186743 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352853 Page 1 of 1
ONE CIVIC SQUARE JIM BLANCHARD
0 CHECK AMOUNT: $6.68
%a CARMEL, INDIANA 46032 cio oocs
oN .�o CARMEL IN 46032 CHECK NUMBER: 186743
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 6.68 AUTO REPAIR MAINTEN
A,+ 2 6 22
1116 S R8N6E O
CHVHEL. IN
(317) 843-9705
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TOTAL TAX 7
TOTAL 7,16
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Return an item in its original condition and packaging,
with receipt, within 90 days of the purchase date to
request a refund. Return a defective item within the
warranty period. Requests for refunds may be denied
if the item has been used or installed.
AutoZone reserves the right to require a valid
government issued photo ID for all returns that will be
recorded at the time of the return. Information foom
your ID will be retained in a company -wide database
of customer return activity that AutoZone and its
affiliates use to authorize returns. AutoZone accepts
the following IDs for returns: U.S., Canada or Mexico
Driver's License, U.S. State ID, Canadian Province ID, U.S.
Military ID, Mexico Voter Registration Card, Mexican
Matricula Consular Card, Passport, U.S. Laser Visa.
AUTOZONE RESERVES THE RIGHTTO LIMIT
RETURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
�ZDO/T97�oZYo10G®
Return an item in its original condition and packaging,
with receipt, within 90 days of the purchase date to
request a refund. Return a defective item within the
warranty period. Requests for refunds may be denied
if the item has been used or installed.
AutoZone reserves the right to require a valid
government- issued photo ID for all retums that will be
recorded at the time of the return. Information from
your ID will be retained in a company -wide database
of customer return activity that AutoZone and its
affiliates use to authorize returns. AutoZone accepts
the following IDs for returns: U.S., Canada or Mexico
Driver's License, U.S. State ID, Canadian Province ID, U.S.
Military ID, Mexico Voter Registration Card, Mexican
Matricula Consular Card, Passport, U.S. Laser Visa.
AUTOZONE RESERVES THE RIGHTTO LIMIT
RETURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
Return an item in its original condition and packaging;
with receipt, within 90 days of the purchase date to
request a refund. Return a defective item within the
warranty period. Requests for refunds may be denied
if the item has been used or installed.
AutoZone reserves the right to require a valid
government- issued photo ID for all returns that will be
recorded at the time of the return. Information from
your ID will be retained in a company -wide database
of customer return activity that AutoZone and its
affiliates use to authorize returns. AutoZone accepts
the following IDs for returns: U.S., Canada or Mexico
Driver's License, U.S. State ID, Canadian Province ID, U.S.
Military ID, Mexico Voter Registration Card, Mexican
Matricula Consular Card, Passport, U.S. Laser Visa.
AUTOZONE RESERVES THE RIGHTTO LIMIT
RETURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
ti
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Blanchard
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
i
$6.68
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 562695 43- 510.00 $6.68 1 hereby certify that the attached invoice(s), or
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
Monday, June 21, 2010
f
Director, ecs
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/14/10 562695 New tail light $6.68
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