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204714 12/20/2011 I CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $38.98 ATLANTA GA 30368 -6067 CHECK NUMBER: 204714 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2622091887 8.99 OTHER EXPENSES 601 5023990 2622122011 29.99 OTHER EXPENSES Q Page 1 of 1 Customer ID: 618020 Auto7.one, Inc. P.O. Box 116067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement Bill to: 3390 1 AB 0.368 Statement Date: 12/02/2011 CARMEL WASTEWATER 21/ 3390 Statement 1013 Accounts Payable 760 3rd Ave SW Amount Due ($224.98) Carmel IN 46032 -2072 If you have questions about your account, please call A ,ounts 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: ARMEL WAST WATER 318020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032 -2072 07/29/2011 Invoice 2622984900 DARRYL 08/28/2011 k. 30.36 30.36 10/11/2011 OverPay AO -64587 10/11/2011 20204OW0188 -78.36 -78.36 11/14/2011 PayOnAcct OA- WO04951114 11/14/2011 202917WO123 185.97 185.97 11/01/2011 Invoice 2622091887 TRK151 12/01/2011 8.99 8.99 Total for CARMEL WASTEWATER 224.98 Current and Future Items PAST DUE ITEMS Future Current 1 -30 31 -60 61 91 -120 121-180 Over 180 $0.00 $0.00 ($176.98) ($78.36) $0.00 $30.36 $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 WASTEWATER INVOICE NUMBER.. 2622091887 03 760 3RD AVE SW COMM SPECIALIST.LEGG,DOUG CARMEL, IN 46032 ORDER DATE...... 11/01/2011 1:53p PHONE...... 317 571 -2443 QUOTE DELIVERY.. 11 /01/2011 02:23p PO NUMBER..TRK151 Items Sugg. Qty Sku Description List Cost Core Amount 1 386522 6819 FUEL CAP 17.98 8.99 0.00 8.99 CST Fuel Cap NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items MSDS can be ordered upon request Payment Appry Amount 6180 201057 0 AT5TAF 8.99 2622091887110111C Subtotal 8.99 Tax 0.00 Total 8.99 `The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account Aareement. as amended from time to time. VOUCHER 116444 WARRANT ALLOWED 352242 IN SUM OF AZ COMMERCIAL (Auto Zone) PO BOX 7 1 B -"ffie a -MS- 21279 -1409 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2622091887 01- 7500 -02 $8.99 Voucher Total $8.99 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 2 01 (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 12/15/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/15/201' 2522091887 $8.99 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 rzz1111AV,4. Vj I rw 4 A Page 1 of 1 Customer ID: 359080 AutoZone, Inc. P.O. Box 116067 Atlanta, CA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement Bill to: 3386 1 AB 0368 Statement Date: 12/02/2011 CARMEL WATER DISTRIBUTION 211 3386 Statement 1013 Ste 110 760 3rd Ave SW Amount Due $29.99 Carmel IN 46032 -2070 If you have questions about your account, please call Accc 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 ana a copy of your statement withyour Date Type Remit Invoice PO Number Due Date Document Invoice Amount Due Advice* Amount Account: ARMEL WATE DISTR BUTTON 359080 760 3RD AVE. SW STE 110 CARMEL IN 96032 11/29/2011 Invoice Ij 2622122011 12/29/2011 29.99 29.99 Total for CARMEL WATER DISTRIBUTION 29.99 Current and Future Items PAST DUE ITEMS Future Current 1 -30 31-60 61 -90 91-120 121-180 Over 180 $0.00 $29.99 $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. h Map A zarp a Aff MEWERIA Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER.. 2622122011 04 3450 W 131ST STREET COMM SPECIALIST. GAMBLE, BRETT D WESTFIELD, IN 46074- ORDER DATE...... 11/29/2011 2:24p PHONE 317 733 -2855 QUOTE DELIVERY.. 11 /29/2011 02:54p PO NUMBER. Items Sugg. Qty Sku Description List Cost Core Amount 1 266789 SDSBIG /02 1 GAL SLIME S 59.98 29.99 0.00 29.99 Slime For All Tubeless Tire Sealant NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items MSDS can be ordered upon request Payment Appry Amount 3590 801057 0 AGHRKJ 29.99 2622122011112911C Subtotal 29.99 Tax 0.00 Total 29.99 `The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account Aareement. as amended from time to time. VOUCHER 113273 WARRANT ALLOWED 352242 IN SUM OF AUTOZONE PO BOX 116067 v�A� rR AT 1 ONS PO BOX 6717 ATLANTA, GA 30368 -6067 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 2622122011 01- 6500 -05 $29.99 Voucher Total $29.99 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. Payee 352242 AUTOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 12/15/2011 ATLANTA, GA 30368 -6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/15/201' 2622122011 $29.99 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