248713 08/26/15 ♦ ,,C4Ngr
r . CITY OF CARMEL, INDIANA VENDOR: 00350350
ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $**.....299.96*
?a CARMEL, INDIANA 46032 Po BOX 116067 CHECK NUMBER: 248713
uH�, ATLANTA GA 30368-6067 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 2622461009 299.96 BUILDING MATERIAL
. 01=�
=BY:-
CARMEL,
Page: 1 of 1 1445 S RANGE LI IN 46032
317 846-1274
Customer Information Order Information
CARMEL CLAY PARKS REC INVOICE NUMBER. . 2622461009
1411 E 116th Street COMM SPECIALIST. BRISCOE, BRIAN J
CARMEL, IN 46032- ORDER DATE. . . . . . 8/19/2015 9 : 51a
PHONE. . . . . . 317 573-4026 QUOTE DELIVERY. . 08/19/2015 03 : 01p
PO NUMBER. . MIKE
Items
Sugg.
Qty Sku Description List Cost Core Amount
4 072022 3030 R134A FREON CYLIND 259.98 129.99 0.00 519.96
R-134a Refrigerant 30 lb Cylinder
NO VEHICLE GIVEN For The Above Items
Save on R134a 220.00-
NO VEHICLE GIVEN For The Above Items
I
MSDS can be ordered upon request
Payment Appry Amount
1148 061057 0 A4MMBT 299 . 96
2622461009081915C
Subtotal 299 . 96
Tax 0 . 00
Total 299 . 96
*The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Aareement.as amended from time to time.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00350350 Auto Zone Terms
1445 S Rangeline
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/19/15 2622461009 Refrigerant gas 38978 $ 299.96
Total $ 299.96
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
00350350 Auto Zone Allowed 20
1445 S Rangeline
Carmel, IN 46032
In Sum of$
$ 299.96
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1093 2622461009 4235000 $ 299.96 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
August 20, 2015
Signature
$ 299.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund