HomeMy WebLinkAbout166132 11/24/2008 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: $21.38
LEBANON IN 46052 -2324 CHECK NUMBER: 166132
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1125 4238000 ACCT 8011 15.53 714175
1125 4238000 ACCT 8011 5.85 714200
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 6220,;
1 r Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use AP A INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 1
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 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 const reby expressly
itutes all of the warranties with respect to the sale of this ilem/ilems. The seller he
Qt must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This tlisclaims 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 item items.
NO RETURN ON ELECTRICAL PARTS.
ACCT.# SOLD TO DATE TIME STORE EMP
080 .'t A i PA�:KS /T�F-CR i i r "9 Cl i r`e ty� i r ^1r"�i %r sF 1. 1 7 t r_ i 7�_:
SR 14 1.. tS'7 iSTREET PURCHASE ORDER ATTENTION
C;A4 IN TAX EXEMPTION:
EE P -',D Y I NV TERMS:•;,: a, i r" a• r `LAr`N01 cr %r_c'•
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY a PRICE NET TOTAL,
I_.1.._ 152 {'-dBH U(JAL T TY F•IT R HOSE. 3.00 1.990 1.190 3.57
.3 o!.- hIBH STRAIGHT C7t! NE:E **013 3. 4. E,GO 2.590 7„
560
r r�.� 6F, Y S iK CONI ECT e 1 i. 0 'I•. ��u�) �t .1 `i
Ptud —ii C.� NOV 1 8 200 8
P.Q, A
(9-
Bud
Purchaser e
25 f:E:i;� °f o FEE r 1, €ka o :t i.�a. a,s
REMIT' T 2 1 2 ICJ MAIN Tax "f O X T'��L�LE r_i„ oo
LEBANON T s A"1605;:
X
V
SIGNATURE
ALL GOODS RETURNED MUST 9E ^A6COMPANIED BY THIS INVOICE I CHARGE: SALE 15.
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
APA AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
I hereby cenity under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY •PLEASE READ
direct) 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
C7 must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims alt 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 item /items.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLDJO DATE t TIME STORE' EMP 0 0
r" >8011 Iw AF?it EL-- C;L.PW PjARKS /REGR 1. f` 1.0/08 1 1E 1 /l 1 100006133 :3 74200
SR
1411 Lam„ 116TH STREET PURCHASE ORDER ATTENTION
C j l PME'I... 9 IN
/16032 TAX EXEMPTION:
AD H EP C01 -1 `f Z teaY DELIVERY: ERI S vc: d aae 10th CHARGE SAL.!-.:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
H --•:L 512 N1w'H QU PL l: T FIT R HOSE 3.50 1. 990 1 G. 19 4.17
505 1. 212 BK HIDS CLMP 3. 00 1. 290 0 0. 56() 1. 68
Purchm
Desaipti
P.O. a .PorF
Bud
Line
Purchaser D to
Approval Date 1/ y p RED:
NOV 1 2008
2- RESTOCK FEE I 33y 5.8-5
REh11:T TO.- 1212 N MAIN Ta.c 7% TAAITAB 0..0 i
LEBANON T fit. 0
/l SIGNATURE Ttl "j'(�I_. ._.M..__ CHARGE SALE 5. 8
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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) Purchase Order No.
354290 Boone County Automotive Terms
1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/10/08 714175 Hose clamps for block heater 15.53
11/10/08 714200 Hose clamps for block heater 5.85
Total 21.38
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
Voucher No. Warrant No.
(NAPA)
354290 Boone County Automotive Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
21.38
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT TITLE AMOUNT Board Members
Dept
1125 714175 4238000 15.53 1 hereby certify that the attached invoice(s), or
1125 714200 4238000 5.85 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
18 -Nov 2008
Signature
21.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund