226232 11/19/2013 w c�\yf CITY OF CARMEL, INDIANA VENDOR: 00350350 Page 1 of 1
ONE CIVIC SQUARE AUTOZONE INC
CARMEL, INDIANA 46032 PO BOX 116067 CHECK AMOUNT: $245.39
ATLANTA GA 30368-6067 CHECK NUMBER: 226232
ON�
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 2622809956 240 . 00 SPECIAL DEPT SUPPLIES
1120 4237000 2622849062 5 . 39 REPAIR PARTS
t o
Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL FIRE INVOICE NUMBER. . 2622849062 01
2 CIVIC SQUARE COMM SPECIALIST. SIMMERMAN, CJ F
CARMEL, IN 46032- ORDER DATE. . . . . . 11/12/2013 4 : 05p
PHONE . . . . . . 317 571-2600 QUOTE DELIVERY. . 11/12/2013 04 : 35p
PO NUMBER. .
Items
Sugg.
Qty Sku Description List Cost Core Amount
1 250064 84450 FHP BELT 10.78 5 .39 0.00 5.39
Armor Mark Lawn & Garden Belt
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
MSDS can be ordered upon request
Payment Appry Amount
1034 061057 0 A6XHWA 5 . 39
2622849062111213C
Subtotal 5 . 39
Tax 0 . 00
Total 5 . 39
AZC Savings -0 . 60
'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/I w
Page:1 of 1
1445 S RANGE LINE
CARMEL, IN 46032
317 843-9705
Customer Information Order Information
CARMEL FIRE INVOICE NUMBER. . 2622809956
2 CIVIC SQUARE COMM SPECIALIST. Unknown
CARMEL, IN 46032 ORDER DATE. . . . . . 10/02/2013
PHONE. . . . . .317 571-2600 QUOTE DELIVERY. .
PO NUMBER. .
Items
Sugg.
Qty Sku Description List Cost Core Amount
60 690875 7133 OIL ABS 448 FULLER EARTH 0.00 4.00 0.00 240.00
No vehicle info given for the above items
MSDS can be ordered upon request
`1 CERTIFY THAT I HAVE RECEIVED THE PART(S) Payment Appry Amount
LISTED ABOVE_.
10340610570 ATPZJI 240 .00
2622809956100213S
262280995620131002C
Subtotal 240 . 00
III II illll IIIII IIIII Illil IIIII IIIII IIIII IIIII 11111 1111 lilt Tax 0. 0 0
Total 240 . 00
"The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commerical Customer Charge Account
Agreement 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))
2622809956 $240.00
2622849062 $5.39
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
$245.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 2622809956 42-390.11 $240.00 1 hereby certify that the attached invoice(s), or
1120 2622849062 42-370.00 $5.39 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received excep
01
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund