170638 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
0 ONE CIVIC SQUARE AUTOZONE CHECK AMOUNT: $102.97
CARMEL, INDIANA 46032 PO BOX 791409
*w: BALTIMORE MD 21279 -1409 CHECK NUMBER: 170638
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
Z51 50:23990 262207.9955 102.97 OTHER EXPENSES
FArz1111 —AWAIW 411INW-
QD
Page 1 of 1 Customer ID: 618020
AutoZone, Inc.
P.O. Box 791409 Balance Forward Statement
Baltimore, Maryland 21279 -1409
Phone: (866) 208-3385
Statement Date: 03/1612009
Statement Number: 469
11 I 1 r I I I I I I III I n I I I I I I l I l l I i� n l I l I I l I l I I I l Statement Due Date: 04/06/2009
4761 1 MB 0.369 Balance Due on Last Statement $192.88
Bill To: CARMEL WASTEWATER 2114761
Accounts Payable Less: Payments ($47.95)
760 3rd Ave SW Balance Forward $144.93
Carmel IN 46032 -2072 Current Month Transactions $113.55
Total Balance Due $258.48
CURRENT ACTIVITY
Date Type Invoice PO Number Amount
02/20/2009 PayOnAcct OA- R00698022009 -47.95
02/26/2009 Invoice 2622074940 10.58
03/04/2009 Invoice 2622079955 102.97
We appreciate your business. If you have any questions, please call Accounts Receivable Specialist 866/208 -3385
To avoid suspension of your account, please pay any past due items upon receipt.
Notice: All disputes must be submitted in writing within 30 days of the statement date.
Please-i::Clude theseetrcn below wah payment
REMITTANCE
Customer Name: CARMEL WASTEWATER
Important: So that your payment can be posted promptly, Customer ID: 618020
please include your Customer Id on your check. Statement Date: 03/16/2009
Amount Due: $258.48
Amount Enclosed:
Remit To:
AutoZone, Inc.
P.O. Box 791409
Baltimore, Maryland 21279 -1409
61802000004690000258481
3
ww O 9rozoffo
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622079955 00
760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE 3 /04/2009 9:04a
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 03 /04/2009 09 :34a
PO NUMBER..
Items
Sugg.
Qty Sku Description List Cost Core Amount
2 426512 55080 DURALAST BRAKE RO 81.98 40.99 0.00 81.98
1 429025 MKD913 DURALAST BRAKE PA 41.98 20.99 0.00 20.99
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
Enter to WIN $10K 6180 201055 0 AE04H1 102.97
Go to www.AutoZone.COM /commsury
Subtotal 102.97
Tax 0.00
I Total 102.97
2622079955030409C MSDS can be ordered upon request
4.'
Prescribed by State Board of Accounts City Form fro. 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
AZ COMMERCIAL (Auto Zone) Purchase Order No.
PO BOX 791409 Terms
Baltimore, MD 21279 -1409 Due Date 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 2622079955 $102.97
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095324 WARRANT ALLOWED
52242 IN SUM OF
AZ COMMERCIAL (Auto Zone)
PO BOX 791409
Baltimore, MD 21279 -1409
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2622079955 01- 7500 -02 $102.97
J Voucher Total $102.97
4 st distribution ledger classification if
claim paid under vehicle highway fund