218596 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
`. ONE CIVIC SQUARE R&T AUTO SUPPLY,INC CHECK AMOUNT: $641.46
ro CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 218596
CHECK DATE: 3/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-91802 217 . 32 TIRES & TUBES
2201 4232000 5802-91961 424 . 14 TIRES & TUBES
ORQUEST
e R & T AUTO SUPPLY, INC PAGE 1
'
Aor 516 S MAIN STREET REF# 9, 265
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-91961 2070
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED o,THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS c°THIS COAST TO COAST GUARANTEE.
V TY OF CARMEL TV OF CARMEL
V 0 I-
W 131ST OO W 131ST
K�ARMEL, IN 46074 | CARMEL, IN 46074
—11 AT
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5802-91961 2070 3/18/201
235/80R1' 2 0-181
2A�RA HON RADIAL
1ARATHON RADIAL
F.
WARRANTY DISCLAI MER:The mnufacturees war .�Rnstitutw the o "Pregec.tEto the sale of all=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANT ES,EITHER EXPRESSED OR IMPUED,
-INCLUDING ANY IMPU ED WARRANTY OF MERCH BI FITNESS FORTPAR"T'IftZR U 0 .Seller does not ze arty person to grant my warrarty or assurne-my-flabilitylby Seller.--
AMOUNT
1
CAS 11'R11JIl',U1 V ...
Customer Name
Customer Phone # ( )
Customer Mailing Address
Original Cash Sale Invoice #.
: . Customer's Signature
Counterhro's Signature
Counterpro's #
Manager's Initials
This is a company policy to help verify, cash refunds and thus safeguard our assets.
WRIQUEST '
� R & T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 97095
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-91802 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT SEE CARQUEST STORE FOR DETAILS OF THIS COAST mCOAST GUARANTEE.
ITY OF CARMEL TY OF CARME
400 W 131ST 00 W 131ST
GARMEL, IN 46O74 | OARMEL, IN 4
| v ~
5802-91802 2070 ' 3/14/201
WARRANTY DISCLAIMER:The mnufacturees arra on itutes the only warrant a sale of all=,SELLER HEREBY ENIPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
m on
with respcit to
INCLUDING ANY IMPLIED WARRANTY OF MERCHA I NESS FOR A PARTIC LAR PUR OSE.Seller does not ze any person to grant my warranty or assume my liability by Seller.
Ek
PAY THIS
AMOUNT CHAR
02-: 11 PM
C A-R EF-U-ND. -
Customer Name
Customer Phone # ( )
Customer Mailing Addtess
Original Cash Sale,Invoice #
Customers Signature -
Counterpro's Signature
Counterpro's #
N/lava<aer's Initials
This is a company policy to help verify cash refunds and thiis safeguard our assets.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$641.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-91802 42-320.00 $217.32 1 hereby certify that the attached invoice(s), or
2201 5802-91961 42-320.00 $424.14 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
ThfWsda arch 21, 2013 AgA
Stree�Commissi ner
street ommissloner
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))
03/14/13 5802-91802 $217.32
03/18/13 5802-91961 $424.14
I 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