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183207 03/16/2010
CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CARMEL, INDIANA 46032 1252 W MAIN ST CHECK AMOUNT: $30.00 LEBANON IN 46052 -2324 CHECK NUMBER: 183207 CHECK DATE: 3116/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 368649 30.00 OTHER EXPENSES H&H Automotive Supply NAPA Auto Parts of Westfield W. Main Street QNAPAD {317} 896 -5615 Lebanon, IN 46052 -2324 (317) 896 1820 Fax MIMW NAPA Auto Parts of Noblesville (317) 773 -3180 (765) 482 -1180 Remit to: (317) 774 -0932 Fax 800 924-6831 Boone County Automotive, Inc. NAPA Auto Parts 7) Carmel (317) 844 -3973 (765) 482 -7398 Fax 1212 W Main Street, Lebanon, IN 46052.2324 (317) 844 -6220 Fax 'TOOL SALE AT WESTFIELD STORE MARCH 10, WEDNESDAY BILL TO CITY OF CARMEL -WATER 3450 W 131 ST STATEMENT WESTFIEL©, IN 46074 aACCT SM# aft 8039 0 1 •[RTE TYPE ..REFERIwNGE� .,;AM()l1t�IT ..:...�P.f3.ICHE J.E: 02/17/2010 INV 129- 368649 30.00 �t z. Ct1RFiENT BAST, D Ex30._ s" PA T D. E6E3 :::P.A T;D E y 1 '140 30.00 0.00 0.00 0.00 DATE 02/25/2010 T o t a I O We 30.00 TERMS No svc due 10th T o t a l D a t I n 0.00 n fiTr)PP innn nri7A f n t I Jl.tI:e- �rl rill NAPA Auto Parts of Westfield; 700 E. Main Street Po Box 245 Westfield, 'in 46074.317- 896 -5615 El Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 DEPARTMENT EXEMPTIDN CERTIFICATE agricultural use INDIANA DEPARTMENT OFREVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE REA1]�`' hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be directly used in the direct production of agricultural products for resale. Please examine these parts at once. Errors should be reported before using or installing. Returns d die factory warranty constitutes all of the warranties with respect to the sale of ihis itemlitems The seller hereby expressly must be made within TEN DAYS and must be accompanied by 1hi51NVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular property is sold to you with the definite understanding that it is purchased for resale, unless tax Pu7pose and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the has been added to the price. ALL RETURNS SUBJECT To 10% RESTOCKING CHARGE. sale of this itemlitems. NO RETURN ON ELECTRICAL PARTS.' ACCT SOLD TO DATE TIME STORE EMP INVOICE NO. E 41 8039 CITY OF.::CRRMEL' -WATER 02/17/1016:33 1000061.29 21 368649 3450 W 131 ST PURCHASE ORDER# ATTENTION WESTFIELD, IN 46074 TAX EXEMPTION: AD TERMS: I NO svc due 10th"' Charge sale 15 DELIVERY: o PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL ROTOR. LAE LATHE 2.00 0.00 15.0000 30.00 Subtotal 30.00 r 0.00 Prescribed by State Board of Accounts Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I I i i I 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Vcur,her No. Werrant ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. prcio o CARMEL, INDIANA Favor Of Napa- Booli e noun Af_�FomvA tlC Le-ba-nol), Total Amount of Voucher g Deductions o co Amount of Warrant Month of Yr VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation- Mai nte nance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title ROYCE FORMS SYSTEMS 1 -800- 382 -8702 325