HomeMy WebLinkAbout190180 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
0 ONE CIVIC SQUARE AUTOZONE
CARMEL, INDIANA 46032 PO Box 116067 CHECK AMOUNT: $5.49
ATLANTA GA 30368 -6067 CHECK NUMBER: 190180
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622628886 5.49 7500.08
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
Open Item Statement
Bill to: 5199 1 MB 0.382 Statement Date: 09/07/2010
CARMEL WASTEWATER 2215199
760 3rd Ave SW Statement 675
Carmel IN 46032 -2072 Amount Due ($23.45)
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*I Amount
Account: CARMEL WASTEWATER 618020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032 -2072
10/01/2009 PayOnAcct (a(] OA- 2622060042 10/01/2009 177528WO112 -28.94 -28.94
08/16/2010 Invoice 2622628886 09/15/2010 5.49 5.49
Total for CARMEL WAST WATER -23.45
Current and Future Items PAST DUE ITEMS
Future Current 1-30 31 60 61-90 91-120 121-180 Over 180
$0.00 $5.49 $0.00 $0.00 $0.00 $0.00 $0.00 ($28.94)
To avoid suspension of your account, please pay any past due items upon receipt.
Reminder: Please include your Customer Id and statement number on your check.
Notice: All disputes must be submitted in writing within 30 days of the statement date.
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1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622628886 06
760 3RD AVE SW COMM SPECIALIST. HALL, THEODORE M
CARMEL, IN 46032- ORDER DATE...... 8/16/2010 11:14a
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 08 /16/2010 11:44a
PO NUMBER..
Items
Sugg
Qty Sku Description List Cost Core Amount
1 467273 4157LL LONG LIFE BULB 10.98 5.49 0.00 5.49
Sylvania Long Life Bulb
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Payment Appry Amount
6180 201057 0 ACADDA 5.49
2628886081610C
Subtotal 5.49
Tax 0.00
Total 5.49
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 106211 WARRANT ALLOWED
352242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
PO BOX 791409
Baltimore, MD 21279 -1409
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622628886 01- 7500 -08 $5.49
Voucher Total $5.49
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
AZ COMMERCIAL (Auto Zone) Purchase Order No.
PO BOX 791409 Terms
Baltimore, MD 21279 -1409 Due Date 9/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2010 2622628886 $5.49
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 Officer