177563 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
fl ONE CIVIC SQUARE AUTOZONE
0 CHECK AMOUNT: $847.99
CARMEL, INDIANA 46032 PO BOX 146067
ATLANTA GA 30368.6067 CHECK NUMBER: 177563
CHECK DATE: 912912009
DEPARTM PO NUMBER IN VOIC E NU MBER AMOUNT D
604 5023990 2622253935 941.99 OTHER EXPENSES
604 5023990 2622288093 -94.00 OTHER EXPENSES
t
Page 1 of 1 Customer ID: 359080
AutoZone, Inc.
P.O. Box 116067
Atlanta, GA 30368 -6067
Phone: (866) 208 -3385
I.L.111 11 1111 11 11 Open Item Statement
Bill to: 4218 1 MB 0.382 Statement Date: 09/04/2009
CARMEL WATER DISTRIBUTION 171 4218
Ste 110 Statement 532
760 3rd Ave SW Amount Due $989.89
Carmel IN 46032 -2070
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. state ment, place -an "X"_in.the- Remit.Advice" col umn.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: CARMEL WATEF DISTRIBUTION 359080 760 3RD A E. SW STE 110 CARMEL iN 46032
07/17/2009 Invoice l 2622224687 08/16/2009 47.90 47.90
08/05/2009 Invoice 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
Total for CARMEL WATET DISTRIBUTION 989.89
Current and Future Items PAST DUE ITEMS
Future Current 1 -30 31-60 61-90 911-1120 121-180 Over 180
$0.00 $941.99 $47.90 $0.00 $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: All disputes must be submitted in writing within 30 days of the statement date.
Pago. 1 of 1 r/ VV
1/1 Y1�_PiIU�: Ll 4
CARMEL, IN 46032
317 846 1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622253935 04
130 1ST AVE SW COMM SPECIALIST. Unknown
CARMEL, IN 46032- ORDER DATE...... 8/13/2009 2:34p
PHONE...... 317 571 -2648 QUOTE DELIVERY..
PO NUMBER..
Items
Qty Sku Description List Cost Core Amount
1 781200 26502 WINCH MODEL M8000D 0.00 941.99 :10.00 941.99
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
l
Thank you for your business! Payment Appry Amount
3590 801057 0 ASZUUX 941.99
2622253935081309C Subtotal 941.99
Tax 0.00
Total 941.99
MSDS can_ be _or_dered 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.
Payer 1 vL 1
1445 3 FiAl7C3L L S
_'raWiwH:i,, i ni ar,t1 4.).
317 04G 174
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622288093 02
130 IST AVE SW COMM SPECIALIST. Unknown
CARMEL, IN 46032- ORDER DATE...... 9/14/2009 3:58p
PHONE 317 571 -2648 QUOTE DELIVERY..
PO NUMBER..
Items
Qty Sku Description List Cost Core Amount
UR -1 993014 NON- SCANNED ITEM 0.00 94.00 0.00 94.00
Not On File
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 AEAPKJ 94.00-
26222880930914090 Subtotal 94,00-
Tax 0.00
Total 94.00-
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.
Inn I
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 r.
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 9/21/2009
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 2622253935 $847.99
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
Date Officer
VOUCHER 093008 WARRANT ALLOWED
352242 IN SUM OF
AUTOZONE�
PO BOX 116067 2
RO BOX 6717 0 C9
ATLANTA, GA 30368- 6067��
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0 .2-- 2 3 -0---I gql,qq
26 2253935 09=6589.85-
of fR 6 G I P f f 1 0A.
n
I Voucher Total $847.99
�ost distribution ledger classification if
claim paid under vehicle highway fund