HomeMy WebLinkAbout166587 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $31.39
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 166587
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 8032 31.39 OIL
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NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
a Please Remit To: H H Automotive Supply 1212 W. Main St. Lebanon, IN 46052 j
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
7� INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
IAN
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 constitutes all of the warranties with respect to the sale of this ite�tems. The seller hereby expressly
G1 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 particular
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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
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ACCT SOLD TO DATE TIME STORE EMP
E;t:t'ac: C.:I "f Y OF t ARf E{_ ENGINEERING INf EF? 1tIC 07 /0fi :�t3e`j6 10000613 1`:3 1 71 j.863
ONE CIVIC SQUARE
SR CARMEN_,, IN PURCHASE ORDER ATTENTION
1 46 032
.EE P COPY INN TAX EXEMP.TION:.I.,. ,�.h I••�HAII• -1.
1 A9 TERMS:
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
I71 1. 55 i t`dt., L- iXIF IF'F•4 t.1tt..1 -111 1 :ltWC..I_I :J� t i} _re F �l,• f�:., 'll..t i r. `tti�
3 '7 :0 F "IC NEaI=AGGLD OIL_ F ILJER 1. 9e 260 6 4, A:I R
3
2006 Ford Ty I..tck Esc-Ape
60-0 1 a— 1 W I4 B I -ADE 1. 0 14.e 160 r 9. 990 0 9. 99
M %r.ILJS;ti'si 4dWS W INDSHIEL-D WASH --2() 1.00 2. 590 22.. 53
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C:..1 t �•i 1_IL.�Y. I° fit= `i u ri fi 1: l 1 _J'�
REMIT TO.-. 1212 W WAIN Tax 7% TAX? ABLE 3 0 rate
LEBANON IN 46052
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SIGNATURE
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Boone County Automotive
Purchase Order No.
1212 W. Main Street
Terms
I.1ebanon, IN 46052 -2324
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/01/08 715863 Oil and oil filter $31.39
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Be ene Co un ty AuteR;etive IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$31.39
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I, hereby certify that the attached invoice(s), or
n/a 715863 2200- 4231500 $31.39 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 6
�7
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund