HomeMy WebLinkAbout226790 12/03/2013 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: $192.00
SHERIDAN IN 46069
„a CHECK NUMBER: 226790
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-104526 192 . 00 TIRES & TUBES
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ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
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WARRANTY DISCLAIMER:The manufacturer'sraj,if any,constitutes the 0 a to the-ale of all goods. HEREBY EYPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
rr "M authorize any person to grant any warranty or assume any liability by Seller.
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR WPAF1`,,CJ!RhPLR BE.Seller does not
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'3'� 0 PAY THIS 4
AMOUNT
I
CASH REFUND
Customer Name
Customer Phone # ( )
Customer Nailing 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
$192.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 5802-104526 I 42-320.001 $192.00 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
uesda , ov 3
Sit @t bq i i �JR&rer
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))
11/22113 5802-104526 $192.00
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