183191 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE
CARMEL, INDIANA 46032 Po sox 116067 CHECK AMOUNT: $41.94
ATLANTA GA 30368 -6067 CHECK NUMBER: 183191
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622439432 41.94 TRANSPORTATION EXPENS
111111111111111 OF fu)
FA FA V//"A
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
Open Item Statement
Bill to: 4637 1 MB 0.382 Statement Date: 03/03/2010
CARMEL WASTEWATER 191 4637
Statement 579
760 3rd Ave SW
Carmel IN 46032 -2072 Amount Due $13.00
If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385
It you are not paying the tutt amount of your statement, place an V 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: CARMEL WASTEWATER 516020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032 -2072
10/01/2009 PayOnAcct OA- 2622060042 10/01/2009 177528WO112 -28.94 -28.94
02/17/2010 Invoice 2622439432 03/19/2010 41.94 41.94
Total for CARMEL WAST WATER 13.00
Current and Future Items PAST DUE ITEMS
Future Current 1-30 31 60 61-90 91-120 121-180 Over 180
$0.00 $41.94 $0.00 $0.00 $0.00 $0.00 ($28.94) $0.00
To avoid suspension of your account, please pay any past due items upon receipt. I"
Reminder. Please include your Customer Id and st
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622439432 03
760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE...... 2/17/2010 9:13a
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 02 /17/2010 09:43a
PO NUMBER..
Items
Sugg.
Qty Sku Description Last Cost Core Amount
6 526558 7727 GUMOUT REGANE FUEL 13.98 6.99 0.00 41.94
Gumout Regane Fuel System Cleaner
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Payment Appry Amount
6180 201057 0 APBB79 41.94
A
2622439432021710C
Subtotal 41.94
Tax 0.00
Total 41.94
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.
I
VOUCHER 105092" WARRANT ALLOWED
E,
352242 :�V! IN SUM OF
Lr i
AZ COMMERCIAL (Auto Zone)
PO BOX 7� 1
Baltimore —M.D 21- 2-7-9�1409—
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622439432 01- 7500 -02 $41.94
Voucher Total $41.94
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts c 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
AZ COMMERCIAL (Auto Zone) Purchase Order No.
PO BOX 791409 Terms
Baltimore, MD 21279 -1409 Due Date 3/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/12/2010 2622439432 $41.94
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
Date Officer