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156965 03/05/2008 a CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CARMEL, INDIANA 46032 PO BOX 791409 CHECK AMOUNT: $40.95 o BALTIMORE MD 21279 -1409 CHECK NUMBER: 156965 CHECK DATE: 3/5/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2622687851 40.95 TRANSPORTATION EXPENS V �i�o oi�►� Page 1 of 1 Customer ID: 618020 AutoZone, Inc. P.O. Box 791409 Balance Forward Statement Baltimore, Maryland 21279 -1409 Phone: (866) 208 -3385 Statement Date: 02/14/2008 Statement Number: 340 Bill To: CARMEL WASTEWATER Statement Due Date: 03/06/2008 ACCOUNTS PAYABLE 760 3RD AVE SW Balance Due on Last Statement $66.62 CARMEL, IN 46032 -2072 Less: Payments $0.00 Balance Forward $66.62 Current Month Transactions $40.95 Total Balance Due $107.57 CURRENT ACTIVITY I Data Type Invoice PO Amourd I 02/05/2008 Invoice 2622687851 40.95 r We appreciate your business. If you have questions, please call Marvin Williams 866/208 -3385 To avoid suspension of your account, please pay any past due items upon receipt. Notice:.-All disputes must be submitted in writinu 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 WASTEWATER INVOICE NUMBER.. 2622687851 03 760 3RD AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE 2 /05/2008 2:02p PHONE...... 317 571 -2443 QUOTE DELIVERY.. 02 /05/2008 02:31p PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 2 018620 85634 FLEX TUBE 5.98 2.99 0.00 5.98 1 308403 85776R PRMRY WIRE# 25.98 12.99 0.00 12.99 1 308585 85778B PRMRY WIRE# 25.98 12.99 0.00 12.99 1 486791 1034 -A REAMER PLUG 17.98 8.99 0.00 8.99 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: r-4 s Thank you for your business! 1 Payment Appry Amount 6180 201055 0 AZ6XHS 40.95 Subtotal 40.95 111111111I IIIII IIIII IN III Tax 0.00 IIIIIIIII 1111 III Total 40.95 2622687851020508C MSDS can be ordered upon request VOI.ICHER 077399 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 26226878510 01- 7500 -02 $40.95 c, Voucher Total $40.95 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 2/25/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/25/2008 2622687851( $40.95 hereby certify that the attached invoice(s), or bill(s) is (are) true and s ;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer