HomeMy WebLinkAbout227863 1/9/2014 CITY OF CARMEL, INDIANA VENDOR: 00350579 Page 1 of 1
ONE CIVIC SQUARE R&T AUTO SUPPLY, INC CHECK AMOUNT: $470.80
CARMEL, INDIANA 46032 516 S MAIN ST
*a '� SHERIDAN IN 46069 CHECK NUMBER: 227863
CHECK DATE: 1/9/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-105345 75 . 00 TIRES & TUBES
2201 4232000 5802-105674 395 . 80 TIRES & TUBES
i
CARQUEST
T AUTO SUPPLY, INC PAGE 1
516 S MAIN STREET REF# 112797
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^^~ ^~~ `~ SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-105345 2070
ANY PART RETURNED FOR CREDIT MUST esACCOMPANIED ovTHIS RECEIPT SEE mmuvESTSTORE FOR DETAILS npTHIS COAST TO COAST GUARANTEE.
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CITY OF CARMEL ��ITY OF CARMEL
L34OO W 131ST --]400 W 131ST
_|�CAqMEL, IN 46074 ] _ | ��ARMEL.,_ IN 46074
58O2-1O5345 2070 1211/2O i RIA � CHARGE
-t-TI-R- E- --D-- ISPOSAL
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WARRANTY DISCLAI ER:Th.rmn.fact—r`8 war conatituta tho only warra with rosretEto th wo of ail=,SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDIN ANY IMPLIED WARRANTY OF MERCHZrT TY OR FITNES FOR A PARTIC LARPUR .Selleer dom not 0 any porson to grant wy warrmpy or tussume wy liability by Seller.
PAY THIS
125.00 7S.00
0,—;)-0 7 P M 3k,-, AMOUNT CHAR
CASH.. RIEIFUNID
Customer blame
Customer Phone # ( )
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.
ORQUEST
T AUTO SUPPLY, INC PAGE 1
AUTO ����� 516 S MAIN STREET REF# 113167
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^~ ^^^`~ SHERIDAN, IN 46069
(317 ) 758-4456
SERVING A WORLD IN MOTION ! ! !
5802-1O5674 2O70
CASK REFUND
Customer Mame
Customer Phone # ( )
Customer bailing 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
$470.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board MemberE
2201 5802-105345 j 42-320.00 $75.00 1 hereby certify that the attached invoice(s), or
2201 5802-105674 42-320.00 $395.80 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
Tuesday, De ber 31, 201:
n
Street Commissio er
RtrP.Pt C nmmiccinngr
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))
12/26/13 5802-105345 $75.00
12/26/13 5802-105674 $395.80
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