220946 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
4` ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 Po Box 116067 CHECK AMOUNT: $26.36
ATLANTA GA 30368-6067 CHECK NUMBER: 220946
CHECK DATE: 6/1812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2622661228 16 . 14 OTHER EXPENSES
601 5023990 2622662079 10 . 22 OTHER EXPENSES
WA VA
Page 1 of 1 Customer ID: 359080
AutoZone,Inc.
P.O.Box 116067
Atlanta,GA 30368-6067
Phone:(866)208-3385
11111-11I 1I'I111I Jill IIIIII1I1I11 II 1 I"II'II1II11 ' Open Item Statement
Bill to: 3981 1 1 1 Statement Date: 06/04/2013
CARMEL WATER DISTRIBUTION 27/ 3981 Statement#: 1168
3450 W 131 st St
Carmel IN 46074-8267 Amount Due $26.36
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*� Amount
Account: CARMEL WATEF DISTRIBUTION 359080 3450 W 131ST ST CARMEL IN 46074
05/01/2013 Invoice [ ] 2622661228 TRUCK49 05/31/2013 16.14 16.14
05/02/2013 Invoice [ ) 2622662079 06/01/2013 10.22 10.22
Total for CARMEL WATER DISTRIBUTION 26.36
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 $26.36 $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.
1910111ROMOZ0000
Page : 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622661228 09
3450 W 131ST STREET COMM SPECIALIST. HALL, THEODORE MICHAEL
WESTFIELD, IN 46074- ORDER DATE. . . . . . 5/01/2013 11 : 47a
PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 05/01/2013 12 : 17p
PO NUMBER. . TRUCK49
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 070596 41125 TRAILER WIRING KI 32 .28 16.14 0.00 16 .14
Hopkins Chevy/GMC/Cad Wiring Kit
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
i
MSDS can be ordered upon request
Payment Appry Amount
3590 801057 0 ALCIDD 16 . 14
I
26226612280501130
Subtotal 16 . 14
Tax 0 . 00
Total 16 . 14
e Commercial Customer Charge Account
`The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZon
Aareement.as amended from time to time.
a
I
it
I
ills / �G
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WATER DISTRIBUTION INVOICE NUMBER. . 2622662079 06
3450 W 131ST STREET COMM SPECIALIST. NELSON, KEITH
WESTFIELD, IN 46074- ORDER DATE. . . . . . 5/02/2013 9 : 34a
PHONE. . . . . . 317 733-2855 QUOTE DELIVERY. . 05/02/2013 10 : 04a
PO NUMBER. .
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 899645 7008300 BALL IL 2 X 1 2 20.44 10.22 0.00 10.22
Reese 2"x 1"x 2" Interlock Hitch Ball
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
203
>�
MSDS can be ordered upon request
Payment Appry Amount
3590 801057 0 AZJ9JR 10 . 22
2622662079050213C
Subtotal 10 . 22
Tax 0 . 00
Total 10 . 22
AZC Savings -0 .77
'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.
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
AUTOZONE Purchase Order No.
PO BOX 116067 Terms
PO BOX 6717 Due Date 6/13/2013
ATLANTA, GA 30368-6067
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2013 2622661228 $16.14
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 Offi
VOUCHER # 131883 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
2622661228 01-6500-05 $16.14
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ID-ZZ.
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund