HomeMy WebLinkAbout227473 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY,INC
CHECK AMOUNT: $10,000.12
CARMEL, INDIANA 46032 516 S MAIN ST
SHERIDAN IN 46069 CHECK NUMBER: 227473
CHECK DATE: 12117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-105276 10, 000 . 12 TIRES & TUBES
ORQUEST
& T AUTO SUPPLY, INC p AGE 1
516 S MAIN STREET 1127O8
AUTO PARTS SHERIDAN, ZN 46069
(317 ) 758-4456
SERVING A WORLD I MOTION � ! �
58O2-1O5276 2070
ANY pkn RETURNED FOR CREDIT wuroc*000u"Am'soa,THIS RECEIPT SEE CARGUEST STORE FOP,DETAILS op THIS COAST-onomSTou^amroE.
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PAY THIS I 000C
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VOUCHER NO. WARRANT NO.
ALLOWED 20
R & T Auto Supply
IN SUM OF $
516 S. Main Street
Sheridan, IN 46069
$10,000.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT r Board Members
T
2201 I 5802-105276 I 42-320.001 $10,000.12 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
Frid , De e J b, r 013
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))
12/10/13 5802-105276 $10,000.12
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