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Home My WebLink About202041 09/27/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $16.99 ATLANTA GA 30368 -6067 CHECK NUMBER: 202041 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2622991720 16.99 OTHER EXPENSES Page 1 of 1 Customer ID: 359080 AutoZone, Inc. P.O. Box 11.6067 Atlanta, CA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement Bill to: 3444 1 AS 0.368 Statement Date: 09/02/2011 CARMEL WATER DISTRIBUTION 21/ 3444 Statement 972 Ste 110 760 3rd Ave SW Amount Due $16.99 Carmel IN 46032 -2070 If you have questions about your account, please call Accounts Receivable Specialist 8661208 -3385 *It 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 I Amount Due Advice* Amount Account: C ARMEL WATEF DISTR BUTICN 359080 760 3RD AVE. SW STE 1710 CARMEL N 46032 08/04/2011 Invoice 2622991720 09/03/2011 16.99 16.99 Total for CARMEL WATER DISTRIBUTION 16.99 Current and Future Items PAST DUE ITEMS Future Current 1 -30 31 -60 61-90 91-120 121-180 Over 180 $0.00 $16.99 $0.00 $0.00 $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. Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622991720 02 3450 W 131ST STREET COMM SPECIALIST.LEGG, DOUG WESTFIELD, IN 46074- ORDER DATE...... 8/04/2011 1:45p PHONE...... 317 733 2855 QUOTE DELIVERY.. 08 /04/2011 02:15p PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1 418829 SW -121 FORD LEATHER SWC 33.98 16.99 0.00 16.99 Pilot Ford Slip On Steering Wheel Cover NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items 0..f q r .l w, Payment Appry Amount 3590 801057 0 AJDEJP 16.99 l 2622991720080411C Subtotal 16.99 Tax 0.00 Total 16.99 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 112498 WARRANT ALLOWED 352242 IN SUM OF AUTOZONE PO BOX 116067 on ERan ATLANTA, GA 30368 -6067 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1 2622991720 01- 6500 -04 $16.99 Voucher Total $16.99 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 AUTOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 9/21/2011 ATLANTA, GA 30368 -6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/21/2011 2622991720 $1 6.99 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