180734 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
`0 ONE CIVIC SQUARE AUTOZONE
i CHECK AMOUNT: $99.94
CARMEL INDIAN 46032 PO Box 116067
"oM `o. ATLANTA GA 30368 -6067 CHECK NUMBER: 180734
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622323717 79.95 TRANSPORTATION EXPENS
651 5023990 2622334475 19.99 7500.08
Dec 16 2009 9:32 CARMEL WFITER p.1
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Sox 116067
Atlanta, GA 30368 -6067
Phone: (866) 208.3385
F Open item Statement
I1I11IIIIU II111111111111111111111111111I11 IIIIIII1I11111
Bill to: 4421 1 MB 0.382 Statement Date: 12103)2009
CARMEL WATER DISTRIBUTION 181 4421 Statement 553
Ste 110
760 3rd Ave SW Amount Due $142.92
Carmel IN 46032 -2070
It you have questions about your account, please call Accounts Receivable Specialist 8661208 3385
"ifyou are q yingsheff !I am ount o yoiir tatement. pJace_an "X: lnihe. 'LamttAdvlce'°_columtt, for the itemsyouu.are
paying and return a copy of your statement with your payment.
1 Date Type Remit Invoice PO Number Due Date Document Invoice Amount Due
Advice` Amount
Account: C• L WATES DIETR:BUTION 359080 760 3RD AJE. SW STE 110 CARMEL ;N 46032
10/05/2009 Invoice Apt 2622309578 TRUCK 138 11/04/2009 42.98 42.98
10/19/2009 Invoice {?(1 2622323717 11/18/2009 79.95 79.95
10/30/2009 Invoice 2622334475 11/29/2009 19.99 19.99
Total for CAFIMEL WATER DISTRIBUTION 142.92
I i
Current and Future Items PAST DUE ITEMS
Future Current 1 30 31-60 1 61 -90 91-120 121 -180 Over 180
$0.00 $0.00 $142.92 $0.00 $0.00 $0.00 $0.00 $0.00
To avoid suspension of your account, please pay past due Items upon receipt.
Reminder: Please include your Customer Id and statement number on your check.
Notice: All disputes must be submitted In writing within 30 days of the statement date.
tiro dipnel
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622323717 09
130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 10/19/2009 9:44a
PHONE 317 571 -2648 QUOTE DELIVERY..10 /19/2009 10:14a
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 031693 34DT -DLG DURALAST GOLD 159.90 79.95 12.00 91.95
CD -1 031693 34DT -DLG DURALAST GOLD 0.00 0.00 12.00 12.00
Duralast Gold Battery
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Core(s) Deferred Due Within 3 Days
Thank you for your business! Payment Appry Amount
3590 801057 0 AFA7W6 79.95
2622323717101909C Subtotal 79.95
Tax 0.00
1111111111 111
Total 79.95
AZC Savings -10.04
MSDS can be ordered upon request
*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.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622334475 05
130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 10/30/2009 1:44p
PHONE 317 571 -2648 QUOTE DELIVERY..10 /30/2009 02:14p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 184186 AZ2102CLR 2PC VINYL MAT 39.98 19.99 0.00 19.99
AutoZone Clear Clear Vinyl Floor Mat Set
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Thank you for your business! Payment Appry Amount
3590 801057 0 A1T543 19.99
2622334475103009C Subtotal 19.99
Tax 0.00
Total 19.99
111111111 MSDS can be ordered upon request
`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.
VOUCHER 096978 WARRANT ALLOWED Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER t.
352242 IN SUM OF CITY OF CARMEL
AZ COMMERCIAL (Auto Zone)
P ?a t:I:bO 67 An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
G. f 3 1 0 3 1 price per unit, etc.
Payee
Carmel Wastewater Utility 352242
ON ACCOUNT OF APPROPRIATION FOR AZ COMMERCIAL (Auto Zone) Purchase Order No.
PO BOX 791409 Terms
Baltimore, MD 21279 -1409 Due Date 12/16/2009
Board members
Invoice Invoice Description
PO INV ACCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
12/16/20M 2622334475 $19.99
2622334475 01- 7500 -08 $19.99
1.(v22.137:3 11 01.1 560. 71.95
C t 139
Voucher Total 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
Cost distribution ledger classification if
claim paid under vehicle highway fund ,L VLF ✓YL��
Date Officer