HomeMy WebLinkAbout223835 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
J, CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $44.99
ATLANTA GA 30368-6067
CHECK NUMBER: 223835
CHECK DATE: 9110/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 2622776405 44 . 99 REPAIR PARTS
01
Y1111Aggrozeffo°
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL FIRE INVOICE NUMBER. . 2622776405 04
2 CIVIC SQUARE COMM SPECIALIST. SIMMERMAN, CJ F
CARMEL, IN 46032- ORDER DATE . . . . . . 8/26/2013 2 : 56p
PHONE. . . . . . 317 571-2600 QUOTE DELIVERY. . 08/26/2013 03 : 26p
PO NUMBER.
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 974769 ACP-100 AC PROPREM HOSE 89 .98 44 .99 0. 00 44.99
AC Pro R134A w/Hose & Gauge
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
IglZ
MSDS can be ordered upon request
Payment Appry Amount
1034 061057 0 A37H6R 44 . 99
2622776405082613C
Subtotal 44 . 99
Tax 0 . 00
Total 44 . 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.
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 service rendered, by
whom, 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))
2622776405 VIN 1912 $44.99
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Auto Zone
IN SUM OF $
1445 South Rangeline Road
Carmel, IN 46032
$44.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 2622776405 I 42-370.00 I $44.99 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund