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Home My WebLink About175587 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $51.95 CARMEL, INDIANA 46032 Po Box 116067 ATLANTA GA 30368 -6067 CHECK NUMBER: 175587 i c CHECK DATE: 816/2009 DEPARTMENT_ ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION 601 T 2622181924 27.97 OTHER EXPENSES 601 5023990 2622192944 23.98 OTHER EXPENSES �A rod I WA a. Vz// Page 1 of 1 Customer ID: 359080 AutoZone, Inc. P.O. Box 116067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement Bill to: 4258 1 MB 0.382 Statement Date: 07/06/2009 CARMEL WATER DISTRIBUTION 17/ 4258 Ste 110 Statement 516 760 3rd Ave SW Amount Due $51.95 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 foil amount of your statement, place an 'X the "Remit Advice"coiumn 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: CARMEL WATEF DISTRIBUTION 359080 760 3RD AVE. SW STE 110 CARMEL IN 46032 06/08/2009 Invoice 2622181924 07/08/2009 27.97 27.97 06/18/2009 Invoice 2622192944 07/18/2009 23.98 23.98 Total for CARMEL WATER DISTRIBUTION 51.95 Current and Future Items PAST DUE ITEMS Future Current 1 -30 31-60 61-90 91-120 121 -180 Over 1180 $4.04 $51.95 $0.00 $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. O EM 101 MA Page. 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622192944 03 130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE 6 /18/2009 10:55a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 06 /18/2009 11:25a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 2 570505 RX30220 RAINX WB 20" WIP 23.98 11.99 0.00 23.98 Rain -X Wthrbeater 20" Wiper Blade NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: RECEIVED BY--7,V1 --�-1f- DATE.Lt( PO# ACCT# to �I USE �.s I r Thank you for your business! Payment Appry Amount 3590 801057 0 AJ3A7S 23.98 Subtotal 23.98 I Tax 0.00 111111 Total 23.98 111111 111111111111111IIII II 2622192944061809C MSDS can be ordered upon request Ie V/110 Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622181924 03 130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE 6 /08/2009 9:56a PHONE...... 317 571 -2648 QUOTE DELIVERY.. 06 /08/2009 10:26a PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 1 209243 85245 TERM BUTT WP 16 -14 31.98 15.99 0.00 15.99 Conduct Tite 16 -14 Gauge Butt Connectors 1 325960 85211 TERM RING WP 12 -1 11.98 5.99 0.00 5.99 Conduct Tite Waterproof Shrink Ring Terminal 1 421764 85205 TERM RING WP 12 -1 11.98 5.99 0.00 5.99 Conduct Tite 12 -10 Gauge 5/16" Ring Terminal NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME BY: lA r Thank you for your business! Payment Appry Amount 3590 801057 0 AMMSBF 27.97 Subtotal 27.97 Tax 0.00 IIIIIIII Total 27.97 IIIIIIIIIIIIIII IIII 2622181924060809C 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. �J Payee 352242 f AUTOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 7/28/2009 ATLANTA, GA 30368 -6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 2622181924 $27.97 �i I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with lG 5- 11- 10 -1.6 Z. Date Officer VOUCHER 092511 WARRANT ALLOWED 352242 IN SUM OF AUTOZONE FO BOX 116067 jr PO BOX 6717 AT LANTA, GA 30368 -6067 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO 1NV ACCT AMOUNT Audit Trail Code 2622181924 01- 6500 -05 $27.97 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund