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC CHECK AMOUNT: $828.53
�? CARMEL, INDIANA 46032 516 S MAIN ST
o� SHERIDAN IN 46069 CHECK NUMBER: 213629
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-84145 759 . 59 TIRES & TUBES
2201 4232000 5802-84175 68 . 94 TIRES & TUBES
ORQUEST
R & T AUTO SUPPLY, INC PAGE 1
go" 516 S MAIN STREET REF# 8908j-
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-84175 2070
' ^
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQusST STORE FOR DETAILS np THIS COAST ro COAST GUARANTEE.
ITY OF CARMEL TY OF CARME
400 W 131ST 00 W 131ST
GARMEL, IN 46074 | -ARMEL, IN 4 60
|» | [u
5802-84175 2070 9/24/201
ARATHON RADIAL
WARRANTY DISCLA!MER:The rnewfacturer's warra h Y —tittega the only warraTj,with respect to the-a] of all=.iSELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES.EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCH,�tBlIfL OR A PARTIC LAR PUR OSE.Seller does net person to grant any warranty or mume any liability by Seller.
Customer Name
Customer Phone #. ( )
Customer Mailing 'r..ess
Original.Cash Sale Invoice #
Customer's Signature ;
Count��rpro's Signature
' a;
Counterpro's #
Managers Initials
This is a company policy to help verify cash refunds and thus safeguard•,jr assets.
ORQUEST
� R & T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 88966
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-84145 2070
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED ov THIS RECEIPT SEE muuuEST STORE FOR DETAILS or THIS COAST TO COAST GUARANTEE.
IV-1-TY OF CARMEL TY OF CARMEL
400 W 131ST OO W 131ST
�ARMEL, IN 46074 | CARMEL, IN 46074
�u
58O2-84145 201"70 9/24/2O1
TTUM
MO
EDY WRANGLER SILENT AR,
.JHEEL BALANCE
,JALVE STEM
T'IRE DISPOSAL
WARRANTY DISCLAI ER:The manufa urer's warrojill-a Y,�natilutas the ..I n..I,=�, ELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHIER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MER U Or, zo any person to grant any warranty or mums any liability by Seller.
CONTINUED AMOUNT
CASH REFUND
Customer Name
Customer Phone # ( )
Customer Mailing Address
06-inal..Cash, Sale Invoice #,
Customer's Signature
Counterpro's Signature
Counterpro's #
Mana-er's-Initials.
This is a company policy to help verify cash refunds and thus safeguard our assets.
ORQUEST
R & T AUTO SUPPLY, INC PAGE 2
Ror 516 S MAIN STREET REF# 88966
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-84145 207O
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED m THIS RECEIPT SEE mRQusm STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
VOF CARMEL TY OF CARME
W 131ST QO W 131ST
CARMEL, IN 46074 | CARMEL, IN 4
�� | | -
5802-8414S 2070 9/24/201
LIGNMENT
-ABOR CONTROL ARMS
WARRANTY DISCLAI MER:The reanufacturer's warrantX,if any,constitWes the only warrana with rasrcuto th a as]a of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTIC .Seller does not ze any person to grant my warranty or assurne my liability by Seller.
A.
D� PAY THIS
CASH REFUND.::
Customer Name
Customer Phone # ( )
Customer lVlailin� Address
Original Cash Sale Invoice #
.Customer's Signature.
Counterpros Signature
Counterpro's #
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$828.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
T
2201 5802-84145 42-320.00 $759.59 1 hereby certify that the attached invoice(s), or
2201 5802-84175 42-320.00 $68.94 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,
Friday 05, 2012
Street Commissioner
e ''�.,.....
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
4n 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))
09/24/12 5802-84145 $759.59
09/24/12 5802-84175 $68.94
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