HomeMy WebLinkAbout171728 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE
CARMEL, INDIANA 46032 PO BOX 791409 CHECK AMOUNT: $21.99
BALTIMORE MD 21279 -1409
CHECK NUMBER: 171728
CHECK DATE: 4/29/2009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1110 4237000 262212275603 21.99 REPAIR PARTS
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1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL POLICE DEPARTMENT INVOICE NUMBER.. 2622122756 03
3 CIVIC SQ COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 4 /14'/2009 12:50p
PHONE...... 317 571 -2500 QUOTE DELIVERY.. 04 /14/2009 01:19p
PO NUMBER..SHOP
Items
Su
Qty Sku Description Lis Cost Core Amount
1 429021 MKD897 DURALAST BRAKE P 43.98 21.99 0.00 21.99
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY:
Thank you for your business! Payment Appry Amount
3305 591057 0 AUOZKJ 23.53
Subtotal 21.99
Tax
II II Total 2
II IVIII III
2622122756041409C MSDS can be ordered upon request
Prescribed by State Hoard of Accounts City Form No. 201 (Rev. 1995)
j, ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
AutoZone Purchase Order No.
1445 S. Rangeline Rd
Terms
Carmel, 1N 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/14/09 262212275603 payment for repair parts Car 127
Total
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.
20
Clerk- Treasurer
VOUr:HER NO. WARRANT NO.
ALLOWED 20
AutoZone
1445 S. Rangeline Rd IN SUM OF
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
17EPT. I hereby certify that the attached invoice(s), or
1110 26221227560 370 3 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
April 22, 2039
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund