HomeMy WebLinkAbout189826 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1
ONE CIVIC SQUARE WILLIAM HOHLT
CARMEL, INDIANA 46032 CHECK AMOUNT: $16.18
C/0 DOCS
C/O ROCS CHECK NUMBER: 189826
CHECK DATE: 9/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 16.18 AUTO REPAIR MAINTEN
Auti Z ne 2622
1445 S RANGE LI
CARMEL, IN
(317) 843 -9705
4258987 BG -1A 1,19
AGS
Bulb Grease, 0.14 OZ
WRNTY RFND 1- 1/14,99
*862724 H11 14.99 -P
H11
Sylvania H alosen Bulb, EA
URN RFND 1- 1/1.19
*258987 BG -1A 1,19 -P
AGS
Bulb Grease, 0.14 OZ
.1723174 H13 19.99
1113
Sylvania Halosen Bulb, EA
SUBTOTAL 0.00
TOTAL 0.00
REG 401 C'R�461 RECEIPT 4249551
STRZ TRANS #651528
STORE #2622
0IniTE. 09/07/201 0 09:14
OF_ 1TF_ SOLD 2
jkk(rl NI 6 S WAS r
W( o y
IIIIIII VIIIIII IIIII VIII IIIIIIIII III I IIIIIIIIIIIIII VIIIVIII III II
*2622.65152809 J71*
Tale a curve`/ fr�r c i
cl lance I o win $10000
at www,.autozoriecares.com
No Purchase necessary. Ends 11/30/10
Sub.iect to full official rules
at www.autozonecares.com
Ref No
2622--651528-100907-1
of cus8um one and its
of ilia s r al kf w9one accepts
the fiWWng IDs fbr rnurtw.' ..anadian or Mexican
Driver's U US.S= I Comdlan Province ID, U.S.
Military ID,9zd=nVo= ReglsBeatlon Carl, Mexice''n
MatdculaC m kv QV4 ftwpm% US. Laser Visa.
AUTOZME RESERVESTHE RIGHTTO LIMIT
RETURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
Return an Its In Itsorrginal condition and packaging,
with recelpt,trthln SO days of the purchase date to
request a rGlurti0sW rm a dshcdva Item within the
warmr4pzftd R €qu=fw nlunds maybe denied
if the Itern has been ux-d or Installed.
AutoZw* nz wua dght W require a valid
goverrtri t zd pn= ID fear all returns that will be
recordeS at thz ftr l of the return. Information from
your ID Al k* =Ind In a compwy -Ade database
of customer Wum ccdit that AutoZone and its
affiliates use to authors returns. AutoZone accepts
the follov ng IDs fof returns: US, Canadian or Mexican
D~s Ucense,US.State ID, Canadian Province ID, U.S.
Military ID,Mexlcan Voter Registration Card, Mexican
Matricula Consular Card, Passport, U.S. Laser Visa.
AUTOZONE RESERVES THE RIGHTTQ 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 refu&L Return a d. Item within the
warrantypeded. Requemfw"ndsmay.bedenied
if the item has been used or instilled.
AutoZone rmrves the right to require a valid
governn=42mad p ID for a01 returns that will be
recofdc-d sJ'it f� rr 2 a? r ff InkmWon from
your OD r L.2 vG�C-� h a database
of c m 7 Krum cwt Ads n^� and its
aff -Ql m w a *turns. AutoZone accepts
thefal M4Ws w "ms:US
Drivers 0S.SIQ,Carzdlan Province ID, U.S.
Military la o. VoW R-BIstration Card, Mexican
Matricula Cewullar Card, art, US. Laser Visa.
AUTOZME RESERVESTHE RIGHTTO LIMIT
RETURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
Return an Item In its original condition and packaging,
with receip%, A tltln 4A days of the purchase date to
request a mjurtd.Return a defective item within the
warranty paiad. Requests for refunds may be denied
if the Item has been used or installed.
AuWZone rmrv2S the right to require a valid
go y t4i,e,d. ID for all returns that will be
recoWizO &Z &,2 tVM CAM r+etuin.. Information from
your ID Al b3 I" a company cle database
.f custw= ern f that AutoZone and its
VOUCHER NO. WARRANT NO. i
ALLOWED 20
Wiiliani Hohlt
IN SUM OF
c/o G'ne Civic Square
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 43- 510.00 -$44-99— 1 hereby certify that the attached invoice(s), or
I
f GID bill(s) is (are) true and correct and that the
i
materials or services itemized thereon for
which charge is made were ordered and
received except
1�
Monday, September 13, 2010
I
hector, CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund f
is
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))
09/07/10 Halogen Bulb $14.99
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
20
Clerk Treasurer