205981 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 365232 Page 1 of 1
ONE CIVIC SQUARE CRISTHIAN RODRIGUEZ
CARMEL, INDIANA 46032
CHECK NUMBER: 205981
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 14.99 REPAIR PARTS
"i c�Zor�e 2622
t
1445 RANGE LI,
CARMEL, IN
(317) 843
4862724 H11 14.99 P
N11
Sjlvania Halogen Bulb, EA
SUBTOTAL 14.99
TONAL TAX 7,000
TOTAL 16.04
XXXXXXXXXXXX2378 46.04
APPROVAL 032918
REG 401. CSR 409 RECEIPT 9368251
�3T1:R TRnNS 3#1 53759
STORE" 142622 1
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it OF 1TEMS SOLO 1
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)(2622153759122911x�
TakE a st_ir•vC—'A 9D r _a
chiancEL- to win, X10000
ai' www.autozunecares.com
or by calling 1 -8.00 -598 -8943.
l No Purchase necessar�i. Ends
Sub,ied to full official ides
6t www.autozonecares.com
RAF. No
2622" -1 53 75 9 1 1 1 229 =;4'.
HeOIS'iraY10, L Pa, mexlcan0lainc.wa wnbuial
Pas -✓ort, U 5.1. serVisa.
AUl07-ONE RtSERVESTP E RIGHT TO LIMIT
RUO JS AND'EXCHANGES REGARDLESS OJ.
RECEIPT;
T e 1 =.n itern in its original conditidn and
r t'•adgi i g,with receipt, within 90 days of the plu-fcrlase
,ve to request a refund. Return a defective item
ith:r� ?e !warranty period. Requests for refun s may
ft— ,,Imi if vhcz Item has been useo or installid.
I L
wziwvesthz eight to mquire a valid
c c d�at4�s �dl photo lD Cbr all returns that �:giii be
at thZ dime of the MUM. To the extent
ylt icy fez InG. aver ftm your ID V; 'II tL
r4 t:ainec Ll a C=pany =�Me dazabase of customer
rcWi ,n cct'.vky that A utoZone and it affiliates use to
Ne urns. (Not applicable i CA, DC AMA, PA, RI)
A v oZone acrrapts the following IDs for returns: U.S.,
r;F,r ada or Mexico Driver's License, U.S. State ID,
c'ian Province ID, U.S. Military ID, Mexico doter
i Card, Mexican Matricula Consular Card,
1
Port, b.S. Laser Visa.
AUTOS NE RESERVESTHE RIGHTTO I.IM�i F
E! 05 AND EXCHANGES REGARDLESS OF
RECE�?T.
DOOOOC/�0°r3�v l a
Rai,! an item in its original condition and
Oac!raging,with receipt, within 90 days of tfie ptircha -P
date to request a refund.Returr1 a defective item
within the warranty period. Requests for r Tay
by f snied if the lterna as beerrused or lnstalled�
ACWY iz mzsAms the right to re a va l?r?
vicernrn,za 6zsued photo lDforall retrains that vAli
��arded at e 4erpne off ttro"e tarn. To the extent
rmieted
by law; information from your ID will be
retained in a company -wlde database of customer
return activity that AritoZone and its affiliates use to'
authorize returns. (Blot applicable in CA, DC, MA, PA, RI)
AutoZone accepts the.following IDs for returns�U.S.,
Can or Mexico Driver's License, U.S. State ID,
Cana ,an Proving ID, U.S. Military ID, Mexico voter
Regi tratioti Card, Mexican Matrizula Consular Card,
Passport, U.S. Laser Visa.
,A,UTOZONE RESERVESTHE RIGHTTO LIMIT
`OEfURNS AND EXCHANGES REGARDLESS OF
RECEIPT.
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/11 headlight bulb $14.99
1 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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cristhian R. Rodriquez
IN SUM OF
$14.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 I I 42- 370.00 $14.99
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, January 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund