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Home My WebLink About168865 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CARMEL, INDIANA 46032 PO Box 116067 CHECK AMOUNT: $36.74 hon c ATLANTA GA 3036MO67 CHECK NUMBER: 168865 CHECK DATE: 2/17/2009 DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _601 5023990 2622029026 7.77 OTHER EXPENSES 4 601 5023990 26220427296 28.97 OTHER EXPENSES 1 F, X 9 ed Page 1 of 1 Customer ID: 359080 AutoZone, Inc. P.O. Box 116067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 I.I.J.11.11 IIIII 11111 11 11 11 Open Item Statement Bill to: 4238 1 MB 0.369 Statement Date: 02/03/2009 CARMEL WATER DISTRIBUTION 17/ 4238 Statement 451 Ste 110 760 3rd Ave SW Amount Due $36.74 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 full amount of your statement, place an "X" in the "Remit Advice" column 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 Amount Account: CARMEL WATEF DISTRIBUTION 359080 760 3RD AVE. SW STE 110 CARMEL fN 46032 01/06/2009 Invoice 1 2622029026 02/05/2009 7.77 7.77 01/27/2009 Invoice 1 2622047296 02/26/2009 28.97 28.97 Total for CARMEL WATE DISTRIBUTION 36.74 Current and Future Items PAST DUE ITEMS Future Current 1-30 31 60 61-90 91-120 121-180 Over 180 $0.00 $36.74 $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. 1-11120,12111111 IF 1 6 Page. 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622029026 01 130 1ST AVE SW COMM SPECIALIST. BROOKS, RICHARD .CARMEL, IN 46032- ORDER DATE 1 /06/2009 1:42p PHONE...... 317 571 -2648 QUOTE DELIVERY.. 01/06 /2009 02:11p PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount 2 401471 17127 EXHAUST CLA1 2 1 5.18 2.59 0.00 5.18 1 402222 17513 EXHAUST ADAPTER 5.18 2.59 0.00 2.59 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME G Thank you for your business! Payment Appry Amount 3590 801057 0 ALPE9T 7.77 Subtotal 7.77. Tax 0 00 III �IIVIII��I�� Total 7.77 2622029026010609C MSDS can be ordered upon request Z i p Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622047296 02 130 1ST AVE SW COMM SPECIALIST.SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE 1 /27/2009 9:02a PHONE 317 571 -2648 QUOTE DELIVERY.. 01 /27/2009 09:31a PO NUMBER.. Items Qty Sku Description List Cost Core Amount 1 004437 7616 RADIATOR CAP 9.98 4.99 0.00 4.99 2 247231 FL27 ELECTRONIC FLASHER 23.98 11.99 0.00 23.98 NO VEHICLE GIVEN For The Above Items I CERTIFY THAT I HAVE RECEIVED THAT PART(S) LISTED ABOVE ACTUAL DELIVERY TIME B b'DO Thank you for your business! Payment Appry Amount 3590 801057 0 28.97 Subtotal 28.97 Tax 0.00 Total 28.97 2622047296012709C MSDS can be ordered upon request VOUCHER 091069 WARRANT ALLOWED 362242, -V IN SUM OF AUTOZONE� ,l PO BOX 116067 O'1B' ATL ANTA, GA 30368 -6067 �ZR N-�' Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2622029026 01- 6500 -05„ $7.77 of i06ct�- Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund 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. p Payee 352242 AUTOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 2/11/2009 ATLANTA, GA 30368 -6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/1112009 2622029026 $7.77 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