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188720 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $8.60 ATLANTA GA 30368 -6067 CHECK NUMBER: 188720 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 2622587381 8.60 REPAIR PARTS s MIE 6 Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL POLICE DEPARTMENT INVOICE NUMBER.. 2622587381 06 3 CIVIC SQ COMM SPECIALIST.LEATHERWOOD, KEVIN CARMEL, IN 46032 ORDER DATE 7 /08/2010 1:40p PHONE 317 571 2500 QUOTE DELIVERY.. 07 /08/2010 02:10p PO NUMBER..SHOP Items Sugg. Qty Sku Description List Cost Core Amount 2 401414 17124 EXHAUST CLAMP 2" 3.82 1.91 0.00 3.82 3A Racing 2" Exhaust Clamp 1 402107 17504 EXH CONNECTOR 2 I 4.78 2.39 0.00 2.39 3A Racing 2" TD Exhaust Connector 1 710675 00103 MUFF WELD EXHST R 4.78 2.39 0.00 2.39 Versa Chem Muffler Weld Exhaust System Repair NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items Payment Appry Amount 3305 591057 0 AR42YL 8.60 2622587381070810C Subtotal 8.60 Tax 0.00 Total 8.60 AZC Savings -2.86 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. 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 Autozone Purchase Order No. P.O. Box 116067 Terms Atlanta, GA 30368 -6067 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/8/10 2622587381 payment for repair parts 8.60 a s Total 3 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 Au Zone, Inc. IN SUM OF P.Q. Box 116067 Atlanta, GA 30368 -6067 a 8.60 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members P09 or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 2622587381 370 8.60 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 August 11 20 10 Oft Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund