HomeMy WebLinkAbout221404 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
t ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $149.91
ATLANTA GA 30368-6067 CHECK NUMBER: 221404
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2622545085 136 . 92 OTHER EXPENSES
651 5023990 2622634785 12 . 99 OTHER EXPENSES
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AL
Page 1 of 1 Customer ID: 618020
AutoZone,Inc.
P.O.Box 116067
Atlanta,CA 30368-6067
Phone:(866)208-3385
III'I��'III���'II'II��I�'I�'I�I�IIIII�I'�'�I'�'II'�IIIIII�I��I'I Open Item Statement
Bill to: 3946 1 1 1 Statement Date: 06/04/2013
CARMEL WASTEWATER 27/ 3946 Statement#: 1168
Accounts Payable
760 3rd Ave SW Amount Due $149.91
Carmel IN 46032-2072
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 I Invoice# PO Number Due Date Document Invoice Amount Due
Advice*I Amount
Account: CARMEL WASTEWATER 618020 ACCOUNTS PAYABLE 760 3RD AVE SW CARMEL IN 46032-2072
12/28/2012 Invoice 2622545085 122812TRUC 01/27/2013 136.92 136.92
04/04/2013 Invoice 2622634785 LEWIS 05/04/2013 12.99 12.99
Total for CARMEL WASTEWATER 149.91
I
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 $0.00 $12.99 $0.00 $0.00 $136.92 $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.
Page : 1 of 1
1445 S RANGE LI
\�
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL WASTEWATER INVOICE NUMBER. . 2622634785 00
760 3RD AVE SW COMM SPECIALIST. HALL, THEODORE MICHAI L
CARMEL, IN 46032- ORDER DATE . . . . . . 4/04/2013 9 : 59a
PHONE. . . . . . 317 571-2443 QUOTE DELIVERY. . 04/04/2013 10 : 28a
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
6840 CST Fuel Cap
The Above Items Belong To 2005 Chevrolet Truck Equinox 2WD
The Above Items Belong To 2005 Chevrolet Truck Equinox 2WD
MSDS can be ordered upon request
Payment Appry Amount
6180 201057 0 A8X895 12 . 99
2622634785040413C
Subtotal 12 . 99
Tax 0 . 00
Total 12 . 99
AZC Savings -1 . 00
`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 WASTEWATER INVOICE NUMBER. . 2622545085 02
760 3RD AVE SW COMM SPECIALIST. HALL, THEODORE MICHA L
CARMEL, IN 46032- ORDER DATE. . . . . . 12/28/2012 9 : 57a
PHONE . . . . . . 317 571-2443 QUOTE DELIVERY. . 12/28/2012 10 : 26a
PO NUMBER. . 122812TRUCK24
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 024365 GY6302-GREY GY 2PC RUBB 59.98 29 .99 0.00 29.99
Goodyear Gray Rubber Floor Mat Set
1 112962 65-B DURALAST PROF BATT 165. 90 82 .95 12 .00 94.95
CD -1 112962 65-B DURALAST PROF BATT 0. 00 0. 00 12 .00 12 .00-
Duralast Professional Battery
2 861188 DLW-20 DURALAST WINTER B 23 .98 11.99 0.00 23 .98
Duralast Winter 20" Wiper Blade
The Above Items Belong To 2007 Ford Truck F250 Super Duty P/U
The Above Items Belong To 2007 Ford Truck F250 Super Duty P/U
Core (s) Deferred Due Within 3 Days
MSDS can be ordered upon request
Payment Appry Amount
j s 6180 201057 0 AULXYS 136 . 92
�j
2622545085122812C
Subtotal 136 . 92
Tax 0 . 00
Total 136 . 92
AZC Savings -67 . 04
`The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Aoreement.as amended from time to time.
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 6/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2013 2622545085 $136.92
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
d",J/
Date 0 icer
VOUCHER # 135894 WARRANT # ALLOWED
352242 IN SUM OF $
A2:COMM-�RtIAL (Auto Zo'e)-
PO BOX 116067
ATLANTA, GA 30368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2622545085 01-7500-08 $136.92
26��63gN5 s Iz,�
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Voucher Total °-y2
Cost distribution ledger classification if
claim paid under vehicle highway fund