HomeMy WebLinkAbout215963 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO Box 116067 CHECK AMOUNT: $14.99
ATLANTA GA 30366-6067 CHECK NUMBER: 215963
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 2622543534 14 . 99 REPAIR PARTS
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Page : 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL FIRE INVOICE NUMBER. . 2622543534 00
2 CIVIC SQUARE COMM SPECIALIST. MITCHELL, GREGORY B
CARMEL, IN 46032- ORDER DATE. . . . . . 12/26/2012 4 : 06p
PHONE. . . . . . 317 571-2600 QUOTE DELIVERY. . 12/26/2012 04 : 36p
PO NUMBER. . 11 1
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 723041 9006-2 HALOGEN TWIN CAP 29.98 14.99 0.00 14.99
Sylvania Halogen Bulb Twin
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
MSDS can be ordered upon request
Payment Appry Amount
1034 061057 0 A8KF8A 14 . 99
2622543534122612C
Subtotal 14 . 99
Tax 0 . 00
Total 14 . 99
`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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Auto Zone
IN SUM OF $
1445 South Rangeline Road
Carmel, IN 46032
$14.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 2622543534 42-370.00 I $14.99 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
JAN - 7 2013
�/J 'm)44g;e=-
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
jhom, 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))
2622543534 Bulbs-C4509 $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