214053 10/23/2012 CITY.OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $1,586.52
y`. ?a CARMEL, INDIANA 46032 516 S MAIN ST
o� SHERIDAN IN 46069 CHECK NUMBER: 214053
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-85035 599. 64 TIRES & TUBES
2201 4237000 5802-85036 986 . 88 REPAIR PARTS
R & T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 89967
` AUTO PARTS SHERIDAN, IN 46069
(317 > 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-85035 20 70
ANY PART RETURNED FOR CREDIT MUST es ACCOMPANIED ov THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS op THIS COAST TO COAST auxpmwrss.
ITY OF CAI MEL ITY OF CARME
400 W 131ST 4O W 131ST
O
|�ARMEL, IN 46074 | |�ARMEL, IN
5802-85035 2O7O 1O/11/2O STREET DEPT TOM CHARGE
GD2 24S7SR16 T -IRM 4 4 249.43 149.66 0.00 S98.614 J/N
WW(NGLER SILEN . 4JR
WARRANTY DISCLAI MER:The rnanufacturer's warrarAX,if my,constitutes the only Ith—rM to the sale of all=I SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A p3T.1CWR PUR OSE.Seller does not ze any person to grant my warranty or asturne any liability by Seller.
D PAY THIS
14i. 17 AMOUNT CH A R
CASHREFUND
Customer Name
Customer Phone # ( )
Customer Mailing Address _. ...
Original Cash Sale .Invoice #
Customer's Signature
Counterpro's Signature
Counterpro's #
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets,
'
WRIQUEST
�N� � R & T AUTO SUPPLY, INC PAGE 1
����
—=�— 516 S MAIN STREET REF# 8992O
AUTO PARTS S . ERIDAN, IN 46069
(317 ) 8-4456
75
SERVING A WORLD IN MOTION ' ! !
5802-85036 20 7O
`
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQocm STORE FOR DETAILS or THIS COAST m COAST GUARANTEE.
CARMEL TY OF CARMEL
131ST OO W 131ST
F'040-0-11W
���L� IN 46O74 | �ARMEL, IN'
58O2-85O36 _P(j 10/11/2O STREET DEPT TOM CHARGE
'TIRE DISPOSAL
ALIGNMENT
LABOR BALL JOIN1
LA BOR' ARM
WARRANTY DISCLAIMER:The mnufacturees warrant XJjlj�q 1111111ulas the only witirr.?with respect to the sale of all goods..SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT OR FITNESS FOR A PARTIC LAR PUR OSE.Seller does not authorize any person to graxit my warranty or assume my liability by Seller.
. .CASH, RE.IFUNID
Customer Name
Customer Phone # ( )
Customer Mailing Address f
Original Cash Sale Invoice # _
Customer's Signature —
Counterpro's Signature — I
Coiinterpro's'#
Manager's Initials
This is a company policy to help verify cash refunds and thus safeguard our assets.
i
WRQUEST
R & T AUTO SUPPLY, INC PAGE 2
516 S MAIN STREET RE[,'-"# 89920
AUTO PARTS SHERIDAN. IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ' I !
58O2-85O36 2070
`
ANY PART RETURNED ronCnconMmnos^000wmw/soo,r*wnsos/rc SEE mmouEST STORE FOR DETAILS op THIS COAST TO COAST aoAn^wrss.
F CARMEL I T OF CARM
131ST OO W 131ST
��ARMEL, IN 46O74 | r�4
RMEL, IN� '—~' '
58O2-85O36 �O7O 1O/11/2O STREET DEPT
LIU
FRICTION RDY CALIPER CORE RETURN OR"[G -1f,11V 8E502- 6
199-8 CHEVROLET kf.2500 5. 7L 35-j C'3101 V8 'GAr3)
WARRANTY DISCLAI MER:The mnufacturees mrraj,If my,constitutes the nlyp—,.VL7!th—�-t to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR R PUR OSE Seller does not authorize any person to grant my warrmly or assume my liability by Soller.
V86.OIL)
AMOUNT
:.CASH REFUND
Customer Name
Customer Phone # ( )
Customer Mailing- Address ` r
Original Cash Sale Invoice # _
..Customer's Signature
Couriterpro's Sigilat:ure
Counterpro's # : . ....
Manager's•lnitials- . . ..
. .........
This is,a company policy.to help verify cash refunds and thus safeguard our assets.
CARQUEST
R & T AUTO SUPPLY, INC PAGE 3
imp 516 S MAIN STREET REF# 8992O
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION � ! !
5802-85036 20 7O
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED o,THIS RECEIPT. SEE o»nooEST STORE FOR DETAILS op THIS uo^oTro COAST suxn^wrss.
ITY OF CARMEL TY OF CARMEL
4OO W 131ST OO W 131ST
�CARMEL, IN 46O74 | F�4
RME L, IN 46 7�
Uef[�PqRRDEMI TERM
5802-85036 2070 10 —1 .1220 STREET DEPT
2 92.49 531-49 0.00 102.98 J/N
hiALL JOINT LOWER
IDLER ARM BRAD"ET
FICH 445-1045 7) 1? 4,7F IN
PITMAN ARM ASSEMBLY
WARRANTY DISCLAI ER:The rnanufacturer's It We 1.11 goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
at 1
INCLUDING ANY IMPMUED WARRANTY OF MER.. Tx..i"L FITNESS FOR T R PURM21Et-Shell does not author m any person to grant any warranty or assume any liability by Sailer.
0.00 986.88
AMOUNT CHAR
am
.:.CASH RXFUND::.
Customer Name
Customer Phone # ( }
Customer Mailing Address '
Original Cash Sale Invoice #.
Customer's SigTnature
Counterpro's 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
$1,586.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 5802-85035 42-320.00 $599.64 1 hereby certify that the attached invoice(s), or
2201 5802-85036 42-370.00 $986.88 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
,`'Thursday`, October 18, 2012
U0
Street Commissioner
Street ugn miss Ion er
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))
10/11/12 5802-85035 $599.64
10/11/12 5802-85036 $986.88
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