223618 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $109.85
ro CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 223618
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 5802-99552 109 . 85 GARAGE & MOTOR SUPPIE
OR EST
R it T AUTO SUPPLY, IN-C" PAGE 1
516 S MAIN STREET REF# 106032
AUTO PARTS SHERIDAN IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
58O2-99552 2O7O
ANY PART RETURNED FOR CREDIT MUST os ACCOMPANIED e,THIS RECEIPT SEE oAnuoEST STORE FOR DETAILS op THIS COAST TO COAST GUARANTEE.
[P�[.TY OF C ARMEL TY OF CARMEL W 131ST OO W 131ST
EL, IN 46O74 | �ARMEL IN 46O74
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58O2-99552 2O7O O8/15/13 � / BRIA CHARGE
35 00 N
_7LUSIJ-1 TRANSMISSION
WARRANTY DISCLAI MER:The mnufacturers warrant "IyPZ" lth re;ect to the sale of all goods,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
rrX,If my,constitutes the o
INCLUDING ANY IMPLIED WARRANTY OF MERCHANT BILITY OR FITNESS FOR A TICTIR PUR OSE.Sailor do.not-thorl-any person to grant any warranty or assume my liability by Sailer.
13 PAY THIS
AMOUNT -4AR
Customer Name
Customer Phone # ( j
Customer Mailing Address
Original 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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$109.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 5802-99552 I 42-321.001 $109.85 1 hereby certify that the attached invoice(s), or
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
rid ugust 23, 2013
4
Str et Commiss�oner
Street 5ommla�si�ner
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))
08/15/13 5802-99552 $109.85
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