224788 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC CHECK AMOUNT: $538.93
�?o CARMEL, INDIANA 46032 PO BOX 116067
ATLANTA GA 30368-6067 CHECK NUMBER: 224788
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 2622792802 538 . 93 BUILDING REPAIRS & MA
s , 1 9111O o 24900
i
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL CLAY PARKS REC INVOICE NUMBER. . 2622792802 07
1411 E 116th Street COMM SPECIALIST. SIMMERMAN, CJ F
CARMEL, IN 46032- ORDER DATE . . . . . . 9/13/2013 12 : 51p
PHONE. . . . . . 317 573-4026 QUOTE DELIVERY. . 09/13/2013 01 : 18p
PO NUMBER. . 36181
Items
Sugg.
Qty Sku Description List Cost Core Amount
7 072022 3030 R134A FREON CYLINDE 153 .98 76. 99 0.00 538.93
R-134a Refrigerant 30 lb Cylinder
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
Cvs [)Ccjy0n
/if C 00 � 0 0 � CQ « � F
03 - �3�)D100
i
SFP 2, 3 2013
MSDS can be ordered upon request
Payment Appry Amount
1148 061057 0 A9TSM4 538 . 93
2622792802091313C
Subtotal 538 . 93
Tax 0 . 00
Total 538 . 93
AZC Savings -861 . 00
'The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Agreement.as amended from time to time.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00350350 Auto Zone Terms
1445 S Rangeline
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
9/13/13 2622792802 Gas for Dectron unit 36181 S 538.93
Total $ 538.93
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.
00350350 Auto Zone Allowed 20
1445 S Rangeline
Carmel, IN 46032 -
In Sum of$
$ 538.93
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1093 2622792802 4350100 $ 538.93 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
3-Oct 2013
?D
Signature
$ 538.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund