192823 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 364937 Page 1 of 1
ONE CIVIC SQUARE H H AUTOMOTIVE SUPPLY
CARMEL, INDIANA 46032 1212 W MAIN STREET CHECK AMOUNT: $33.98
LEBANON IN 46052
CHECK NUMBER: 192823
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238000 359203 33.98 SMALL TOOLS MINOR E
NAPA Auto Parts of Westfield
700 E. Main Street Po Box 245 Westfield, In 46074.317- 896 -5615:
Please Remit To: H H Automotive Supply 1212 W. Main St.. Lebanon, IN 46052
J
AN AGRICULTURAL E VENUE- SALES TATE agricultural use INDIANA DEPARTMENT ARTMENT OF F REVENUE TAX DIVISION LIMITED WARRANTY PLEASE READ
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 'The factory warranty constitut tem
es all of the warranties with respect to the sale of this ilhems. The seller hereby expressly
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a part¢ular
property is sold to you with the definite understanding that it is purchased for resale, unless tax purpose 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 it—fi erne
NO RETURN ON ELECTRICAL PARTS. L
ACCT SOLD TO DATE TIME STORE EMP IS
7996 CITY OF CARMI L FIRE aE_F'T 10 f 2 15:36 1,0000612.3 2 3592€}3
2 CIVIC S Q U A R E PURCHASE ORDER ATTENTION
SR# CARMEL, IN 46032
41 TAX EXEMPTION: r
AD TERMS: 140 5vu w e 1
2 DELIVERY: I of I
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
60209 BK 1 4 8 DR STUB RATC 2.00 19,99 16:9900 33.98
1
tra.I 33.98 t
25% RESTOCKING FEE TAX 7.000% 0.00
REMIT TO: 1212 W MAIN ST
LEBANON IN 46062 -232A
TOTAL a Charge Sale 33,98
f
/SIGNATURE C h g 33.98
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
r IN SUM OF
l-e nan, IN 46952
$33.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 359203 42- 380.00 $33.98 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
DEC 13 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form Na. 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))
359203 $33.98
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
20
Clerk- Treasurer