HomeMy WebLinkAbout160263 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CARMEL, INDIANA 46032 1212 wMAIN Sr CHECK AMOUNT: $34.55
LEBANON IN 46052 -2324 CHECK NUMBER: 160263
CHECK DATE: 6/10/2008
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DEPARTNtENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DES CRIPTION
1205 4237000 ACCT 8081 27.86 695697
1205 4237000 ACCT 8081 6.69 696030
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3jD5 NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220 is
I Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052 N
AN hereby INDIANA
AGR OF REVENUE CERTIFICATE
SALES TAX DIVISION agricultural use
LIMITED WARRANTY PLEASE READ fYk
perjury property purchased b the use of this exemption certificate will be
Y certi fY under the P enalties of P I ry that the personal P P en YP Y exem P
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
propedy 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 iteMt ems
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
08081. CITY OF CARMEL- BUILDIN G MAINT. 4/28/08 08,, 0 1000 19 G- ',030
1 C I V I C E-30UARE
SR CARME:L, :Eli
PURCHASE ORDER ATTENTION
1 4 TAX EXEMPTION:, 1 I r
I V W U t- Lt .t'V L 6: IA F4 64_ Sf L.. E
If AD' TERMS:
DELIVERY: 7 Y U 7 9
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
1394 E_ 0I1 FI I_ 1. 00 1. 1. 600 6. 69 G
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2`5 REEST ICK F. EE c t a_ 6. C59
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REMIT O: 12 1.2 W MAIN T -i:t 7/� TAX ABLE 3 0. 00
LEBANON IN 460 2
X SIGNATURE TOTA CHARGES SALT 6-1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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
AGRICULTURAL EXEMPTION CERTIFICATE agricultural use
E DEPARTMENT OFREVENUE -SALES TAX DIVISION LIMITED WARRANTY •PLEASE READ
INDIANA 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 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 far a paI ular
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 =1
08061 CITY OF t::ARMEL BUILDING MAINT. 4/24/08 08 :58 100006.133 :33 6 9 5657
1 CIVIC SQUARE;
SR CARME=L, IN PURCHASE ORDER ATTENTION
41 46032 TAX EXEMPTION:
AD TERMS: eI rAR E
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
7e511 NW I1 (.'.jM 1. Q0 e. f_,1(I 1. WZK) 1. 1(+
72:5176 NW TERMINAL Gil 3. 00 3. 940 '2. sa•`.30 7. 47
725132 NW SILICONE CABLE SEAL 4. 00 0. 850 0. 490 1.96
7=517:1. NW TC.:FthlINAL GM 2.00 1. tj90 0. C-19 0 1.38
725170 NW TERMINAL i:iM 2. 00 0. 620 0.590 1.18
785924 NW BUTT CONNECTOR 2.00 1 270 7.190 14.38
BUCKET X X X WASH BUCKET KIT 1. 0 0 U. 000 0. Va=s 0
2 5% RES r OCK F EE
E 27.86
REMIT TO.- 1.212 W M III Tax 7/. TAXTABL.E: 3 o.00
LEI3f~aNC:tf'd IN, 46052
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If SIGNATURE TOTAL CHARGE SALE i 7. k36
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
3 r 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))
04/28/08 696030 Oil Filter
OA
r/24/0§ 695697 Cable Seal, Wash Bucket Kit, etc $27.86
Total $34.55
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
VOUCH EFO& NO.
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ALLOWED 20
H &-H Automotive Supply
k 9 ��K v A. 4 IN SUM OF
121'2 W. Main Street
Lebanarr, IN 46052-2324
$34.55
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 ADMINISTRATION
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 696030 370 $6.69 materials or services itemized thereon for
which charge is made were ordered and
received except
20
S'' ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund