HomeMy WebLinkAbout257818 04/26/16 / \ CITY OF CARMEL, INDIANA VENDOR: 00350350
® 3;• ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $""""•240.00•
,� CARMEL, INDIANA 46032 PO BOX 116067 CHECK NUMBER: 257818
''��TpN�°' ATLANTA GA 30368-6067 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 2622675633 240.00 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO.
ALLOWED 20
AUTOZONEINC
PO BOX 116067 IN SUM OF $
ATLANTA, GA 30368-6067
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
2622675633 I 42-390.11 I $240.00 1 hereby certify that the attached invoice(s), or
1120 101
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
Thursday, April 14, 2016
V4AVD-
David
Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
"escribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
,voice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/01/16 I 2622675633 I I $240.00
1120 101
I 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
law a
Page:1 of 1
1445 S RANGE LINE
CARMEL, IN 46032
317 843-9705
Customer Information Order Information
CARMEL FIRE INVOICE NUMBER. . 2622675633
2 CIVIC SQUARE COMM SPECIALIST. Unknown
CARMEL, IN 46032 ORDER DATE. . . . . . 04/01/2016
PHONE. . . . . .317 571-2600 QUOTE DELIVERY. .
PO NUMBER. .
Items
Sugg.
Qty Sku Description List Cost Core Amount
60 690875 7133 OIL ABS 448 FULLER EARTH 15.52 4.00 0.00 240.00
No vehicle info given for the above items
MSDS can be ordered upon request
*1 CERTIFY THAT I HAVE RECEIVED THE PART(S) Payment Appry Amount
LISTED ABOVE.
aaav 10340610570 AKRZAL 240 . 00
i/7lf 26226756330�1a6S
262267563320160401C
IIIIII VIII VIII ILII VIII VIII VIII
1111111111111111111 INSubtotal 240 . 00
Tax 0 .00
Total 240 . 00
*The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Agreement as amended from time to time.