HomeMy WebLinkAbout173718 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
i CHECK AMOUNT: $33.92
CARMEL, INDIANA 46032 Po BOX ttsos7
o ATLANTA GA 30368 -6067 CHECK NUMBER: 173718
CHECK DATE: 6124/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622151780 8.95 OTHER EXPENSES
601 5023990 2622162173 24.97 OTHER EXPENSES
fi
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 ta: 4119 1 MB 0.382 Statement Date: 06/03/2009
CARMEL WATER DISTRIBUTION 17/ 4119 Statement 506
Ste 110
760 3rd Ave SW Amount Due $33.92
Carmel IN 46032 -2070
If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385
[f_ you. are_ not .Qaying_the.full_amount.ofyouur statement,.place an —"X_-in the. "Remit.Advice "_column for theatems.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 DISTR BUTION 359080 760 3RD A E. SW STE 110 CARMEL iN 46032
05/12/2009 Invoice 2622151780 06/11/2009 8.95 8.95
05/21/2009 Invoice 2622162173 06/20/2009 24.97 24.97
Total for CARMEL WATE DISTRIBUTION 33.92
Current and Future Items PAST DUE ITEMS
Future Current 1 -30 31 -60 61-90 91-120 121-180 Over 180
$0.00 $33.92 $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.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622151780 02
130 IST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 5 /12/2009 9:05a
PHONE...... 317 571 -2648 QUOTE DELIVERY.. 05 /12/2009 09:35a
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
4 174714 05563 -8 LARGE CUP HOLDE 1.98 0.99 0.00 3.96
Bell barge Cup Holder
1 180671 A91EP -8 EVEREADY GOLD AA 9.98 4.99 0.00 4.99
Eveready AA Gold Battery
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE P ACEIVE9 T 4 PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY: 2 2 C2
RECEIVED
DATE
PQ#
ACC F�► �L
USE
Thank you for your business! Payment Appry Amount
3590 801057 0 AKHURY 8.95
Subtotal 8.95
Tax 0.
IIIIIIII l ��l Illlillll Total 8.95
2622151780051209C MSDS can be ordered upon request
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622162173 00
130 1ST AVE SW COMM SPECIALIST.PRAHL, TONY
CARMEL, IN 46032- ORDER DATE 5 /21/2009 1:43p
PHONE...... 317 571 2648 QUOTE DELIVERY.. 05 /21/2009 02:13p-
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
2 053476 40720A MICRO EDGE WIPER 19.98 9.99 0.00 19.98
Bosch Micro Edge 20" Wiper Blade
1 209316 9617PS PURPLE POWER TIRE 9.98 4.99 0.00 4.99
Purple Power `fire Shine
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY:
RECEIVED BYIV
DATE 5- 27- o
PO#
ACCT y
USE
Thank you for your business! Payment Appry Amount
3590 801057 0 ANAG92 24.97
Subtotal 24.97
Tax 0.00
Illll�l��llll�li II�I�����IIII�I����IIII� Total 24.97
2622162173052109C MSDS can be ordered upon request
Prescribed by State Board of Accounts City Form No. 201 (Rev 7995)
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 6/18/2009
ATLANTA, GA 30368 -6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2009 2622162173 $24.97
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 092150 WARRANT ALLOWED
352242 IN SUM OF
AUTOZONE
PO BOX 116067 4 cc% ca
PO BOX 6717 D ,p O
TLANTA, GA 30368- 6067R�
'I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622162173 01- 6500 -04 $24.97
15)7 1 (oZCD 4
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund