214410 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC CHECK AMOUNT: $1,256.78
t?o CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 214410
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 5802-85851 1, 256 . 78 REPAIR PARTS
O~~ ~
lope R & T AUTO SUPPLY, INC PAGE
516 S MAIN STREET REF# 9O756
AUTO ����� �� SHERIDAN IN 46069
,
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-85851 2O7D
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ov THIS RECEIPT SEE c^vuosm STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
Fir Y OF CARMEL IY OF CARMEL
OO W 131ST 4OO W 131ST
RMEL, IN 46O74 | ��ARMEL, IN 46O74
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58O2-85851 2O7O 1O/3O/2O TOM CHARGE
WARRANTY DISCLAIMER:The mnufacturers warraj,if my,conatitutes the only—7 with respct to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPUED
IT
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BIUTY OR FITNESS FOR A PARTIC LAR FUR OSE.Seller does not authorUe any person to grant any warranty or assurne my liability by Seller.
22 11 04 PAY THIS 125b.
CASH-REFUND.-
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 verily cash refunds and thus safeguard 6ur'assets.
'
WRIQUEST
� R & T AUTO SUPPLY, INC PAGE 2
vi , 516 S MAIN STREET REF# 90756
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-85851 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST mCOAST GUARANTEE.
TY OF CARMEL OF CARM O W 131ST O W 131ST
MEL, IN 46O74 | � MEL, IN
- '
5802-85851 2070 10/30/20 TOM CHARGE
THIS TICKET CONTAINS PARTS 01IR A:
2004 CHEVROLET SILWERAEO 2500 HD 6.OL 364 CID V8 GAS
--BALL JOINT UPPER
--HUB ASSEMBLY
PCH SOS-1363 2 99.99 S7 . 99 0.00 11S.98 N/N
BALL JOINT LOWER
E A rnarrufacturees wtarral,if any,-ralitut"the rAyp—ge thpUR OSEt.th goodos;,SELLER HEREBY EXPRESSLY DISCLAIMS WARRANTIES,,EITH.ER EXPRESSED OR IMPLIED,
INCLMNG IMPLI RANTY OF MERCHANT BIUTY OR FITNESS "rot el I wWwf nW.t auth ze any person to grant my warranty or assurne any[,.b'It,by
IT FOR ARTIC71R S do
CAS 'REFUND
Customer Name
Customer. Phone # ( 1
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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$1,256.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 5802-85851 1 42-370.001 $1,256.78 1 hereby certify that the attached invoice(s), or
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
l Thursday, No ember 01, 2012
Street Commissioner
r v
S reet Corn Title"Orl cr
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))
10/30/12 5802-85851 $1,256.78
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