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167273 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $1,173.80 5�=a CARMEL, INDIANA 46032 1212w MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 167273 CHECK DATE: 12/23/2008 DEPARTMENT ACCOUNT PO NUMBE INVOICE NU MBER AMOUNT DESCRIPTION •1205 4237000 7995 15.92 716803 1205 4237000 7995 -27.41 716973 ,.2201 4238000 7995 ,,-996.29 717304 X2201 4238900 7995 189.00 717442 t Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 P t AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ 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 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 101 RESTOCKING CHARGE. sale Of this itomaAA.ms. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP o �5' o79':?5 CITY OF CARMEL._••- STREET DEPT 1.9 717: F �t 1� 1. i;8 13 u L 1. {,ll.:){:.i {_1Er 1 :r,� r 0 W 131ST STREE.1 SR WESTF I EL.D, IN PURCHASE ORDER ATTENTION f r 4Ct a 7 I TAX EXEMPTION% A.0 TERMS E C I PJ 4� I titJ V L- :1 l,tC J. t: I t i_rl /A R 4._ 7f 1L. E DELIVERY: ti PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL NH l -f+Pl,':SAF1-RL .;SI ZEL;C)h'iBGW 2.00 146. 110 73.233 146. 4 OR i 94 NIAT 4PCMETLRGSI ZECOMBGW 2.00 0 146. 1. 1.0 7;3. 22 3 1.!x1, r 0 R 20 VG 8PC ROLL BAG PACKAGE 3.100 173. 1. G0 I {:Y9. 000 327. 00 7 E'K SCREWDRIVER TOOL_ SET 3.00 44.82o 4. 99C-) 104.97 NMT613 NHT 1.3PCTOR XF I TSrKTSET 1.00 0 74. 960 36.734 x'34 36. 73 R 68 11G SE LOCKING PL IERS 2.00 0 104. x'332'' 59. '390 J. 19. 98 35 336 SPC HAMMER 1. 00 41.000 35.890 35.89 L_VH32 NHT BP HA!'$II•+If_ R-- STEEL._ HANDL. 3.00 54. 990 2G. 2E: 1: 78.78 R 25 RESTOCK FEE 996. REMIT' TO.- 1212 W Mrt l hi Tax 7%. TAX TABLE 3 0„ 0 LEBANON IN, 1 +6o52 SIGNATURE TOTAL ARGE SALE �ALL�GO�ODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE v "i 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/16/08 717304 $996.29 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 Boone Co. Automotive IN SUM OF 1212 W. Main Street Lebanon, IN 46052 -2324 $996.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# bept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 717304 42- 380.00 $996.29 1 hereby certify that the attached invoice(s), or 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 Wednesd y, December 17, 2008 c r Street o missioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund vrr r l Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE agricultural use AR 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 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 t 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 itennftems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE €MP P I 17x135 CITY OF CARMEL_ °ST•REET DEPT 12/1.7/08 ],5: 1 717442 SR ";400 W 1 31ST STREET PURCHASE ORDER ATTENTION WESTF I E E D, IN 411 46 TAX EXEMPTION: AD i-`..EEP COPY INV TERMS`. o s tire_ dLte 10th CHARGE SAL.E. 17 DELIVERY0' -JR TRUJCV PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL M14V1001 lJW I WINTER WPR SI._ADE ASST 1.00 a13. 9 18`Jrr 000 :i.S 9a ()o U JAM. i t 25% RESTOCK F=EE a >_t a� �r��:�;� 189a REMIT TO.. 9.2112 W )ylAIl%1) Tax 7% TAXTABLE. 3 c,)„ 00 7 L..F DAI�iCjiW I iu 4•C,c�) I H SIGNATURE TOTAL_ CHARGE SAL -E 169. 0 t I ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE v Please Remit To: H H Automotive Supply 1212 W. Main St. -Lebanon, IN 46052 JP A I AGRICULTURAL EXEMPTION CERTIFICATE agricultural use [F�N INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ alties of perjury that the personal property purchased by the use of this exemption certificate will be di hereby certify under the pen ectly used in the direct production of agricultural products for resale. 1 Please examine these pans 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 expresly 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 fora 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 o 79 a E LTY OF C ARMEL. ST RE. E:T DEPT 1. E oG lo p 1.0 1. t���'1t?061 �33 30 716973 .7-:4 W •?,4�� 0 W 131ST STRE E"T SR j# 1+1C STF I ELI), I P1 PURCHASE ORDER ATTENTION 4 46,074 I'' 7 �y 1 TAX EXEMPTION: t_. r, r, r••r, v •s- e.a r^ wr, V, EP COP INV IY f aY LI <.l 6srtrii i f. 1 AD TERMS: DELIVERY: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL`` tK:a t L.H R(JLA'%1 to IbWJ. I Ut if. e_I1) J.tin _=.'Q a., f,:.IQ I t. Z)I. ,HH 784613 NW FUSE HOLDER •7a 2 3.790 3., •39CF� 78442:E, NW RING TERMINAL —2.00 5.850 1. 0E: 0 6. J.IL't:IR REMIT "TO.- 1212 W MAIN =i Tax 7% Tf- XTA LE 3 0.00 X TOTAL _.....y CREDIT ME1YIO SIGNATURE ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE I NO A PA L INDIANA DEPARTMENT OF REVENUE •SALES TAX DIVISION agricultural use hereb certify under the enalties of perjury that the personal property LIMITED WARRANTY PLEASE READ y ty p p l ry p p p y purchased by the use of this exemption certificate will be directly used in the direct production of agricultural products for resale. hou 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 Please examine these parts at once. Errors s Id be C1 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 foi'it any liability in connection with the has been added to the price. ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE. sale of this ite�tems. NO RETURN ON ELECTRICAL PARTS. ACCT SOLD TO DATE TIME STORE EMP 7 .11 1 CI TY OF C�'� F?IYIE.L l RF F UEI �T 1:21 1 t:)! t zS 1. 6 i. c;}: "�c:i� 1 3 r 1 SR 3400 W 131ST STREET PURCHASE ORDER ATTENTION WESTF° I ELF}, IN E 'x 4.N i 3 74 TAX EXEMPTION: I if AD =P COPY INV TERMSilo avc ciue 10th CHARGE SALF 1 DELIVERY -CIUR TRUCK PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL 782-5316 BK ATC FUSE BLOCK K 1,. Ewan 121. 240 15. 920 15e 92 25% RESTOCK FEE Subtotal 1`J.9 REMIT TO: 1212 W MAIN Tax 7% TA?: TABLE 3 0.00 LEBANON IN, 4� 052 S SIGNATURE TOTAL CHARGE SALE 15. 92 1 ALL GOODS 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 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/17/08 717442 $189.00 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. ALLOWED 20 Boone Co. Automotive IN SUM OF 1212 W. Main Street Lebanon, IN 46052 -2324 $189.00 ZON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 717442 42- 389.00 $189.00 1 hereby certify that the attached invoice(s), or 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 Thursday, December 18, 2008 Streemmissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) A 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 Auto Parts Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/12/08 716973 CREDIT 12/12/081 716972 Fuse Holder, Ring Terminal Rocker Switch 716803 ATC Fuse Block $15.92 Total $25.46 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 N2f49/08_WARRANT NO. Automotive Supply ALLOWED 20 1212 W. Main Street IN SUM OF Lebanon, IN 46052-2324 $25.46% ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 ADMINISTRATION Board Members Mi or 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 716973 370 $27.41 materials or services itemized thereon for which charge is made were ordered and received except 1205 716803 370 $15.9 2 i 20 i ald re 6 Title Cost distribution ledger classification if claim paid motor vehicle highway fund