178616 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $7.77
CARMEL, INDIANA 46032 PO BOX 116067
ATLANTA GA 30368 -6067 CHECK NUMBER: 178616
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622276641 7.77 TRANS EXPENSES -OUST A
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Box 11.6067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
Open Item Statement
Bill to: 4285 1 MB 0.382 Statement Date: 10/0612009
CARMEL WATER DISTRIBUTION 171 4285
Ste 110 Statement 541
760 3rd Ave SW Amount Due $855.76
Carmel IN 46032 -2070
It you have questions about your account, please call Accounts Receivable Specialist 8661208 -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' Amount
Account: ARMEL WATE DISTRIBUTION 359080 760 3RD AVE. SW STE 1710 CARMEL IN 46032
08/05/2009 Invoice 1 2622244563 09/04/2009 847.99 847.99
08/13/2009 Invoice 2622253935 09/12/2009 941.99 941.99
08/13/2009 Return 2622253939 09/12/2009 847.99 847.99
09/03/2009 Invoice 2622276641 39 10/03/2009 7.77 7.77
09/14/2009 Return 2622288093 10/14/2009 -94.00 -94.00
Total for CARMEL WATER DISTRIBUTION 855.76
Current and Future Items PAST DUE ITEMS
Future Current 1-30 31 60 61-90 91-120 121 -180 Over 180
$0.00 ($94.00) $101.77 $847.99 $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: Ail disputes must be submitted in writing within 30 days of the statement date.
a
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622276641 02
130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 9 /03/2009 10:31a
PHONE 317 571 -2648 QUOTE DELIVERY.. 09 /03/2009 11:01a
PO NUMBER..39
Items
Qty Sku Description List Cost Core Amount
2 401414 17124 EXHAUST CLAMP 2" 4.78 2.39 0.00 4.78
Nickson 2 Exhaust Clamp
1 402107 17504 EXH CONNECTOR 2 I 5.98 2.99 0.00 2.99
Nickson 2 ID Exhaust Connector
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Thank you for your business! Payment Appry Amount
3590 801057 0 A87Z4K 7.77
2622276641090309C Subtot 7.77
Tax 0.00
Total 7.77
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
AUTOZONE Purchase Order No.
PO BOX 116067 Terms
PO BOX 6717 Due Date 10/23/2009
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/23/200 2622276641 $7.77
2�
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 093418 WARRANT ALLOWED
35• IN SUM OF
A ZONE
P BOX 116067
BOX 6717
LANTA, GA 30368 -6 67
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622276641 01- 6500 -07 $7.77
'J
Voucher Total $7.77
Cost distribution ledger classification if
claim paid under vehicle highway fund