184675 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $19.99
s t� CARMEL, INDIANA 46032 Po Box 116067
ATLANTA GA 3036 &6067 CHECK NUMBER: 184675
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622461626 19.99 TRANSPORTATION EXPENS
V A
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
11111111111111 1111 11 1 Open Item Statement
Bill to: 4833 1 MB 0.382 Statement Date: 04/06/2010
CARMEL WASTEWATER 201 4833
760 3rd Ave SW Statement 587
Carmel IN 46032 -2072 Amount Due ($8.95)
If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385
If you are not paying the full amount of your statement, place an "X" in the "Remit Advice" column for the items you are
in and-rreturn a co of our statement "with our a ment.
paying PY' Y Y PY
Date Type Remit I Invoice PO Number Due Date Document Invoice Amount Due
Advice *I Amount
Account: ARMEL WASTEWATER 318020 ACCOUNTS PAYABLE 760 3RD AVE W CARMEL IN 46032 -2072
10/01/2009 PayOnAcct OA- 2622060042 10/01/2009 17752BW0112 -28.94 -28.94
02/17/2010 Invoice 2622439432 03/19/2010 41.94 41.94
03/22/2010 PayOnAcct OA- WO88840322 03/22/2010 183191W1289 -41.94 -41.94
03/11/2010 Invoice 2622461626 TRUCK 11 04/10/2010 19.99 19.99
Total for CARMEL WAST WATER -8.95
Current and Future Items PAST DUE ITEMS
Future Current 1 -30 31-60 61-90 91-120 121-180 Over 180
$0.00 $19.99 $0.00 $0.00 $0.00 $0.00 $0.00 ($28.94)
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.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622461626 07
760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 3 /11/2010 3:04p
PHONE 317 571 -2443 QUOTE DELIVERY.. 03 /11/2010 03:34p
PO NUMBER..TRUCK 11
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 428519 51582 LOOK REPLCMNT MIR 39.98 19.99 0.00 19.99
Look! Pre -Cut Replacement Mirror Glass
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
r j Payment Appry Amount
6180 201057 0 AT56FU 19.99
2622461626031110C
Subtotal 19.99
Tax 0.00
Total 19.99
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.
VOUCHER 105300 WARRANT ALLOWED
_4
352242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
PO BOX 791409
Baltimore, MD 21279 -1409
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622461626 01- 7500 -02 $19.99
Voucher Total $19.99
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
AZ COMMERCIAL (Auto Zone) Purchase Order Flo..
PO BOX 791409 Terms
Baltimore, MD 21279 -1409 Due Date 4/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2010 2622461626 $19.99
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
i
Date Officer