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183723 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $49.99 CARMEL, INDIANA 46032 Po Box 116067 ATLANTA GA 3036MG67 CHECK NUMBER: 183723 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 2622468295 49.99 REPAIR PARTS Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL POLICE DEPARTMENT INVOICE NUMBER.. 2622468295 08 3 CIVIC SQ COMM SPECIALIST.SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE...... 3/17/2010 5:33p PHONE...... 317 571 --2500 QUOTE DELIVERY.. 03 /17/2010 06:03p PO NUMBER. .CAR63 Items Sugg. Qty Sku Description List Cost Core Amount 1 837903 94843 VENTVISOR 4PC 99.98 49.99 0.00 49.99 Auto Ventshade Vent Wind Deflector NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items Payment Appry Amount 3305 591057 0 ACPXBB 49.99 2622468295031710C Subtotal 49.99 Tax 0.00 Total 49.99 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. Prescribed by State Board of Accounts City Form No. 205 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER T CITY OF CARMEL An invoice or 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 AutoZone Purchase Order No. 1445 S Rangeline Road Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/17/10 2622468295 payment for window visors 49.99 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. 20 Clerk- Treasurer VOt 1CHER NO. WARRANT NO. ALLOWED 20 Auto Zone IN SUM OF 49.99 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Pow or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 2622468295 370 49.99 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 March 24 2 0 1.0 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund