HomeMy WebLinkAbout164615 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CHECK AMOUNT: $26.32
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 164615
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200• 4231500 8032 26.32 OIL
CY
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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
N
AR INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION agricultural use
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 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
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 item/items. 1 tU.
NO RETURN ON ELECTRICAL PARTS.
ACCT SOLD TO DATE TIME STORE EMP
CITY 0F C,AC'iEL. t NCTN1~EP:tNC 0/09f0 i.0 -73I:`: 33 1 7115
SRR ONE C I V I C SQUAR t PURCHASE ORDER ATTENTION
C_;t1RMEL., IN
46032 TAX EXEMPTION:
AD t P COPY INN TERM&ho vc dt_te :tI)t CH(-aRGE SAL
DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
2 004 Chevrolet Trt.tc:k Tr 1Bla. er° 4. 2 i.-56 CI D L6
7'5 1::0 NOL Cdi =aPA 10W30 t; ?t` 7 00 3 496 i'_. t,3 19.53
15 i'e::IYIP I:° IL. Nf')F)AGj )LD 01L. FILTER 1.00 12.100 6.790 6.79
F
Sf RC.S CJCK FEE SfuT� �.t J.. 26.
SIGN'URE "fC1T'f ;L -;3 GF °tt- tFi(:jE:_ StL.FF= ti t::,.
ALL' GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
t Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Boone County Automotive
,1. Purchase Order No.
212 W. Main Street
Terms
Lebanon, IN 46052 -2324
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/9/08 711552 Oil and oil filter $26.32
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
—B o-o- no County Autemefive IN SUM OF
1212 W. M ain Street
Lebanon, IN 46052 -2324
$26.32
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 711552 2200- 4231500 26. 32 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
20 C�
Signature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund