HomeMy WebLinkAbout167566 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 362083 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE
r CHECK AMOUNT: $36.44
CARMEL, INDIANA 46032 BALTIMORE MD 21279 -1409
CHECK NUMBER: 167566
CHECK DATE: 117/2009
DEPARTM ACCOUNT PO NUMBE INVOICE NUMBE AM DESCRIPTION
651 5023990 2622983662 36.44 7500.08
4 W
4 no
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: 12/12/2008
Statement Number: 436
Statement Due Date: 01/0212009
4840 1 MB 0.369 Balance Due on Last Statement $0.00
Bill To: CARMEL WASTEWATER 21/4840 Less: Payments $0.00
Accounts Payable y
760 3rd Ave SW Balance Forward $0.00
Carmel IN 46032 -2072 Current Month Transactions $36.44
Total Balance Due $36.44
CURRENT ACTIVITY
Date Type Invoice PO Number Amount
11/17/2008 Invoice 2622983662 36.44
We appreciate your business. If you have any questions, please call Accounts Receivable S pecialist 866/208_3385
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER.. 2622983662 01
760 3RD AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES
CARMEL, IN 46032- ORDER DATE...... 11 /17/2008 2:40p
PHONE...... 317 571 -2443 QUOTE DELIVERY.. 11 /17/2008 03:09p
PO NUMBER..
Items
Qty Sku Description List Cost Core Amount
1 078641 SCA -22 SUPER CAN AF NEW 4.98 2.49 0.00 2.49
1 439488 TG2 TOUGHGUARD OIL FILT 13.98 6.99 0.00 6.99
1 596481 5073654 PENNZOIL 5W30 G 29.98 14.99 0.00 14.99
3 691071 3609 5W30 PENNZOIL 7.98 3.99 0.00 11.97
NO VEHICLE GIVEN For The Above Items
I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME
BY:
Payment Appry Amount
6180 201055 0 AL8990 36.44
Subtotal 36.44
Tax 0.00
IIIIIIII Total 36.44
�IIIIIIIIII
II I III VIII III
2622983662111708C MSDS can be ordered upon request
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) a
ACCOUNTS PAYABLE VOUCHER u
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 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/2001 2622983662 $36.44
D
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 086972 WARRANT ALLOWED
ax2242 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
2622983662 01- 7500 -08 $36.44
r
Voucher Total $36.44
Cost distribution ledger classification if
claim paid under vehicle highway fund