220064 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
i ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 Po Box 116067 CHECK AMOUNT: $149.91
ATLANTA GA 3036&6067
CHECK NUMBER: 220064
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622545085 136 . 92 OTHER EXPENSES
651 5023990 2622634785 12 . 99 OTHER EXPENSES
i
Page:2 of 2
1445 S RANGE LINE
CARMEL, IN 46032
317 843-9705
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER. . 2622634785
760 3RD AVE SW COMM SPECIALIST. Unknown
CARMEL, IN 46032 ORDER DATE. . . . . . 04/04/2013
PHONE. . . . . .317 571-2443 QUOTE DELIVERY. .
PO NUMBER. . LEWIS
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 867124 6840 FUEL CAP 25.98 12.99 0.00 12.99
No vehicle info given for the above items
Payment Appry Amount
26226347850404135},', 61802010570 A8 X 8 9 5 12 .99
Subtotal 12 .99
IIIIII IIIII illll IIIII IIIII IIIII�����IIIII IIIII IIIII IIII IIII Tax 0. 00
Total 12 . 99
262263478520130404C MSDS can be ordered upon request
Pagel of 2
1445 S RANGE LINE
CARMEL, IN 46032
317 843-9705
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER. . 2622545085
760 3RD AVE SW COMM SPECIALIST. Unknown
CARMEL, IN 46032 ORDER DATE. . . . . . 12/28/2012
PHONE. . . . . .317 571-2443 QUOTE DELIVERY. .
PO NUMBER. . 122812TRUCK24
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 024365 GY6302-GREY GY 2PC RUBBER GRY 59.98 29.99 0.00 29.99
1 112962 65-B DURALAST PROF BATTERY 165.90 82.95 12.00 94.95
CD -1 112962 65-B DURALAST PROF BATTERY 0.00 0.00 12.00 -12.00
2 861188 DLW-20 DURALAST WINTER BLADE 20 23 .98 11.99 0.00 23.98
No vehicle info given for the above items
Payment Appry Amount
61802010570 AULXYS 136 . 92
Subtotal 136 . 92
Illill IIIII Ilill IIIII IIIII IIIiI IIIII 111111111111111 1111 IN Tax . 0 0
Total 1336 .92
262254508520121228C MSDS can be ordered upon request
I
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
AZ COMMERCIAL (Auto Zone) Purchase Order No.
PO BOX 116067 Terms
ATLANTA, GA 30368 Due Date 5/15/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2013 2622545085 $136.92
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
VOUCHER # 135546 WARRANT # ALLOWED
352242 IN SUM OF $
AZ COMMERCIAL (Auto Zone)
PO BOX 116067
ATLANTA, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2622545085 01-7500-02 $136.92°
02(0; 63 y-795 or-7503-a6
Voucher Total �$4-�2
Cost distribution ledger classification if
claim paid under vehicle highway fund