HomeMy WebLinkAbout167008 12/17/2008 s „yf CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $77.34
CARMEL, INDIANA 46032 1212 W MAW ST
LEBANON IN 46052 -2324 CHECK NUMBER: 167008
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4237000 8081 77.34 716848
Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
A N 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 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 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.
N O RE ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP o =1 0 Lem
'?Cl� :�C1 Cf1Y ()F C�1F2MC:1_— I.UILDIl�fiJ IvItIIiIT:, /11!syS ;r3ut :sip '71F 8 4 8
SR I CIVIC SQUARE PURCHASE ORDER ATTENTION
CARMEL, IN
X1 4.16 0,.:;2 TAX EXEMPTION:
AD TERMSfla .dry rJ,-(e loth CHARGE nLE
DELIVERY:U!• TRUCV,,
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL'
AR272 E.CH RELAY S. o0 1.��4 F,` 0 12rr 8 e
P,`I',I.
t
tR tQ
2'55% RESTOCK FEE ::,s Mt or Al 77. 1
REMIT TO,-, 1212 W MAIN Tax •7, TAXTt-iL'LE 3 0.00
L>^:13A N I hd, 4605,2
X i
r SIGNATURE TC) C(�C. CHARGE SALE 77.3
ALL GOO V RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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
Mom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
NAPA Auto Parts
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11 /0 716848 R elay
Total $77.34
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 V/15/08 WARRANT NO.
_omobue_S.u.pply ALLOWED 20
*1212 W. Main Street IN SUM OF
Lebanon, IN 46062 2324
$77.34
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 ADMINISTRATION
Board Members
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 716848 370 $77.34 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignatu e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund