202917 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO Box 116067 CHECK AMOUNT: $369.10
ATLANTA GA 30368 -6067
CHECK NUMBER: 202917
CHECK DATE: 10125/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622036919 43.14 OTHER EXPENSES
1207 4237000 262203985900 149.99 REPAIR PARTS
1207 4237000 262203986600 164.99 REPAIR PARTS
651 5023990 2622053115 139.99 OTHER EXPENSES
1207 4237000 262207960501 200.97 REPAIR PARTS
i° INFA Aff 0 O
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.. 2622079605 01
12120 BROOKSHIRE PKWY COMM SPECIALIST. LEATHERWOOD, KEVIN
CARMEL, IN 46033- ORDER DATE...... 10/21/2011 7:41a
PHONE 317 846 -7431 QUOTE DELIVERY.. 10 /21/2011 09:Ila
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
2 369511 10020 FUEL TREATMENT 5. 11.98 5.99 0.00 11.98
Lucas Complete Fuel Treatment
NO VEHICLE GIVEN For The Above Items
1 999396 T1260 BATTRY 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 AAH3C7 200.97
2622079605102111C
Subtotal 200.97
Tax 0.00
Total 200.97
'The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Aoreement. as amended from time to time.
111111
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.. 2622039859 00
12120 BROOKSHIRE PKWY COMM SPECIALIST. LEATHERWOOD, KEVIN
CARMEL, IN 46033- ORDER DATE...... 9/15/2011 12:44p
PHONE...... 317 846 -7431 QUOTE DELIVERY.. 09 /15/2011 01:13p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 193550 DL9999S REMAN DURALAST 299.98 149.99 32.00 181.99
CD -1 193550 DL9999S REMAN DURALAST 0.00 0.00 32.00 32.00
Duralast Reman Starter
The Above Items Belong To 2001 Chevrolet Truck Silverado law 00
The Above Items Belong To 2001 Chevrolet Truck Silverado dam V
Core(s) Deferred Due Within 3 Days
MSDS can be ordered upon request
Payment Appry Amount
A7F4M3 149.99
26220398590915110
Subtotal 149.99
Tax 0.00
Total 149.99
`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.
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.. 2622039866 00
12120 BROOKSHIRE PKWY COMM SPECIALIST. Unknown
CARMEL, IN 46033 -3314 ORDER DATE 9 /15/2011 12:47p
PHONE 317 846 -7431 QUOTE DELIVERY..
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
Purchase Invoice Number: 2622039767
UR -1 600638 DL9954S DURALAST STARTER 329.98 164.99 0.00 164.99
Duralast Starter
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
MSDS can be ordered upon request
Payment Appry Amount
7245 331055 0 ABPHAM 164.99
2622039866091511C
Subtotal 164.99
Tax 0.00
Total 164.99
'The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Agreement. 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))
09/15/11 2622039866 00 Starter ($164.9
09/15/11 2622039859 00 Starter $149.9
10/21/11 2622079605 01 Battery $200.9
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
1207 2622039866 00 42- 370.00 ($164.99) 1 hereby certify that the attached invoice(s), or
1207 2622039859 00 42- 370.00 $149.99 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1207 2622079605 01 42- 370.00 $200.97
which charge is made were ordered and
received except
Friday, October 21, 2011
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
III 11111 11 Open Item Statement
Bill to: 3501 1 AB 0.368 Statement Date: 10/06/2011
CARMEL WASTEWATER 21/ 3501
A Statement 989
Accounts Payable
760 3rd Ave SW Amount Due $165.49
Carmel IN 46032 -2072
If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385
if you 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 Amount Due
Advice *I Amount
Account: CARMEL WASTEWATER 618020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032 -2072
01/24/2011 Return 1 3188725358 02/23/2011 -48.00 -48.00
07/29/2011 Invoice 11 2622984900 DARRYL 08/28/2011 30.36 30.36
09/12/2011 Invoice 2622036919 RANDY 10/12/2011 43.14 43.14
09/27/2011 Invoice [J1 2622053115 SHOP 10/27/2011 139.99 139.99
Total for CARMEL WASTEWATER 165.49
Current and Future Items PAST DUE ITEMS
Future Current 1 -30 31 -60 61-90 91-120 121-180 Over 180
$0.00 $183.13 $0.00 $30.36 $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.
Ff/// //ri�oZ ®�0®
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622036919 03
760 3RD AVE SW COMM SPECIALIST. LEATHERWOOD, KEVIN
CARMEL, IN 46032- ORDER DATE...... 9/12/2011 2:31p
PHONE...... 317 571 2443 QUOTE DELIVERY.. 09 /12/2011 03:01p
PO NUMBER..RANDY
Items
Sugg.
Qty Sku Description List Cost Core Amount
6 861188 DLW -20 DURALAST WINTER B 14.38 7.19 0.00 43.14
Duralast Winter 20" Wiper Blade
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
I
MSDS can be ordered upon request
Payment Appry Amount
6180 201057 0 AXYYB2 43.14
2622036919091211C
Subtotal 43.14
Tax 0.00
Total 43.14
AZC Savings -16.80
`The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Agreement. as amended from time to time.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622053115 00
760 3RD AVE SW COMM SPECIALIST. SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE...... 9/27/2011 8:59a
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 09 /27/2011 09:29a
PO NUMBER..SHOP
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 298922 T83002Z 3T GARAGE JACK 279.98 139.99 0.00 139.99
Duralast 3 Ton Capacity Hydraulic Floor Jack
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
MSDS can be ordered upon request
Payment Appry Amount
6180 201057 0 ASWNTW 139.99
f 0`
2 C
Subtotal 139.99
Tax 0.00
Total 139.99
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 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 10/19/2011
Invoice Invoice DescrVion
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/201' 2622053115 $139.99
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 D
Date Officer
VOUCHER 116070 WARRANT ALLOWED
352242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
PO BOX 791409
Baltimore, MD 21279 -1409
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622053115 01- 7500 -02 $139.99
�622.036a�9 y2,.i`I
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund