HomeMy WebLinkAbout163157 09/03/2008 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: $43.40
LEBANON IN 45052 -2324
CHECK NUMBER: 163157
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBE IN VOIC E NUMBER A MOUNT DESCR
1192 4239099 8081 30.42 707137
1205 4231500 8081 12.98 705034
4i
we NAPA Auto Parts of Carmel
1) 1 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
NAN AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ
1 hereby certify under the penalties of perjury that the personal property purchased by the use ol�this exemption certificate will be
directly used in the direct production of agricultural products for resale.
Please examine these pans at once. Errors should be reported betoro using or installing. Returns 'The factory warranty constitutes all of the warranties with respect pl the sale of this ite t han s. The seller hereby expressly
C must be made within TEN DAYS and must ho accompanied by this INVOICE NUMBER. This disclaims all warranhes, either express or implied, including any implied warranty of merchantability or fitness for a particular
propony 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 10,6 RESTOCKING CHARGE. sale of this itern/items. 1
NO RETURN O ELE CTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
tit:; ?1 C.:IT` OF C:ARME:I.._- BUILDING i11AIN'Tn -r���.n t.
SR 1. CIVIC SQUARE PURCHASE ORDER ATTENTION
CARME.L., TN
1tt TAX.EXEMPTION:
AD TERMS:Ir, .,;x-r., rilla it "tF I�6•ICSFythF ��t�l w
28 DELIVERYCI.IR TRUCK
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
I a:c' FIE_ 0 T L. F L. 2e 00 11.600 6..- 1.2.9
RE'STGCK FEE Subt otal. 12.98
REMIT TO 1212 W MAIN Tax '7 "1 TAXTAB!_E. Z 0.00 1
L. r 7
X
SIGNATURE TOTAL CHARGE SALE 12. "-38 I
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
J
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 Auto Parts
Purchase Order No.
"I Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07129108 705034 Oil Filter $12-98
Total $12.98
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
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 ulal use II
INDIANA DEPARTMENT REVENUE -SALES TAX D IVISI ON �I�
AGRICULTURAL EXEMPTION CERTIFICATE C A. of L a ag'rjcult E t
J I L that purchased D WAflRAN i PLEAS E�REAI hereby certify untler the penalties of perjury that the porsonal property purchased by the use of this exemplionca��il�'be directly used in the direct production of agricultural products for resale. r��((Ar�yy���dln}d3+ Please examine these parts at once. Errors should be reposed before using or installing Returns 'The factory war sti I IM t anties with respect,to the sale oft 's' ice�a. The seller hereby expressly
C must be made within TEN DAYS and must be accompanied by this INVOICE NUMBER. This disclaims all warranties, either expresser li WGlytl�r�g�af�T �Ifgd o rchantebility 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 self&'Ar1ejt�ral�ss�i e nCr a r 'o V1 0rty+other personlo 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 iteMiterfihssll GG rr
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP IN 11 VOICE
8081 _7ITY OF C;(tRMF'I_- -E ?IJILUIItiIG I+I(aIl',,rT. 4 -.r
SR,# 1. CIVIC c30UPiRE ATTENTION
.,AI-a.MEL., IN TAX EXEMPTION:
D 4603
TERMS: r+ r r•
1 :J Li .i 1 E V 11 L++ r f"1 <�8E .,,rt"I L.1...
o DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
10865 865 flCB fiRMORALL W IPES 1. 00 E:,. o40 4._590 79
r...4�.aR I IRE w C)r "a1 +1 0 4. 828 N �4, 7.98
1081 •1C0 j1RI' ORALI.- WIPES 00 E 011.0 4.
1"t.
765 -2469 '3K PIN(-) COLADA El- r"'RESH 1.00 110 2.490 0 2. 4
765-2455 3K iIl<W CAR SCENT' A FRESI -I 1. oo 110 2.490 2. 13
11. 3TRAlnBERRY A FRESH 1. 3. 111.) El. 11.90 2.49
�q
25 RESTOCK FE.E. lItbt of al "30. 42
REMIT TCc 11 W MAIN Tax 7 TAxTi( -)3LE 3s 0.00
LE BANON I {tit, 46 s is
;k Y� ;,�)'O- C.
J) SIGNATURE TOTAL CHARGE SALE 30. 12
A LL GOODS RE RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed•by Stateoard 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
T
7 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
s o O8 7 02 1 37 a
Total 30
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