HomeMy WebLinkAbout217949 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $24.97
PO BOX 116067
ATLANTA GA 30368-6067 CHECK NUMBER: 217949
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622556594 11 . 99 OTHER EXPENSES
601 5023990 2622568968 12 . 98 OTHER EXPENSES
601 5023990 2622569067 -9 . 99 OTHER EXPENSES
601 5023990 2622569068 9 . 99 OTHER EXPENSES
Page 1 of 1 Customer ID: 359080
AutoZone,Inc.
P.O.Box 116067
Atlanta,GA 30368-6067
Phone:(866)208-3385
�I���II�III�IIIIIII�I'I�I�IIII' III"�1'1�'�"�I'�II'�II�I'll'��� Open Item Statement
Bill to: 3210 1 1 1 Statement Date: 02/05/2013
CARMEL WATER DISTRIBUTION 21/ 3210
Ste 110 Statement#: 1132
760 3rd Ave SW Amount Due $24.97
Carmel IN 46032-2070
If you have questions about your account,please call Accounts Receivable Specialist 866/208-3385
ifyou-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*� Amount
Account: CARMEL WATEF DIS RTBUTION 359080 760 3RD AVE. SW STE 110 CARMEL IN 46032
01/09/2013 Invoice [ 2622556594 02/08/2013 11.99 11.99
01/22/2013 Invoice [ ] 2622568968 TRUCK5DON 02/21/2013 12.98 12.98
01/22/2013 Return [Vf 2622569067 02/21/2013 -9.99 -9.99
01/22/2013 Invoice [ 2622569068 TRUCK5DON 02/21/2013 9.99 9.99
Total for CARMEL WATER DISTRIBUTION 24.97
Current and Future Items **PAST DUE ITEMS**
Future Current 1 -30 31 -60 61 -90 91 -120 121 -180 Over 180
$0.00 $24.97 $0.00 $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.
WWI f
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622569068 05
3450 W 131ST STREET COMM SPECIALIST. HALL, THEODORE MICHA L
WESTFIELD, IN 46074- ORDER DATE. . . . . . 1/22/2013 1 : 12p
PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 01/22/2013 01 : 42p
PO NUMBER. . TRUCK5DON 11 1
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 183802 XSW4102 NEOPRENE SWC BLA 19 .98 9.99 0.00 9.99
Neoprene Black Steering Wheel Cover
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
l� J
MSDS can be ordered upon request
Payment Appry Amount
3590 801057 0 ALLYPH 9 . 99
2622569068012213C
Subtotal 9 . 99
Tax 0 . 00
Total 9 . 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.
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622568968 08
3450 W 131ST STREET COMM SPECIALIST. HALL, THEODORE MICHAI L
WESTFIELD, IN 46074- ORDER DATE. . . . . . 1/22/2013 11 : 42a
PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 01/22/2013 12 : 11p
PO NUMBER. . TRUCK5DON
Items
Qty Sku Description List Cost Core Amount
1 030863 03429NA 700 ELEC TAPE 3 5 .98 2 .99 0.00 2 .99
Scotch 3/4" Electrical Tape
1 154647 LY-SWC-016 BLACK ACTION 19.98 9.99 0.00 9.99
Black Action Grip Steering Wheel Cover
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Ste,`
MSDS can be ordered upon request
Payment Appry Amount
3590 801057 0 AM5CAA 12 . 98
2622568968012213C
Subtotal 12 . 98
Tax 0 . 00
Total 12 . 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.
F j 0
kr
A Form 74
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622556594 06
3450 W 131ST STREET COMM SPECIALIST. MITCHELL, GREGORY B
WESTFIELD, IN 46074- ORDER DATE. . . . . . 1/09/2013 2 : 33p
PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 01/09/2013 03 : 03p
PO NUMBER.
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 500025 RA990 MULTI USE TRANSFE 23 .98 11.99 0.00 11.99
RA990 Koehler Transfer Pump
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 AGNMZI 11 . 99
2622556594010913.C-
Subtotal 11 . 99
Tax 0 . 00
_ Total 11 . 99
signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
f,jY;.ement.as amended from time to time.
VOUCHER # 131023 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
1132 01-6200-04 $11.99
1132 01-6500-05 $12.98
Voucher Total $24.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
AUTOZONE Purchase Order No.
PO BOX 116067 Terms
PO BOX 6717 Due Date 3/5/2013
ATLANTA, GA 30368-6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 1132 $24.97
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
Date Officer