206132 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
0 ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $47.98
ATLANTA GA 30368 -6067 CHECK NUMBER: 206132
CHECK DATE: 211 412 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238000 2622174362 47.98 SMALL TOOLS MINOR E
Page: i of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846 -1274
Customer Information Order Information
CARMEL CLAY PARKS REC INVOICE NUMBER.. 2622174362 05
1411 E 116th Street COMM SPECIALIST. WATSON, KERSTEN
CARMEL, IN 46032- ORDER DATE...... 1/17/2012 12:48p
PHONE 317 573 -4026 QUOTE DELIVERY.. 01 /17/2012 01:18p
PO NUMBER..SHAWN
Items
Sugg.
Qty Sku Description List Cost Core Amount
2 944708 5079282 RAIN -X LATITUDE 47.98 23.99 0.00 47.98
Rain -X Latitude 28" Wiper Blade
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
p 19 0
JAN 2 3 7012
BY:
Purelmse
Descriptian I Lcj�, WiPC L(L �P�j
P.O. M 000 69 7 p or
G.L. VO i/,?t5j 0) 4a5S
n
Budget
Line Des" 3 r,,-.St jao mi REr
Purchasers Date t A a l L..
Approval n Dal
MSDS can be ordered upon request
Payment Appry Amount
1148 061057 0 ANMP9M 47.98
2622174362011712C
Subtotal 47.98
Tax 0.00
Total 47.98
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.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00350350 Auto Zone Terms
1445 S Rangeline
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1117112 2622174362 Windshield wiper blades for MCC mini van 47.98
Total 47.98
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
20_
Clerk- Treasurer
4
Voucher No, Warrant No.
00350350 Auto Zone Allowed 20
1445 S Rangeline
Carmel, IN 46032
In Sum of
47.98
s
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2622174362 4238000 47.98 1 hereby certify that the attached invoice(s), or
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
9 -Feb 2012
Signature
47.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund