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Home My WebLink About215240 12/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1 0 ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $5.98 CARMEL, INDIANA 46032 PO Box 116067 a� ATLANTA GA 30368-6067 CHECK NUMBER: 215240 CHECK DATE: 12/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2622464845 5 . 98 MATERIALS & SUPPLIES 71 C Page: 1 of 1 1445 S RANGE LI CARMEL, IN 46032 317 846-1274 Customer Information Order Information CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622464845 05 3450 W 131ST STREET COMM SPECIALIST. SIMMERMAN, CJ F WESTFIELD, IN 46074- ORDER DATE. . . . . . 10/05/2012 3 : 30p PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 10/05/2012 03 : 59p PO NUMBER. . Items Sugg. Qty Sku Description List Cost Core Amount 2 007327 R20802 1/8 BLACK PINSTR 5.98 2.99 0.00 5.98 Prostripe 1/8" Black Pinstripes 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 AFPIGL 5 . 98 2622464845100512C Subtotal 5 . 98 Tax 0 . 00 Total 5 . 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. Page 1 of 1 Customer ID: 359080 AutoZone,Inc. P.O.Box 116067 Atlanta,GA 30368-6067 Phone:(866)208-3385 Open Item Statement Bill to: 4525 1 AB 0.374 Statement Date: 11/06/2012 CARMEL WATER DISTRIBUTION 27/ 4525 Statement#: 1120 Ste 110 760 3rd Ave SW Amount Due $5.98 Carmel IN 46032-2070 If you have questions about your account,please call Accounts 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*i Amount Account: dARMEL WATEF DISTRIBUTION 359080 760 3RD AVE. SW STE lI0 CARMEL N 46032 10/05/2012 Invoice [ 1 2622464845 11/04/2012 5.98 5.98 Total for CARMEL WATE DISTRIBUTION 5.98 Current and Future Items **PAST DUE ITEMS** Future Current 1 -30 31 -60 61 -90 91 -120 121 -180 Over 180 $0.00 $0.00 $5.98 $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. 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 ALITOZONE Purchase Order No. PO BOX 116067 Terms PO BOX 6717 Due Date 11/26/2012 ATLANTA, GA 30368-6067 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/26/201; 2622464845 $5.98 I hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 /l)1'171/11 Date Officer VOUCHER # 122844 WARRANT # ALLOWED 352242 IN SUM OF $ AUTOZONE PO BOX 116067 PO BOX 6717 ATLANTA, GA 30368-6067 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2622464845 01-6200-06 $5.98 Voucher Total $5.98 Cost distribution ledger classification if claim paid under vehicle highway fund I