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Home My WebLink About213043 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 129401 Page 1 of 1 ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK AMOUNT: $51.47 CHECK NUMBER: 213043 CHECK DATE: 9/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 450646 51 .47 AUTO REPAIR & MAINTEN mob, IAutoZone 2622 1495 S RANGE LI CARMEL, IN (317) 843-9705 #761549 26A 24.99 P 26A Bosch Icon 2t," Wiper, Blade, EA 4761540 18A 18.99 P 18A Bosch Icon 18" Wiper Blade, EA 4965511 16-A 9.99 P 16-A Exact Fit 16" Rear Wiper Blade, EA SUBTOTAL 53.97 Trico Rear Wiper BI Disc 2.50- NEW SUBTOTAL 51 ,47 TOTAL TAX @ 7.000% TOTAL lzr� XXXXXXXXXXXX8129 -55--07- APPROVAL # 281353 REG 401 CSR 411 RECEIPT 4937143 STF- . TRANS #450646 STORE #2622 DATE 09/21 /2012 14:13 # OF ITEMS SOLD 3 II I I I I I I I III i II I II I I I III I II I I I I II III III I I I II *2622450646092112* Trico Rear Wiper- B1-Buy any 2 wiper blad es and set 25% off a Trico Rear Wiper B1 ade. Deal 33412: Total Savings 2.50 Take a S.urve�:j for a chance +C:) w i n $10000 at www.aufozonecares.com or by calling 1-800-598-8943. No purchase necessary. Ends 11/30/12. Subject to full official rules at www.autozonecares.com f Y, Ref No 2622--,150646-120921 -3 government-issued photo ID for all returns that will be recorded at the time of the reinrn..,)the extent permitted by law, informatic �!,c -i;:L r ID will be retained in a company-wide dFtL , of customer return activity that AutoZon; �,ftiIiates use to authorize returns. (Not app lice '_A,DC,MA,PA,RI) AutoZone accepts the follow: er returns:U.S., Canada or Mexico Driver's Lice n, State ID, Canadian Province ID,.U.S.Military!0,Mexico Voter Registration Card,Mexican!VILA la Consular Card, Passport,U.S.Laser Visa. AUTOZONE RESERVES THE RIGHTTO LIMIT RETURNS AND EXC�i INi,C ES REGARDLESS OF RECEIPT. JJJJJ�OJJ�J�JJJ Rewrn an item in its original condition and packaging,with receipt,within 90 days of the purchase date to request a refund.Return a oefective item within the warranty period. Requests for refunds may be denied if the item has been used or installed. AutoZone reserves the right to require a valid government-issued photo ID for all returns that will be recorded at the time of the return.To the extent permitted by law, information from your ID will be retained in a company-wide database of customer return activity that AutoZone and its affiliates use to authorize returns. (Not applicable in CA,DC,MA,PA,RI) AutoZone accepts the following IDs for returns:U.S., Canada or Mexico Driver's License,U.S.State ID, Canadian Province ID,U.S.Military ID,Mexico Voter Registration Card,Mexican Matricula Consular Card, Passport,U.S.Laser Visa. AUTOZONE RESERVESTHE RIGHTTO LIMIT RETURNS AND EXCHANGES REGARDLESS OF RECEIPT. JOODOOOJJJJJJ® Return an item in its original condition and packaging,with receipt,within 90 days of the purchase date to request a refund.Return a defective item within the warranty period. Requests for refunds may be denied if the item has been used or installed. AutoZone reserves the right to require a valid government-issued photo ID for all returns that will be recorded at the time of the return.To the extent permitted by law, information from your ID will b? retained in a company-wide database of customer return activity that Auto7_onc and its affiliates use to authorize returns. (Not applicable in CH,DC,Mp,,PA,RI) AutoZone accepts the following IDs for returns:U.S., Canada or Mexico Driver's License,U.S.State ID, Canadian Province ID,U.S.Military ID,Mexico Voter ?f,'s oa Card,Mexic-nn Matricula Consular Card, Passport,U.S.Laser Visa. AU IOZI)NE RESERVES rHE MIGHT 10 Llivil RETURNS AND EXCHANGES REGARDLESS OF RECEIPT. JJ JJJ ® Return an item in its original condition and narkaaina.with receipt,within 90 days of the purchase 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)) 09/21/12 450646 Wipers for the Prius $51.47 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 VOUCHER NO. WARRANT NO. Michael Hollibaugh ALLOWED 20 IN SUM OF $ c/o One Civic Square Carmel, IN 46032 $51.47 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 450646 I 43-510.00 ( $51.47 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 Monda , September 24, 012 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund