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160751 06/25/2008
a CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $158.41 CARMEL, INDIANA 46032 Po eox 116067 ATLANTA GA 30368 -6067 CHECK NUMBER: 160751 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NU MBER INVOI NUM BER AMOUNT D ESCRIP TION 601 5023990 2622779193 8.96 OTHER EXPENSES 601 5023990 2622790972 2.99 OTHER EXPENSES 601 5023990 2622799349 39.98 OTHER EXPENSES 601 5023990 2622799724 49.98 OTHER EXPENSES 601 5023990 2622800241 46.90 OTHER EXPENSES 601 5023990 2622806006 9.60 OTHER EXPENSES I I Page 1 of 1 Customer ID: 359080 AutoZone, Inc. P.O. Box 116067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement Bill to: 4022 1 MB 0.369 Statement Date: 06/02/2008 CARMEL WATER DISTRIBUTION 17/ 4022 Statement 374 Ste 110 760 3rd Ave SW Amount Due $215.40 Carmel IN 46032 -2070 It you have questions about your account, please call Archie Williams 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 I Invoice PO Number Due Date Document Invoice I Amount Due Advice* Amount Account: CARMEL WATEF DISTRIBUTION 359080 760 3RD AVE. SW STE 110 CARMEL iN 46032 03/06/2008 Invoice 1 2622718387 04/05/2008 56.99 56.99 05/02/2008 Invoice If] 2622779193 06/01/2008 8.96 8.96 05/13/2008 Invoice [-r,] 2622790972 06/12/2008 2.99 2.99 05/21/2008 Invoice 2622799349 06/20/2008 39.98 39.98 05/21/2008 Invoice 2622799724 06/20/2008 49.98e 49.98 05/22/2008 Invoice 2622800241 06/21/2008 46.90 46.90 05/27/2008 Invoice 2622806006 06/26/2008 9.60 9.60 Total for CARMEL WATE DISTRIBUTION 215.40 Current and Future Items PAST DUE ITEMS Future Current 1 -30 31-60 61-90 91-120 121-180 Over 180 $0.00 $149.45 $8.96 $56.99 $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 Id and statement number on your check. Notice: All disputes must be submitted in writing within 30 days of the statement date. �1 i r N�j r J v hopro G ja r Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622799724 04 130 1ST AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE 5 /21/2008 3:02p PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /21/2008 03:31p PO NUMBER.. Items Sugg Qty Sku Description List Cost Core Amount 2 899642 21536 STARTER KIT 2 49.98 24.99 0.00 49.98 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: -11/'1 1 L tri�� i TC.1 Thank you for your business! Payment Appry Amount 3590 801057 0 ABYMJ3 49.98 Subtotal 49.98 Tax 0.00 Total 49.98 2622799724052108C MSDS can be ordered upon request r� 11 4 i r �1 V wr Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622799349 01 130 1ST AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE 5 /21/2008 11:01a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /21/2008 11:29a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 2 155977 AZ- 2102BLACK FM AZ 39.98 19.99 0.00 39.98 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: Thank you for your business! Payment Appry Amount 3590 801057 0 A3N3FG 39.98 Subtotal 39.98 Tax 0.00 Total 39.98 2622799349052108C MSDS can be ordered upon request Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622779193 02 130 1ST AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE 5 /02/2008 9:39a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /02/2008 10:08a PO NUMBER.. Items Sugg Qty Sku Description List Cost Core Amount 1 401430 17125 EXHAUST CLAM 3.98 1.99 0.00 1.99 1 401471 17127 EXHAUST CLAM 3.98 1.99 0.00 1.99 1 402107 17504 EXHAUST ADAP 4.98 2.49 0.00 2.49 1 402115 17505 EXHAUST ADAP 4.98 2.49 0.00 2.49 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE"RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: J t i Thank you for your business! Payment Appry Amount 3590 801057 0 ABA30J 8.96 Subtotal 8.96 Tax 0.00 Total 8.96 2622779193050208C MSDS can be ordered upon request Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622790972 06 130 1ST AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE 5 /13/2008 10:47a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /13/2008 11:17a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1721068 61104 RADIATOR DRA 5.98 2.99 0.00 2.99 NO VEHICLE GIVEN For The Above Items C-, v5 Pew W- A a-- 6©pt.0 P-4-5 1042— I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: Thank you for your business! Payment Appry Amount 3590 801057 0 ABSZ64 2.99 Subtotal 2.99 Tax 0.00 I I III IIII li I Total 2.99 2622790972051308C MSDS can be ordered upon request FIN I 'A Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622806006 00 130 1ST AVE SW COMM SPECIALIST. MITCHELL, GEOFFREY CARMEL, IN 46032- ORDER DATE...... 5/27/2008 2:28p PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /27/2008 02:58p PO NUMBER.. Items Qty Sku Description List Cost Core Amount 2 759805 DL -21 DURALAST WIPE 9.60 4.80 0.00 9.60 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: RECEIVF,� Y�.�s DATE —23 a PO# ACCT# 6 a USE Thank you for your business! Payment Appry Amount 3590 801057 0 A1LZG1 9.60 Subtotal 9.60 Tax 0.00 Total 9.60 AZC Savings -4.38 2622806006052708C MSDS can be ordered upon request fp,(7 Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622800241 05 130 1ST AVE SW COMM SPECIALIST. SCURRIA III, SAM CARMEL, IN 46032- ORDER DATE...... 5/22/2008 9:24a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /22/2008 09:48a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1 142482 986012 APPLICATOR 3.98 1.99 0.00 1.99 1 175027 5010602 TIRE SWIPE 4.58 2.29 0.00 2.29 1 231418 999000 BRASS TIP P 12.58 6.29 0.00 6.29 2 420636 22320 BLACK MAGIC 13.98 6.99 0.00 13.98 1 552026 T -241A TURTL POLIS 6.38 3.19 0.00 3.19 2 552729 555 WESTLEY BLECHE 7.18 3.59 0.00 7.18 2 897026 5072084 RAINX CAR W 11.98 5.99 0.00 11.98 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: RECEIVED DATE S-z3 -0d PO# ACCT# USE Thank you for your business! Payment Appry Amount 3590 801057 0 A43SSJ 46.90 Subtotal 46.90 Tax 0.00 Total 46.90 2622800241052208C MSDS can be ordered upon request .tl._,....:_�..._..,.�.�....d�._ -1� VOUCHER 082102 WARRANT ALLOWED 352242 �AER IN SUM OF ;AUTOZONE PO BOX- 116067 O PO BOX 6717 0 ATL ANTA, GA 30368 -60 §P'_ Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2622790972 01- 6200 -06 $2.99 Voucher Total C? l' 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, Y price per unit, etc. h Payee 352242 AUTOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 6/17/2008 ATLANTA, GA 30368 -6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/17/2008 2622790972 $2.99 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 Date Officer