HomeMy WebLinkAbout159240 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $3.12
1212WMAINST
LEBANON IN 46052 -2324 CHECK NUMBER: 159240
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
911 4351000 7983 3.12 ACCT 7983
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NAPA Auto Parts of Carmel
C" 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 I hereby certify under El •r„
NAPA INDIANA DEPARTMENT OF REVENUE- SALES TAX DIVISION LIMITED WARRANTY PLEASE
er the penalties of perjury that the personal property purchased by the use of this exemption certificate will be Pe
directly used in the direct production of agricultural products for resale. •T
Please examine these parts at once. Errors should be reported before using or installing. Returns he factory warranty constitutes all of the warranties with respect to the sale of this ite�tems. The seller hereby expressly
C1 must be made within TEN DAYS and must he accompanied by this INVOICE NUMBER. This dfi6ims 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': Purp 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 CHARG�� sale of this itemAtems. ry trr
NO RETURN ON ELECTRICAL PARTS.
i 4l
ACCT SOLD TO DATE TIME STORE EMP
07983 CI OF CAR1 /F'OLICI" DEPT 4 /21 /08 14 :5'3 1iic_I0 iG133 1 30 1 695388
3 CIVIC SQUARE PURCHASE ORDER ATTENTION
SR CARME L., 11\1
43 4.6 2 TAX EXEMPTION:
AD EEf COPY INV TERMS: "cl v 5 01.tP i% -fVIII CHARGE CHARGE
lILJ1 t KUL,P
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
L°_'Cfc_'5 C._�dil 1. c E ;ciilalrle 6.'0 L. 366 CID V8..
T„
21042 SEI OIL FIL-TER 14 oo 5. 20 0 3. 120 3. 12
25% RESTOCK FEE w v' a A. w 3.12
FREMIT TO: 1212 W MAIN Tax 7! TAXTAHLE 3 0.00
LEBANON IN, I +6052
SIGNATURE 'TOTAL. 1; SALE 3.1
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
;1n 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))
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
(A W.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
9i1 G 9S 6 5io DD 3 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
5 20 0,0
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund