197079 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO Box 116067 CHECK AMOUNT: $59.55
ATLANTA GA 30368 -6067
CHECK NUMBER: 197079
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 2622875681 59.55 REPAIR PARTS
I �00Z 9 229�e
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL CLAY PARKS REC INVOICE NUMBER.. 2622875681 09
1411 E 116th Street COMM SPECIALIST. MITCHELL,, GREGORY B
CARMEL, IN 46032- ORDER DATE ......4 /18/2011 1:32p
PHONE...... 317 573 -4026 QUOTE DELIVERY.. 04/18 /2011 02:02p
PO NUMBER..MONONVANS
Items
Qty Sku Description Lis Cost Core Amount
1 165375 921LL LONG LIFE MINI 7.98 3.99 0.00 3.99
Sylvania Long Life Bulb
4 758545 40728 MICRO EDGE WIPER B 25.58 12.79 0.00 51.16
Bosch Micro Edge 28" Wiper Blade
1 759806 DL -22 DURALAST WIPER BLA 8.80 4.40 0.00 4.40
Duralast 22" Wiper Blade
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Purchaft v
Descript ►Z f l�f 11u
P.O.# PorF
rm
'L MFR 2 2 2011
�ne I.
Purchaser Date
BY: Approval Date
Payment Appry Amount
114.8 061057 0 AWC26A 63.72
2622875681041811C
Subtotal 59.55
Tax 4.1
7/
Total 63/.72
f
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.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Auto Zone Terms
1445 S Rangeline
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4118111 2622875681 parts for MCC mini van 59.55
Total 59.55
1 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 OFV Auto Zone lik Allowed 20
In Sum of
59.55
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2622875681 4237000 59.55 I hereby certify that the attached invoice(s), or
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
4 -May 2011
L&-
Signature
59.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund