HomeMy WebLinkAbout217325 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC
` 0 CARMEL, INDIANA 46032 CHECK AMOUNT: $22.00
516SMAINST
*un/ SHERIDAN IN 46069 CHECK NUMBER: 217325
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-69573 22 . 00 TIRES & TUBES
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AUTO PARTS
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
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INVOICE NO. CUSTOMER NO. DATE -
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PART NUMBER _ - I " I Ir I'_ r it I- �•I_•
ORDERED
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WARRANTY DISCLAIMER:The menuleaurere rerrty,If any,conetltutpffie only wanerpy with respect to the sale of ell goods;SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRAMIES,EITHER EXPRESSED OR IMPUED,
INCLUDfNG ANV IMPLIED WARRANTY OF MERCHANT, OR F6NES5 FOR A PARTICULAR PURPOSE.Seller close not authorize any person to grant any warranty or eaeurne any liability by Seller.
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PAY THIS
J— i, o f i r,.� AMOUNT �.. i
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))
01/22/13 5802-69573 $22.00
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
ith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$22.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 5802-69573 1 42-320.001 $22.00 1 hereby certify that the attached invoice(s), or
l 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 F br 08, 2013
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Street Commission
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Title
Cost distribution ledger classification if '
claim paid motor vehicle highway fund