185647 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $11.99
ATLANTA GA 3036&6067
CHECK NUMBER: 185647
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 26225184147 11.99 OTHER EXPENSES
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
Open Item Statement
Bill to: 4633 1 MB 0.382 Statement Date: 2010 -05 -07
CARMEL WATER DISTRIBUTION 19/4633
Ste 190 Statement 599
760 3rd Ave SW Amount Due $11.99
Carmel IN 46032 -2070
If you have questions about your account, please call Accounts Receivable Specialist 8661208 -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
and return a co
paying py of your statement with
Date Type Remit Invoice PO Number I Due Date Document Invoice Amount Due
Advice* i t
Amount
Account: CARMEL WATEF DISTR BUTION 359080 760 3RD A E. SW STE 1 0 CARMEL IN 46032
05/03/2010 Invoice 2622518417 06/02/2010 11.99 11.99
Total for CARMEL WATER DISTRIBUTION 11.99
Current and Future Items PAST DUE ITEMS
Future Current 1-30 31 -60 61 -90 91-120 121-180 Over 180
$0.00 $11.99 $0.00 $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.
F RIA000AZONO�
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622518417 09
3450 W 131ST STREET COMM SPECIALIST.SIMMERMAN, CHARLES
WESTFIELD, IN 46074 ORDER DATE 5 /03/2010 3:09p
PHONE...... 317 733 -2855 QUOTE DELIVERY.. 05 /03/2010 03:39p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 441667 25219 FAST ORANGE CLNR 23.98 11.99 0.00 11.99
Fast Orange Pumice Hand Cleaner
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Payment Appry Amount
3590 801057 0 A7HGRZ 11.99
2622518417050310C
Subtotal 11.99
Tax 0.00
Total 11.99
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
Aareement. as amended from time to time.
VUUCHER 101699 V4ARRANT ALLOWED
362242 IN SUM OF
AUTOZONE
PO BOX 116067
PO BOX 6717
ATLANTA, GA 30368 -6067
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622518417 01- 6200 -06 $11.99
Voucher Total $11.99
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
AUTOZONE Purchase Order No.
PO BOX 116067 Terms
PO BOX 6717 Due Date 5/20/2010
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5120/2010 2622518417 $11.99
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
Z1, 41
Date ffi r