202041 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