216849 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC
is 0 CHECK AMOUNT: $644.62
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 216849
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-88934 156 . 78 TIRES & TUBES
2201 4232000 5802-89367 487 . 84 TIRES & TUBES
OR m
AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 9414O
AUTO PARTS SHERIDAN, IN 46O69
' (317 > 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-89367 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED ov THIS RECEIPT SEE Cwuuen STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
[—b4i'l-Y OF CAR MEL Y OF CARMEL O W 131ST OW MEL IN 46O74 | �ARMEL, IN 46O74| r
58O2-89367 2O7O 1/17/2O1 BRIA CHARGE
WARRANTY DISCLAIMER:The rpartufacrturees warrantX.if my,constituts,;the only warrant
,jl with respct to the sale of all goods.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,ETHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A PARTIC LAR FUR OSE.Sell.,do.not authorize any person to grant my warranty or assurne any liability by SGIaL
`
CASH REIFUND:..
Customer Name
Customer Phone # { )
Customer Mailing Address
066nal 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.
��� T AUTO SUPPLY, INC PAGE 1
����
���� 516 S MAIN STREET REF# 94O82
AUTO PARTS SHERIDAN, IN 46O69
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-88934 20 7O
ANY PART RETURNED FOR CREDIT MUST as ACCOMPANIED o,THIS RECEIPT SEE o^nuosyr STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
ITY OF CARMEL TY OF CARMEL
4OO W 131ST OO W 131ST
QARMEL, IN 46O74 | CARMEL, IN 46(}74
|^ | | «
. '
S8O2-88934 2O7O O1/O8/13 TOM CHARGE
PX
WARRANTY DISCLAI MER:Th.--tat—es—I,If any,co.irtlftites the orAdyp"rr.7L�Rithpres of to the-a]-of all=.SELLER HEREBY E(PRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPUED,
IT ARTIC
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BIUTY OR FITNESS FOR URROSE.Seller d..not rize any person to grant any warranty or w.rne any liability by Sellor.
AMOUNT
CASH REFUND '
Customer Name
Customer Phone # ( )
Customer Mailing Address
Original Cash Sale Invoice #..
Customer's Signature
Counterpro's Signature
Counterpro's #
Manager's Initials
t
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
$644.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
2201 5802-88934 42-320.00 $156.78 1 hereby certify that the attached invoice(s), or
2201 5802-89367 42-320.00 $487.84 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
Friday,.January 25, 2013
Street Commissioner
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))
01/08/13 5802-88934 $156.78
01/17/13 5802-89367 $487.84
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