181108 01/13/2010 e CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
k II d ONE CIVIC SQUARE AUTOZONE
z CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $42.98
.+p401 ?I ATLANTA GA 30368 -6067 CHECK NUMBER: 181108
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622309578 42.98 TRANSPORTATION EXPENS
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866} 208 -3385
Open Item Statement
11111111111111
Bill to: 4421 1 MB 0.382 Statement Date: 12/03/2009
CARMEL WATER DISTRIBUTION 18 4421 Statement 553
Ste 110
760 3rd Ave SW Amount Due $142.92
Carmel IN 46032 -2070
If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385
.Llf you are_not.paying the_ ful l amount_of an "X" in -the "Remit Advice" column for the items you are
paying and return a copy of your statement with your payment.
Date Type Remit Invoice PO Number Due Date Document Invoice Amount Due
Advice* Amount
Account: •ARMEL WATER DISTRIBUTION 359080 760 3RD AVE. SW STE 1 0 CARMEL IN 46032
10/05/2009 Invoice [A 2622309578 TRUCK 138 11/04/2009 42.98 42.98
10/19/2009 Invoice 2622323717 11/18/2009 79.95 79.95
10/30/2009 Invoice 2622334475 11/29/2009 19.99 19.99
Total for CARMEL WATER DISTRIBUTION 142.92
Current and Future Items PAST DUE ITEMS
Future Current 1 30 31 60 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 any 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.
"WM WittOZEIPAe
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
I
Customer Information Order Information
CARMELHWATER DISTRIBUTION, INVOICE NUMBER.. 2622309578 04
130 1ST AVE SW "'L .i COMM SPECIALIST. SIMMERMAN CHARLES
CARMEL IN 46 0 3 2 ORDER DATE 10/05/2009 3:19p
PHO '3 17571. 2 6 4 8 QUOTE DELIVERY.. 10/05/2009 03:49p
PNE erNITMBER..TROCk138 ,!..w, ....mA;4;skxigai'406'
.oAnlii;k4f.
Items qr'.',:! ,r,' 'qggir.'
Sugg.
r
Qty Sku Description 'List Cost Core Amount
1 024363 GY63027BLK, GY 2PC RUBBE 59.9&: 29.99 0.00
2
Goodyear Black Rubber Floor Mat Set
1 835255 33386-8 CTR „CONSOLE ORG 25.98 12.99 0.00 12.99
Bell Seat Console 40'
e
NONEE For ICLE GIVEN F T Above Ttems
NO VEHICLE GIVEN For The Above Items
e'
H 9 99
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Thank you for' youir
*1::: iNi'..:, 3 5 9 0 8 01 0 5 7 0 AUA8 A4 42.98
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262309578100509C a 1 Subtotal 42.98
Tax 0.00 1.1
-7
1
Total
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4 2 9 8 4 7
MSDS can be ordered upon request
*The signature above acknowledges customers agreement tobe;b:"Arit 5* in the AutoZone Commercial Customer Charge Account Aareement. as amended from time to time. 1 ':''•,:i#'at
.:.]:44ark L:,:all1 iel1 itRgi1 tV;6,;,c..,;.,...64,:;:',1.....;
VOUCHER 093922 WARRANT ALLOWED
352242 IN SUM OF
AUTOZON E0,r
PO BOX 116067 4((\ Z
PO BOX 6717
ATLANTA, GA 30368 -6067
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622309578 01- 6500 -04 $42.98
Voucher Total $42.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
009
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352242
AUTOZONE Purchase Order No.
PO BOX 116067 Terms
PO BOX 6717 Due Date 12/16/2009
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/16/2004 2622309578 $42.98
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
)7.43/ 1� V �n i
Date Officer