223165 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC
CARMEL, INDIANA 46032 516 S MAIN ST CHECK AMOUNT: $74.50
SHERIDAN IN 46069
CHECK NUMBER: 223165
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-97371 30 . 00 TIRES & TUBES
2201 4232000 5802-98025 22 . 00 TIRES & TUBES
2201 4232000 5802-99184 22 . 50 TIRES & TUBES
WORST
IR & ':T AC14 'b` L PPL_v, INC PAGE . 1
AUTO PARTS SFIERIDAN, ' IN' 40069
.(317 )� 56-44S6
1
SERVING A WORLD IN MOT'IOI%4 1 ' I
58 02-97371 2070 .
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
Iry or" r�a�arlEL_ . S Y Or"' CARME.LW
L I
{. 4400 W 1:31 ST `0 kl 1;31`'T
TARMEL., IN 46074- �-5F?MEL_, IN 46074.
INVOICE NO. CUSTOMER NO.
DATE
371.' 7 o o T_)M -H �RGE i `� J3 EI :E . �ms
.
i4 t MFG.PART NUMBER ORDERED n o o• o
.;
I`=,- DISPOSAL 1. 1;w? 4. 17 �'`. SG� 0..00 3U.G�t} N '!\I
u,.
TIRE DISPOSAL
i� rrty p
WARRANTY INCLUDING DISCLAIMER:The manufacturer's CHANTyBILITY OR 'he A PARTICULAR PURPOSE.Seller does alt euthorize any pHEREBY EXPRESSLY 1 a anty a IaMssume any liability by WARRANTIES, EXPRESSED OR IMPLIED,
ht INCLUDING ANV IMPLIED WARRANTY OF MERCHANiA
1-"
" L—' U'A�)U 3T—t ;L ,'r'
0o
30.00
a M
50.04 PAY THIS =�()..D i�7
,°.10 25 Al l 91i "u, ' (n� AMOUNT ,Ct?IAN
C - r
C'A,S .RE.> U '
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 conipany_p-gticy to hetp.veril:y cash refunds and thus safeguard our assets.
ORQUEST
AUTO SUPPLY, INC PAGE 1
S16 S MAIN STREET REF# 1O4288
�
AUTO PARTS SHERIDAN, IN 46,069
�
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
| 58O2-98O25 2O7O
�
|
�
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE oARuUEST STORE FOR DETAILS o,THIS COAST m COAST GUARANTEE.
FB TYL Y OF CARM L OO W 131ST O W 131ST RMEL, IN 46O74 | �ARMEL, IN 4
O13 582-98O25 7O BRIA CHARGE
� ` Wap -1
WARRANTY DISCLAIMER:Th.—fw—r.—mat
r,X,11 Ih. -Et.s- r....f -ER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT SILTY IT ES.,.R A ART A PU-NOS zeanypmontogrmtwywwrantyor�umomyllablllty bySeller.
.CASH R EFUNID
Customer Name. --
Customer Phone
!T`
tu r.1I1 s e.r a i t i n` Address .--.__--; __—_-------------- -----------___-_�
Original Wash Sate Invoice. #
U�'k i 11 S
-- ----------------------- -- --------- — -----
counte.rpro's ff
Managers Initials .---__---------_____ __�
('his k a �:otnpan\ policy to [tell) verify cash refums and thus safeguard our astiets.
CaR UST
qlp .0 R & T AUTO SUPPLY. INC PAGE 1
516 S MAIN STREET REFU 105611
AUTO PARTS SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION! ! !
2070
5602-99184
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
BITY OF CARMEL 5 TY OF CARMEL
400 W 131ST 00 W 131ST
ARMEL. IN 46074 �RMEL, IN 46074
5802-99184 2070 8/7/2013 PRIA CHARGE
IS DISPOSAL 9 9 4. 17 2.50 0.00 22.56 �/N
IRE DISPOSAL
WARR D18CLA1►�A: ere was tl, ,OarngW the W*Y wwenh MN�eeoMY b� Ooa not u�rthwlrEeeY Dencn g%lt wy8 rw*y1MM�eume.rrY�tlD'h'eY1n. EXPRESSED�R IMPIfEO.
INCW Wb 0'0AwED MER"OR f7 gg F(n A pAR n lM POKE •
• • efoRtMilli
0.00 0.00 22.50
37 .53 PAY THIS 22.50
a AMOUNT CHAR
n�.c7 LAM
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))
07/03/13 5802-97371 $30.00
07/16/13 5802-98025 $22.00
08/07/13 5802-99184 $22.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$74.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-97371 42-320.00 $30.00 1 hereby certify that the attached invoice(s), or
2201 5802-98025 42-320.00 $22.00 bill(s) is (are) true and correct and that the
2201 5802-99184 42-320.00 $22.50
materials or services itemized thereon for
which charge is made were ordered and
received except
F 3
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund