HomeMy WebLinkAbout202464 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
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CARMEL, INDIANA 46032 Po eox 116067 CHECK AMOUNT: $188.99
ATLANTA GA 30368 -6067 CHECK NUMBER: 202464
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 262205617608 188.99 EQUIPMENT REPAIRS M
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Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
BROOKSHIRE GOLF CLUB CITY OF INVOICE NUMBER.. 2622056176 08
12120 BROOKSHIRE PKWY COMM SPECIALIST. LEATHERWOOD, KEVIN
CARMEL, IN 46033- ORDER DATE...... 9/30/2011 8:27a
PHONE...... 317 846 7431 QUOTE DELIVERY.. 09 /30/2011 09:55a
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 999396 T1260 T1260 376.10 188.99 0.00 188.99
Misc OSB SKU
The Above Items Belong To 1999 Acura CL
The Above Items Belong To 1999 Acura CL
MSDS can be ordered upon request
Payment Appry Amount
7245 331055 0 A4NNFC 188.99
2622056176093011C
Subtotal 188.99
Tax 0.00
Total 188.99
`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.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/30/11 j 2622056176 08 Repair Parts $188.9
1 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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AutoZone
IN SUM OF
1445 S. Range Line
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1207 2622056176 08 43- 500.00 $188.99 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, October 10, 2011
Director, Brookshire Ulf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund