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Home My WebLink About180372 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $49.94 CARMEL, INDIANA 46032 PO BOX 116067 ATLANTA GA 3036 &6067 CHECK NUMBER: 180372 CHECK DATE: 12/16/2009 DEPARTMENT ACCOUNT P N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2622320756 22.98 OTHER EXPENSES 651 5023990 2622340798 26.96 7500.08 rzz///A 04 N QD AWif W4 Page 1 of 1 Customer ID: 618020 AutoZone, Inc. P.O. Box l 16067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 14111 11 11111 11111111 11 11 Open Item Statement Bill to: 4424 1 MB 0.382 Statement Date: 12/03/2009 CARMEL WASTEWATER 18/ 4424 Statement 553 760 3rd Ave SW Carmel IN 46032 -2072 Amount Due $21.00 If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385 If 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 Amount Due Advice *i Amount Account: ARMEL WASTEWATER 1B020 ACCOUNTS PAYABLE 760 3RD AVE W CARMEL IN 46032 -2072 10/01/2009 PayOnAcct OA 2622060042 10/01/2009 177528WO112 -28.94 -28.94 10/16/2009 Invoice 2622320756 11/15/2009 22.98 22.98 11/06/2009 Invoice 2622340798 12/06/2009 26,96 26.96 Total for CARMEL WASTEWATER 21.00 Current and Future Items PAST DUE ITEMS Future Current 1-30 31-60 61-90 91-120 121-180 Over 180 $0.00 $26.96 $22.98 $0.00 ($28.94) $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. 0 j1Z 0 0 Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622320756 01 760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE...... 10 /16/2009 2 :26p PHONE 317 571 -2443 QUOTE DELIVERY.. 10 /16/2009 02:56p PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1 570503 RX30218 RAINX WB 18" WIP 19.98 9.99 0.00 9.99 Rain -X Wthrbeater 18" Wiper Blade 1 570509 RX30224 RAINX WB 24" WIP 25.98 12.99 0.00 12.99 Rain -X Wthrbeater 24" Wiper Blade NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items Thank you for your business! Payment Appry Amount 6180 201057 0 ACLNCM 22.98 2622320756101609C Subtotal 22.98 Tax 0.00 Total 22.98 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. rj Page. 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622340798 01 760 3RD AVE SW COMM SPECIALIST. BROOKS, RICHARD CARMEL, IN 46032- ORDER DATE...... 11/06/2009 9:02a PHONE...... 317 571 2443 QUOTE DELIVERY.. 11 /06/2009 09:32a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1 188622 PH3600 FRAM OIL FILTER 7.98 3.99 0.00 3.99 FRAM Oil Filter 2 690164 5071328 15W40 PENNZOIL 7.98 3.99 0.00 7.98 Pennzoil Long Life Gold 15W -40 Diesel Engine Oil 1 853196 550015363 5W30 PENNZOIL 29.98 14.99 0.00 14.99 Pennzoil 5W -30 Motor Oil NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above. Items re 6 Z Thank you for your business! Payment Appry Amount 6180 201057 0 APZTS6 26.96 �s -3 2622340798110609C Subtota 26.96 Tax 0.00 Total 26.96 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 Agreement. 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 12/10/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/200! 2622340798 $26.96 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 VOUCHER 096933 '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 2622340798 01- 7500 -08 $26.96 fib- 3 2o'25 6 c I. 5©D- o aa.ga Voucher Total $2 Cost distribution ledger classification if claim paid under vehicle highway fund