190179 09/29/2010 G, CITY OF CARMEL, INDIANA VENDOR: 3620$3 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $51.64
CARMEL, INDIANA 46032 PO BOX 116067
ATLANTA GA 3036MO67 CHECK NUMBER: 190179
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622632073 19.98 OTHER EXPENSES
601 5023990 2622637478 31.66 OTHER EXPENSES
M WA FA FZ///A 04 V4 dr4 VA ff'. 4 r
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208-3385
11 Open Item Statement
Bill to: 5195 1 MB 0.382 Statement Date: 09/07/2010
CARMEL WATER DISTRIBUTION 221 5195
Ste 110 Statement 675
760 3rd Ave SW Amount Due $51.64
Carmel IN 46032 -2070
If you have questions about your account, please call A/R Specialist 866/208 -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
paying and return a copy of your statement with your payment.
Date Type Remit Invoice PO Number Due Date Document Invoice Amount Due
Advice* Amount
Account: CARMEL WATEP DI IBUTION 359080 760 3RD AVE. SW STE 110 CARMEL IN 46032
08/19/2010 Invoice 2622632073 09/18/2010 19.98 19.98
08/24/2010 Invoice 1 2622637478 09/23/2010 31.66 31.66
Total for CARMEL WATE DISTRIBUTION 51.64
Current and Future Items PAST DUE ITEMS
Future Current 1 -30 31 -60 61-90 91-120 121-180 Over 180
$0.00 $51.64 $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 ld and statement number on your check.
!Notice: All disputes must be submitted in writing within 30 days of the statement date.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622637478 03
3450 W 131ST STREET COMM SPECIALIST.SIMMERMAN, CHARLES
WESTFIELD, IN 46074- ORDER DATE...... 8/24/2010 1:40p
PHONE 317 733 -2855 QUOTE DELIVERY.. 08 /24/2010 02:09p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
8 004954 65126 FUEL -EMT HOSE 1/ 2.38 1.19 0.00 9.52
Goodyear 1/4" Fuel Line
1 052464 17524 EXH CONNECTOR 1 -7 5.98 2.99 0.00 2.99
3A Racing 1 7/8" ID Exhaust Connector
2 061524 17703 ELBOW 11.98 5.99 0.00 11.98
3A Racing 2" ID x 2" OD 90 Deg Elbow Exhaust Pipe
3 401414 17124 EXHAUST CLAMP 2" 4.78 2.39 0.00 7.17
3A Racing 2" Exhaust Clamp
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
r
Payment Appry Amount
3590 801057 0 AHA9ES 31.66
2622637478082410C
Subtotal 31.66
Tax 0.00
Total 31.66
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
Aoreement. as amended from time to time.
IFER/Aff G
10M 6PUZ000
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622632073 01
3450 W 131ST STREET COMM SPECIALIST.PRAHL, TONY
WESTFIELD, IN 46074- ORDER DATE...... 8/19/2010 11:59a
PHONE...... 317 733 -2855 QUOTE DELIVERY.. 08 /19/2010 12:29p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
2 143545 47355 7 RV RND TO 4 FLA 19.98 9.99 0.00 19.98
Hopkins 7 RV Blade To 6 Wire Flat Adapter
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Payment Appry Amount
7 3590 801057 0 A5YSYT 19.98
2622632073081910C
Subtotal 19.98
Tax 0.00
Total 19.98
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.
VOUCHER 102818 WARRANT ALLOWED
352242' IN SUM OF
AUTOZONE
PO BOX 116067
PO BOX 6717 a
ATLANTA, GA 30368
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
y
PO INV ACCT AMOUNT Audit Trail Code
2622632073 01- 6200 -06 $19.98
0 (0 3 Lti 3
o1. baCm b4 66
Voucher Total 51,
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 9/20/2010
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2010 2622632073 $19.98
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
Date Offi