HomeMy WebLinkAbout176657 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $47.90
ATLANTA GA 30368 -6067
CHECK NUMBER: 176657
CHECK DATE: 9/2/2009
157PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
601 5023990 2622224687 47.90 OTHER EXPENSES
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Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622224687 01
130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 7 /17/2009 11:04a
PHONE...... 317 571 -2648 QUOTE DELIVERY.. 07 /17/2009 11:34a
PO NUMBER..
Items
Qty Sku Description List Cost Core Amount
4 007687 BM23 BLACK MAGIC TIRE W 11.98 5.99 0.00 23.96
Black Magic Tire Wet Trigger
5 552729 555 -6P WESTLEY BLECHE -W 7.98 3.99 0.00 19.95
Westley's Bleche -Wite
1 629633 9520P PURPLE CAR WASH G 7.98 3.99 0.00 3.99
Purple Power or Purple Passion Car Wash
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY:
G
RECEIVED Y
DATE
ZOO
USE
Payment Anpry Amount
Thank you for your business! 3590 801057 0 A6Y3RS 47.90
Subtotal 47.90
I Tax 0.00
Total 47.90
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26222246870717 MSDS can be ordered upon request
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 8/26/2009
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2009 2622224687 $47.90
I hereby certify that the attached invoice(s), or bill(s) is true and J1,
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 092814 WARRANT ALLOWED
�IE4 IN SUM OF
AkUTOZONE
PO BOX 116067
PO BOX 6717 0
AT LANTA, GA 30368 -6067 A�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622224687 01- 6500 -04 $47.90
I Voucher Total $47.90
Cost distribution ledger classification if
clairn paid under vehicle highway fund