HomeMy WebLinkAbout202040 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $30.36
ATLANTA GA 30368 -6067
CHECK NUMBER: 202040
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622984900 30.36 2622984900
AX M"A a-
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067 Q
Phone: (866) 208 -3385
Open Item Statement
Bill to: 3448 1 AB 0.368 Statement Date: 09/02/2011 �L
CARMEL WASTEWATER 21/ 3448
Accounts Payable Statement 972
760 3rd Ave SW Amount Due ($17.64) �,Qq
Carmel IN 46032 -2072 v
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If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385 Y
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 WASTEWATER i18020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032 -2072
01/24/2011 Return V) 3188725358 02/23/2011 -48.00 -48.00
07/29/2011 Invoice 2622984900 DARRYL 08/28/2011 30.36 30.36
Total for CARMEL WAST WATER -17.64
Current and Future Items PAST DUE ITEMS
Future Current 1-30 31-60 61-90 91 -120 121-180 Over 180
$0.00 $0.00 $30.36 $0.00 $0.00 $0.00 $0.00 ($48.00)
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.
Page:1 of 1
1445 S RANGE LINE
CARMEL, IN 46032
317 843 -9705
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622984900
760 3RD AVE SW COMM SPECIALIST. Unknown
CARMEL, IN 46032 ORDER DATE 07/29/2011
PHONE 317 571 -2443 QUOTE DELIVERY..
PO NUMBER.. DARRYL
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 369511 10020 FUEL TREATMENT 5 2502 9.58 4.79 0.00 4.79
1 491877 2012 BULK -18M 5 -50 PSI GAUGE -BULK 3.18 1.59 0.00 1.59
1 977874 19333 5 PC COUPLER PLUG 11.98 5.99 0.00 5.99
1 977878 19341 GARAGE STYLE INFLATOR 35.98 17.99 0.00 17.99
No vehicle info given for the above items
Payment A pP
Pa ry Amount
61802010570 AJCD7F 30.36
.262298494007291,iS
Subtotal 30.36
III II VIII VIII IIII VIII VIII VIII IIII VIII VIII IIII IIII Tax 0.00 Total 30.36 6
262298490020110729C MSDS can be ordered upon request
VOUCHER 115926 WARRANT ALLOWED
352242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622984900 01- 7500 -02 $30.36
Voucher Total $30.36
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 9/26/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/26/2011 2622984900 $30.36
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