HomeMy WebLinkAbout188209 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352498 Page 1 of 1
`s ONE CIVIC SQUARE NAPA OF WESTFIELD
CARMEL, INDIANA 46032 Po Box 245 CHECK AMOUNT: $7.90
WESTFIELD IN 46074
CHECK NUMBER: 188209
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 381271 7.90 REPAIR PARTS
Westfield Automotive Supply, Inc.
700 East Main Street P.O. Box 245 Ea AUTO PARTS
Westfield, Indiana 46074 N 0 Phone (317) 896 -5615 EAST MAIN STREET
Fax (317) 896 -1820 WESTFIELD IN 46074
PLEASE SEND PAYMENT TO PO BOX 245 WESTFIELD
BILL To CITY OF CARMEL STREET DEPT
3400 W 131ST STREET STATEMENT
WESTFIELD, IN 46074
>�ACCT #�EB. �.'IySM "�+PAGE�.•,�'
7995 0 1
KV �s „F?'OIGHEC a
TYPE ,.EiEFEI�ENCE ANIE�U .,�E� Fr1.��:0
05/2912010 PRV Balance 0.00
06(23/2010 INV 381271 7.90
.r•CURRENT _...w. ter: P. A 30 .s 9.4 PAST•'Dl3E 60�.,: iPA515 °D:tJEi900',.
7.90 0.00 cc 0.00 0.00
ba�a 'J gkK• wt MS Y srJ a s�.
DATE 06/25/2010
I!
Tptit aal Ofw�e ci, 1 7.90
TERMS No svc due 10th L
�w �u�i i r ��TrO,rt a` t�?�ya,�tYll�fl�g� ra���� 0.00
},.,w'
z STORE 100006273 3t�wa,T #o�t�ahl D uee 7,90
�e�'t!�..�.��i9 -e, ��,.i'G, �..o��9nc�
s CITY OF CARMEL, INDIANA VENDOR: 360694 Page 1 of 1
ONE CIVIC SOUARE WESTFIELD AUTOMOTIVE LLC
CARMEL, INDIANA 46032 17534 VVESTFIELD PARK ROAD CHECK AMOUNT: $7.90
VVESTRELD IN 46074 CHECK NUMBER: 187468
CHECK DATE: 717/2010
Alshk
W RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 361271 7.90 REPATR PARTS
NAPA Auto Parts of Westfe. d,':•
700 E. Main Street Po Box 245 Westfield, In 4607 .1i ;896 -r%15
r Please Remit To: H H Automotive Supply 1212 W. Main St. Le.ban °on,.IN 46052
1PA I AGRICULTURAL EXEMPTION CERTIFICATE apdcukural use
I I INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION i �LfMITED �IYARRANTY •PLEASE READ
reby
he certify tinier the ponallfes of perjury that the per as
personal property purchad se by the u of this exemption certificate will ll
dlrodly USnd In the dirant produtalon of agricultural products for reSele,
Please examine erese pads at oaca� Errors should be reported before using or inslalling. Returns 'Toe factor warranty Qnnstilu[es oA of th9 warranties wif11 raspBCl to the Sale of t111911em/IteM. The filler hereby expressly
G1 to es' be made wilhln TEN DAYS and must bo accompanwd oy this INVOICE NUMBER. This 4 waims all warranties, either azVoss or implied, inUuding any unpliod warranly of morchanlalhllty a litnoss rot a paNwler
properly sold to you with Iho definite understanding Thal It is purchased for resaie, unless law. purpose and tha "11ef neither aMtrl nor authori nny othor person to ossumo far it nny liability in connection with [he
hh BJ sale or this Ilowitams.
as baen otldad to Rm pries.
NO RETURN ON EEC ALL RETURfuS SU ECT TO 1D %RESTOCKING CHARGE. 5�
TO PARTS.
iCCT SOLD TO DATE TIME STORE EMP
7995 CITY OF CARMLL- STREET DEPT 06 23 10D9:50 100006273 25 381271.
SR
3 400 W 131ST STREET PURCHASE ORDER ATTENTION
WESTFIELD, IN 46074
41
TAX EXEMPTION:
AD TERMS; No svc due 10th Charge Sale
20 KEEP COPY INV
DELIVERY:
PART NUMBER LN. DESCRIPTION QUANTITY PRICE NET TOTAL
3L300W N8'H FHP POWERATED BELT 1. 0C 17.8 7 900C 7.90
Subtotal k-
7.90
5% REIN FE Indiana Sale 7;:0005 0.00
EMIT TO: 1 W AIN ST 0.00
EBANON, 0 —2324
j TOTAL Charge Sale_ 7.90
SIGNATU
ALL GOODS RETURNED MUST 136 ACCOMPANIED BY THIS INVOICE
r
Vii•
VOUCHER NO. WARRANT NO.
ALLOWED 20
Westfield Automotive Supply
IN SUM OF
Box 245
stfield, IN 46074
$7.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Membei
2201 381271 42- 370 -00 $7.90 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
r
�ThursdayjJuly 01, 2011
Street CommiAir&er
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by. State Board of AccounIs City Form No. 201 (Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
is oice or bill to be properly itemized must showy 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 for note attached invoice(s) or bill(s))
06/23/10 381271 $7.90
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