HomeMy WebLinkAbout159789 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
0 CHECK AMOUNT: $42.08
s•,�`.`l, CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 159789
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 ACCT 08032 42.08 697591
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
I hereby certify untl AGRICULTURAL EXEMPTION CERTIFICATE A N INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION agricultural use
under the penalties of perjury that the personal property purchased by the use of this exemption certificate will.be LIMITED WARRANTY PLEASE READ
directly used in the direct production of agricultural products for resale.
Please examine these pads 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 itemltems. 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 itemltems.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP 0 1
�'t�C►:� I Tti' OF AFCMr L 'NC T NEEFl T I�1G 5/13/08 1 s 1 33 69759 1
ONE CIVIC SQUARE PURCHASE ORDER ATTENTION
SR CARMEN_., IN a
1 a.1 4 6032 TAX EXEMPTION:
AD ;EEP COPY IN4' TERMS:�v�' Svc [I1_te .Icri UHHKUL 5 LL.
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
75-0 NOL NAPA. QUART SW+.:l i 1 t r:► r A E,1. �a USA► 9. 2E;
152E1 1711- OIL FtL 2. oc:► 12.310 6. 41.0 10, 5; =2. R
LAC/ RESTOCK FEE 42.08
REMIT' TO: 121E' W MAIN Tai; 7% TAXTABLF. t. ►,.�►ti
LEBANON I N, 46052
V 1 SIGNATURE TOTAL CHARGE SALE 42. 08
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
r
An invoice or.bill to be properly itemized must show: kind of service, performed, dates service rendered, by
whom, -rates per day, number of hours, rate per hour, number of unis, price per unit, etc.
Payee
Boone County Automotive
Purchase Order No.
1212 W, Main Street
Terms
Lebanon, IN 46052 -2324
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/13/08 697591 Oil and oil filter $42.08
$42.08
Total
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
VpU t c,! ER NO. WARRANT NO.
ALLOWED 20
Roone COLintyAutnmative IN SUM OF
1212 W. Main Street
Lebanon, IN 46052 -2324
$42.08
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 697591 200- 4231500 $42.08 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
Z3 200,F
2 7& Z
Sign re
Cost distribution ledger classification if Tltl
claim paid motor vehicle highway fund