168347 02/04/2009 a CITY OF CARMEL, INDIANA VENDOR: 00352242 Page 1 of 1
ONE CIVIC SQUARE AZ COMMERCIAL CHECK AMOUNT: $47.95
CARMEL, INDIANA 46032 PO BOX 791409
BALTIMORE MD 21279 -1409 CHECK NUMBER: 168347
CHECK DATE: 2/4/2009
D EPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRI
651 5023990 2622007712 19.99 OTHER EXPENSES
651 5023990 2622016905 27.96 OTHER EXPENSES
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 791409 Balance Forward Statement
Baltimore, Maryland 21279 -1409
Phone: (866) 208 -3385
Statement Date: 01/15/2009
Statement Number: 449
Statement Due Date: 02/05/2009
4820 1 MB 0.369 Balance Due on Last Statement $36.44
Bill To: CARMEL WASTEWATER 21/4820 Payments $0.00 Less: Pa
Accounts Payable Y
760 3rd Ave SW Balance Forward $36.44
Carmel IN 46032 -2072 Current Month Transactions $47.95
Total Balance Due $84.39
CURRENT ACTIVITY
Date Type Invoice PO Number Amount
12/15/2008 Invoice 2622007712 19.99
12/23/2008 Invoice 2622016905 27.96
appreciate your business. If you have any questions, please call Accounts Receivable Specialist 866/208 -3385
NO suspension of your account, please pay any past due items upon receipt.
1 1 disputes must be submitted in writing within 30 days of the statement date.
li Ik
Page: 1 of 1
1445 S RANGE L I
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622016905 06
760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE...... 12/23/2008 1:40p
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 12 /23/2008 02:09p
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 040947 H6054XV XTRAVISION HEAD 17.98 8.99 0.00 8.99
1 120386 3362516B MAG PICK UP TO 5.98 2.99 0.00 2.99
1 561119 18043 BUNGEE CORD 28PC 19.98 9.99 0.00 9.99
1 830954 11063 MAGNETIC PICKUP TO 11.98 5.99 0.00 5.99
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY: I
Thank you for your business! Payment Appry Amount
6180 201055 0 ALH7J5 27.96
Subtotal 27.96
Tax 0.00
Total 27.96
2622016905122308C MSDS can be ordered upon request
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622007712 02
760 3RD AVE SW COMM SPECIALIST.PRAHL, TONY
CARMEL, IN 46032- ORDER DATE...... 12 /15/2008 9:20a
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 12 /15/2008 09:50a
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 246160 24066 MANUAL CHEV SILVE 39.98 19.99 0.00 19.99
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY:
Thank you for your business! Paym Appry Amo unt
6180 201055 0 AES601 19.99
Subtotal 19.99
Tax 0.00
II�II II l Total 19.99
I III! II�II�� 1
2622007712121508C MSDS Can be ordered upon request
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARiMEL
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 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/200 2622007712 $19.99
4
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date ffic
VOUCHER 087147 WARRANT ALLOWED
r
352242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
PO BOX 791409
Baltimore, MD 21279 -1409
Carmel Wastewater Utility
`JN ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622007712 01- 7500 -02 $19.99
��2aa'bq�S CIO ao2
Voucher Total vv�99
Cost distribution ledger classification if
claim paid under vehicle highway fund