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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 ,i 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. i 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 I m V l r r. r, �!1!c?�$ 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 i SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 0 k. M I 1 i 1 1 1 i Ipi 1 i i 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