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206041 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 ONE CIVIC SQUARE AUTOZONE INC 0 CHECK AMOUNT: $388.10 CARMEL, INDIANA 46032 PO BOX 116067 oM o ATLANTA GA 30368 -6067 CHECK NUMBER: 206041 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2622124893 167.56 OTHER EXPENSES 651 5023990 2622128294 9.98 OTHER EXPENSES 651 5023990 2622129145 24.05 OTHER EXPENSES 651 5023990 2622129474 143.99 OTHER EXPENSES 651 5023990 2622130475 65.60 OTHER EXPENSES 651 5023990 2622132106 24.92 OTHER EXPENSES 651 5023990 3188725358 -48.00 OTHER EXPENSES j AFAF FAOIFIWA Page 1 of 1 Customer ID: 618020 AutoZone, Inc. P.O. Box 116067 Atlanta, GA 30368 -6067 Phone: (866) 208 -3385 Open Item Statement 1111, 11111111111 ,1111,11111,111111, all III 11111111111111111111 Bill to: 3649 1 AB 0.368 Statement Date: 01/04/2012 CARMEL WASTEWATER 23/ 3649 Statement 1018 Accounts Payable 760 3rd Ave SW Amount Due $202.13 Carmel IN 46032 -2072 If you have questions about your account, please call Accounts Receivable Specialist 866/208 -3385 If you are not pa ying th e full amoun of y our statement, place an "X" in the 'Remit Advice" columr for the items you a 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 618020 ACCOUNTS PAYABLE 60 3RD AVE SW CARMEL IN 46032 -2072 07/29/2011 Invoice I 2622984900 DARRYL 08/28/2011 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 12/02/2011 Invoice 2622124893 120211 01/01/2012 167.56 167.56 12/05/2011 Invoice 2622128294 0529480310 01/04/2012 9.98 9.98 12/06/2011 Invoice 2622129145 TRUCK46 01/05/2012 24.05 24.05 12/06/2011 Invoice 2622129474 125 01/05/2012 143.99 143.99 12/07/2011 Invoice [Q] 2622130475 TRUCK46 01/06/2012 65.60 65.60 12/09/2011 Invoice [K] 2622132106 TRUCK46 01/08/2012 24.92 24.92 Total for CARMEL WASTEWATER 202.13 Ga Current and Future Items PAST DUE ITEMS Future Current 1 -30 31-60 61-90 91-120 121-180 Over 180 $0.00 $268.54 $167.56 ($185.97) ($78.36) $0.00 $30.36 $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 11365 ALLISONVILLE FISHERS, IN 46038 317 595 -9510 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 3188725358 760 3RD AVE SW COMM SPECIALIST. Unknown CARMEL, IN 46032 ORDER DATE...... 01/24/2011 PHONE 317 571 -2443 QUOTE DELIVERY.. PO NUMBER.. Items Sugg. Qty Sku Description List Cost Core Amount -1 692477 C9504 DISC BRAKE CALIPER 0.00 0.00 24.00 -24.00 -1 692478 C9505 DISC BRAKE CALIPER 0.00 0.00 24.00 -24.00 Payment Appry Amount 61802010570 A835MC -48.00 Subtotal -48.00 111111 IIII IIIII IIIII IIIII IIISI II IIIII IIII III Tax 0.00 Total -48.00 3188725358201101240 MSDS can be ordered upon re quest Page: 1 of 2 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622124893 00 760 3RD AVE SW COMM SPECIALIST. GAMBLE, BRETT D CARMEL, IN 46032- ORDER DATE...... 12/02/2011 10:07a PHONE 317 571 -2443 QUOTE DELIVERY.. 12 /02/2011 10:24a PO NUMBER..120211 Items Sugg. Qty Sku Description List Cost Core Amount 1 013985 78880 BRAKE HOSE 45.98 22.99 0.00 22.99 Brakeware Brake Hose 1 862828 C648 DISC BRAKE CALIPER 119.02 59.51 45.00 104.51 CD -1 862828 C648 DISC BRAKE CALIPER 0.00 0.00 45.00 45.00 Duralast Disc Brake Caliper 1 862829 C649 DISC BRAKE CALIPER 119.02 59.51 45.00 104.51 CD -1 862829 C649 DISC BRAKE CALIPER 0.00 0.00 45.00 45.00 Duralast Disc Brake Caliper The Above Items Belong To 2001 Chevrolet Truck Silverado 3500 4WD 1 014011 78881 BRAKE HOSE 51.10 25.55 0.00 25.55 Brakeware Brake Hose The Above Items Belong To 2002 Chevrolet Truck Silverado 3500 4WD The Above Items Belong To 2002 Chevrolet Truck Silverado 3500 4WD Core(s) Deferred Due Within 3 Days MSDS can be ordered upon request Payment Appry Amount 6180 201057 0 AP691F 167.56 Cry 2622124893120211C Subtotal 167.56 Tax 0.00 Total 167.56 AZC Savings -12.40 '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. 1 I F 4111 Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622132106 07 760 3RD AVE SW COMM SPECIALIST. CROOK, KENNETH MICHAI L CARMEL, IN 46032- ORDER DATE...... 12/09/2011 9:52a PHONE...... 317 571 -2443 QUOTE DELIVERY.. 12 /09/2011 10:21a PO NUMBER..TRUCK46 Items Sugg. Qty Sku Description List Cost Core. Amount 2 021052 AB32 AZ BRAKE FLUID 320 12.98 6.49 0.00 12.98 AutoZone DOT 3 Brake Fluid 6 690800 WW20 -20 WINDSHIELD SOL 3.98 1.99 0.00 11.94 Valucraft -20 Windshield Washer Fluid NO VEHICLE GIVEN For The Above Items NO VEHICLE GIVEN For The Above Items MSDS can be ordered upon request r Payment Appry mount 0 A 6180 201057 0 AZ719G 24.92 2 132106120911C Subtotal 24.92 Tax 0.00 Total 24.92 *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. EMS Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032, 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622130475 03 760 3RD AVE SW COMM SPECIALIST. SIMMERMAN, CHARLES CARMEL, IN 46,032- ORDER DATE...... 12/07/2011 1:56p PHONE 317 571 -2443 QUOTE DELIVERY.. 12 /07/2011 02:22p PO NUMBER. .TRUCK46 Items Sugg. Qty Sku Description List Cost Core Amount 1 216069 PAX -330 PA LINE 3/16 X 10.98 5.49 0.00 5.49 PolyArmour Brake Line 1 216085 PAX -1340 PA LINE 3/16 X 11.98 5.99 0.00 5.99 PolyArmour Brake Line 3 315522 AZP 10CA AZ BRAKE PARTS 7.58 3.79 0.00 11.37 AutoZone VOC Brake Parts Cleaner NO VEHICLE GIVEN For The Above Items 1 013550 70854 BRAKE HOSE 34.84 17.42 0.00 17.42 Brakeware Brake Hose 1 221010 70853 BRAKE HOSE 50.66 25.33 0.00 25.33 Brakeware Brake Hose The Above Items Belong To 2001 Chevrolet Truck Silverado 3500 4WD The Above Items Belong To 2001 Chevrolet Truck Silverado 3500 4WD MSDS can be ordered upon request Payment Appry Amount 6180 201057 0 APR4KK 65.60 i 2622130475120711C Subtotal 65.60 Tax 0.00 Total 65.60 AZC Savings -5.83 '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. Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622128294 07 760 3RD AVE SW COMM SPECIALIST.LEGG,DOUG CARMEL, IN 460,32- ORDER DATE...... 12/05/2011 9:02a PHONE 317 571 -2443 QUOTE DELIVERY.. 12 /05/2011 09:31a PO NUMBER..052948031028 Items Sugg. Qty Sku Description List Cost Core Amount 2 241938 0302ONA WET -DRY 60OG 3- 9.98 4.99 0.00 9.98 3M Wet or Dry 600 Grit Sandpaper 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 AWLRX9 9.98 r 7 6 2622128294120511C Subtotal 9.98 Tax 0.00 Total 9.98 `The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account Agreement. as amended from time to time. INWARVER/ A ff z Affe Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622129145 02 760 3RD AVE SW COMM SPECIALIST.HALL,THEODORE MICHA L CARMEL, IN 46032- ORDER DATE...... 12/06/2011 9:24a PHONE...... 317 571 -2443 QUOTE DELIVERY.. 12 /06/2011 09:53a PO NUMBER..TRUCK46 Items Sugg. Qty Sku Description List Cost Core Amount 2 198106 PAX -472 PA LINE 1/4 X 7 14.58 7.29 0.00 14.58 AGS 14 x 72" PA Steel Line 1 493504 799 -105 RIVET 1/2 BUL 7.98 3.99 0.00 3.99 Dorman 1/2" Nylon Rivets 1 493559 963 -050 PNL TRIM RTNR A 4.98 2.49 0.00 2.49 Dorman Panel Retainer Assortment 1 536783 785 -314 BRASS UNION 5/1 5.98 2.99 0.00 2.99 Dorman,5 /16" Inverted Flare Fittings NO VEHICLE GIVEN For,The Above Items OUTSTANDING CORES 3+ DAYS Core Bank: 90.00 DISC BRAKE CALIPER DISC BRAKE CALIPER NO VEHICLE GIVEN For The Above Items MSDS can be ordered upon request Payment Appry Amount 6180 201057 0 A3R2H5 24.05 2622129145120611C Subtotal 24.05 Tax 0.00 Total 24.05 `The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account Aoreee as amended from time to time. WIN M ME e E W S Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846 -1274 Customer Information Order Information CARMEL WASTEWATER INVOICE NUMBER.. 2622129474 08 760 3RD AVE SW COMM SPECIALIST. SIMMERMAN, CHARLES CARMEL, IN 46032- ORDER DATE...... 12/06/2011 1:50p PHONE...... 317 571 -2443 QUOTE DELIVERY.. 12 /06/2011 02:20p PO NUMBER..125 Items Sugg. Qty Sku Description List Cost Core Amount 1 209342 DLG9942S DURALAST GOLD S 287.98 143.99 10.00 153.99 CD -1 209342 DLG9942S DURALAST GOLD S 0.00 0.00 10.00 10.00 Duralast Gold Starter The Above Items Belong To 2005 Chevrolet Truck Equinox AWD The Above Items Belong To 2005 Chevrolet Truck Equinox AWD i Core(s) Deferred Due Within 3 Days MSDS can be ordered upon request Payment Appry Amount 7�Y 6180 201057 0 AWWDRU 143.99 2622129474120611C Subtotal 143.99 Tax 0.00 Total 143.99 AZC Savings -16.00 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. 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 AZ COMMERCIAL (Auto Zone) Purchase Order No. PO BOX 791409 Terms Baltimore, MD 21279 -1409 Due Date 12/30/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201' 2622129474 $143.99 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 1 1 6iff ice VOUCHER 116603 WARRANT ALLOWED 352242 IN SUM OF AIFAL (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 I 2622129474 01- 7500 -02 $143.99 2G2x129i`f 5 Zy.o5J 26�21z�29 Y q•9� 262zI 5.60 2622132166 a3 167.56 Voucher Total .99 Cost distribution ledger classification if claim paid under vehicle highway fund