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Home My WebLink About166590 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CARMEL, INDIANA 46032 1212 W MAIN ST CHECK AMOUNT: $84.77 !y° LEBANON IN 46052 -2324 CHECK NUMBER: 166590 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231500 8081 84.77 OIL NAPA Auto Parts of Carmel 111 Medical Drive Carmel, Indiana 46032. 317 844 -3973 Fax: 317 844 -6220: Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 y11 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use f NAPA I hereby certify under DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ er 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 item /items. The seller hereby expressly 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. ACCT SOLD TO DATE TIME STORE EMP INVOICE NO t3Csti[. 1 CITY OF CCIR110-- BUILDING 111AINT. ii "i!=� �;aFl 1 ti: 1 1 t it ?i'iC)F. 71 F-.?" rl ��n 7 PURCHASE ORDER ATTENTION SR I CIVIC t ,��t.L.1� =iF,L CnRIYIEL, IN rr: 46032 TAX EXEMPTION: AD TERMSfit:� ;vc: duia 1t`,'}-h CFInRF?1F- *G•l_r: r_. DELIVERY: bi+Al PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL AR272 ECH RE: LAY E.. 00 1.9. G 50 1. 2u 890 25. 1522 F "I:L Nf -'IP GOI._.D OIL FILTER 3.00 13J.0() 0 F,99 20.97 7060 F I L h,InFlAGOI -D OIL FILTER 00 10.170 5. 490 16.47 d 1 j' b�b l 25% RESTOCK FEE Stdb t o t al 63. RE11I T TO.- 1.21.1' W W) I N Ta,t 7/N TAXTABLE 3 t't„ 00 LEBA T 46052 SIGNATURE I ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE TOT I"AL CHARGE SALE 6 3. 2 2 NAPA Auto Parts of Carmel 111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220 Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052 J N APt AGRICULTURAL EXEMPTION CERTIFICATE agricultural use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I 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 tlirect 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 item(tems. 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 particular property is soltl 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 itemftems. NO RETURN ON ELECTRICAL PARTS. ACdT SOLD TO DATE TIME STORE EMP t3BO)BI C1 TY( OF COR11EL•- BI_111- D.T.NG MAINT. 1 i0 00AI ?r) -7191 1M; X4 SR 1. CIVI OUnRE PURCHASE ORDER ATTENTION C;AWIEL., 11\1 ?m q 3 TAX EXEMPTION: AD TERMS: i„ r ,.n ,-h n 1 r l+ c Lii d::• DELIVERY'' UR TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 5800 MAG FUEL. S T Al:+11-1 •LER r'. 0 tF 6. 1 390 5.790 11 E58 75--1:"'0 NQL NAPA 10W:30 OT 2, t �t'a 3. 41 0 2. •790 5. 58 09184.7 CRC NON C',HfLOR BRAKLEE:N 20 1.00 5.3 4•.390 4. ::air RESTOCK FEE �';�ILJ4ttf r <.1. 21: 55 �.l�►i R TO. O n 1 W MAIN Tax •r; T"A X TABLE 3 0. i 0 LEE ALL GOODS RETURNED MU S I GNATURE ST BE ACCOMPANIED BY THIS INVOICE T C H Pi R G E SALE Prescribed by State Board of Accounts City Form No. 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 NAPA Aut P arts Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/05/08 716329 Oil Filters $63 22 12/03/08 716115 Fuel Stabilizer, Oil, Non Chlor Brakleen $21.55 Total $84.77 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 VPUCHER N(2/08/08 WARRANT NO. ALLOWED 20 tad IN SUM OF 1212 W. Main Street LebapGn, IN 60 $84.77 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 ADMINISTRATION B �6 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 716329 315 $63.22 materials or services itemized thereon for which charge is made were ordered and received except 20 nat e Cost distribution ledger classification if Title claim paid motor vehicle highway fund