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HomeMy WebLinkAbout216849 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