HomeMy WebLinkAbout161736 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
0 f, ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $16.78
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 161736
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
`1205 4350400 ACCT 8081 i 16.78 702639
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NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 •317- 844 -3973 Fax: 317 844 -6220
'l Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
AP 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 itemAtems. 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 itetems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
1:tE 0C'�1 t :f.1 °'Y` OF is t7RMEf._ W ?1 EJ:I_.z?IFdt:; MEIIhsT. {i /o 1 �`4a 1. 0 'ti0G 19 70 2 639
SR 1 CIVIC SQU ORDER ATTENTION yf
CARMEL, IN GnTnR
A. t t TAX EXEMPTION: r
AD TERMS do s—c_ dii-te 10th CHARGE 'SFIi._E
DELIVERY:C LIR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
755- -1086 LA WIRE: V, I T 1. 00 17. 49() 13. 990 1 .3a 99
78434 NIW SPLICE t_C)CK CONNECr TOO 1. 5a 000 2 790 2.79
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25% RESTOCK FEE I G. 76
REMIT TO.- 121E W MPIN To:x 7% TAXTABLE 3 0.
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LEBANON IN, 46052"
j SIGNATURE TC)7AL- CHARGE SALE 16. 72,
LL 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
�n 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))
Total $16.78
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 W- /7� WARRANT NO.
ALLOWED 20
YY Air, IN SUM OF
W Main Street
I Phanon IN 4605524
$16.78
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 ADMINISTRATION
4&t S log Board Members
PO# 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
504 $16.78 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignatup
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund