188087 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364481 Page 1 of 1
ONE CIVIC SQUARE TREVOR RENFORTH
0 t CHECK AMOUNT: $26.98
CARMEL, INDIANA 46032
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 26.98 REPAIR PARTS
RutoZone 2622
1445 S RANGE LI
CARMEL, IN
(317) 843 -9705
Y.
#862 Hll 14,99:p
Hll
Sylvania Halogen Bulb, EA
0862124 Hll 14.99 "'P
H11
Sylvania Halogen Bulb, EA
SUBTOTAL 29, 98"
Courtesy DISCOUNT; 10.00%
DISCOUNT AMOUNT 3.
DISCOUNTED SUBTOTAL M 26.98
TOTAL TAX 7,000%
TOTAL a 28.87
XXXXXXXXXXXX8887
APPROVAL 042816
REG #12 CSR #02 RECEIPT #018769'
STR. TRANS #569129
STORE #2622
DATE 06/20/2010 16;28
OF ITEMS SOLD 2
1111 I ill lil II I Illi II II III I Illli l VIII I.��I
262256 129062.01'0
Take a survey for a
chance to win $10000
at www.autozonecares.'com
No purchase necessary, `Eiids 08/91w/10
Subject to full official rulesl
at viow au tozoneca res coil
1
Ref No;
2622 569129 100620 -4
rfty period. Requests for refunds may be denied
F P P i p r 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.
FOOD/)° rl6�% 0
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.
00 0 2
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.
Auto& oe 1eSLI VCS thF• r cjht 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.
r 'T7/717H///)_. S�
Prescribgd 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
Trevor M. Renforth Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/20/10 reimburse Officer Trevor Renforth for headlights 26.98
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
T revor M. Renforth
IN SUM OF
26.98
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), O r
1110 370 26.98;' bill is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
July 13 20 10
Si gq nature
C£�ief of Police
Title
Cast distribution ledger classification if
claim paid motor vehicle highway fund