HomeMy WebLinkAbout178059 10/14/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC
CHECK AMOUNT: $312.19
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 178059
CHECK DATE: 10/14/2009
r DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.11110 4237000 7983 312.19 REPAIR PARTS
HAH Automotive Supply NAPA Auto Parts of Westfield
1212 W. Main Street 317) (317) 896 5615
Lebanon, IN 46052 -2324 (317) 896 1820 Fax
NAPA Auto Parts of Noblesville
4 06 (317) 773 -3180
(765) 482 -1180 Remit to (317) 774 -0932 Fax
(800) 924 6831 Boone County Automotive, Inc. NAPA Auto Parts Carmel
(317 844 -3973
(765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052 -2324 8 44 622 0 Fax
BILL TO STAT
CITY OF CARMEL /POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN n ,.a
7983 43 1
46032
08/27/09 PMT 82709 238.41 Cr 176147
07/21/09 Inv 736074 60.27
08/27/09 Inv 739256 32.08✓
08/31/09 Inv 739561 284.76✓
09/02/09 JE 000809 4.65, /Cr 2 PCT ACCESS DISC AUG
Summary as of 09/26/2009
Previous Balance 634.54
Payments 812.68Cr
Purchases 316.84
Adj 4.65Cr
Current Balance 134.05
Future Dated 0.00
134.05 0.00 0.00 0.00
DATE 09/26/2009
�S ���v �r`�� O yr 134.05
TERMS No svc due 10th
STORE 100006128 -0004 134.05
BOONE COUNTY AUTOMOTIVE
1212 W. MAIN STREET
LEBANON INDIANA
46052 2324
7983 CITY OF CARMEL /POLICE DEPT
CLOSING DATE 09/26/2009
NAPA Auto' Parts.:of Carmel
111 Medical; Driu`e: Ca "rmel. indiaria 46032.• 317- 844 -3973 Fax:31 7-844 6220
Please Remit To:. H:& H Automotive Supply 1212 W Main St •Lebanon, IN 46052
'AGRICULTURAL EXEMPTION CERTIFICATE use
penallles of perjury that the -SALES TAX DIVISION: LIMITED WARRANTY PLEASE READ INDIANA DEPARTMENT OF REVENUE EAD
AAWA
hereby certlfy under the personal prbpertypurchased by the of this exemption certificate will be
rectly used an the gjrec production of agricultural products for resale.,,
'Please examine these arts at once? Errors should be beforev orinstalling. Returns' 'The factorywarranry.conshtutes all the warranties with respect to the sale of this item items. ?he Belle hereby expressly
Ct musbbe matle within TEN DAYS and must be
accompanied sin nied by, this INVOICE NUMBER disclaims all warranties' either express or implied, including any imp
This-
wavaniy of merchantability or fitness for a particular
property,is sold to you with.the definite understanding that it'is purchased for resale,.unless tax;' PU f h ind the seller assumes nor authorizes any other person to assume for it any liability in connection with the
NO RETURN -0N ELECTRICAL PARTS." ESTOCKING CHARGE.' sale of this itemPoems. r
has been,atltled to the pnce. RETURNS SUBJECT TO 10;/ R
`ACCT SOLD TO DATE y TIME STORE °Y EMP
a
T.
TY Uf F�PI I L '!`COLI CE U GT F lI 09 `f )7 C,s�t )Gi ,1 i 7 r
SR CI V.IC SG�Ut lti'E PURCHASE'ORDER ATTENTION
LrARME g 1N
TAkEXEMPTION:
AD EEI t t":0�1' t�iV TERMSaIn v rI,tp Q'th l":'I•aARrl~:
.3, DELIVERY _JR .TRLICK
PART'NUMBER L-14 DESCRIPTION QUANTITY PRICE NET TOTAL
Y, LIGHT 1 00 43. Eta t) �',e�� t .ic'�.
1
RES1 OC FEIr'; StxiatbtAl
REM IT 7O 1 c 12 W i�l Al z a 'l5`a 1 t�'� TAHL E' er C) 00 ov
SIGNATURE TOTAL CI�ARC �F11 E
ALL GOODS t}
RETURNED MUST BE ACCOMPANIED. BY THIS/NVO r
r
INAP- Auto Parts :of Carmel
111 Medical'Drive Carmel, I6diana:46032.• 317 =844 3.973 Fax Y317 844 6220:
A
Please Remlt To H H. Automotive:Supply.1212�W Main St •Lebanon,]I 46052 3%
EXEMPTION CERTIFICATE
agricultural: use
^K INDIANA DEPARTMENT OF REVENUE'- 'SALES TAX
LIMITED WAR
a RANTY 'PLEASE READ r
P J AI e of this `exe
I hereby certdy under the penalties of perjury that the peisonal props y purchased by the usmption cer skate will be
A. dvectly used in the duech .pFOductwn of agricultural products for.resale. j;
„Please;ezamine.these'parts s4 once. Errois should reportedbetore usirig or installing ,Returns The factory warranty consh W x all of the warranties wnh a n y rnpl ed the sale otthis item /items. The seller hereby expressly:
s
_,.r- o "dtsclaimsall
s, either or implied, including any tmphty of merchanlabdiry or fiiness,tora particular
be made within TEN' must be acbompanled;tiyitnis INVOIQE.NUMBER. This ur ose an'tl theseller neither assumes hi
nor authorize? an 'other erso warrann o assume or an liabil in connection with the
property is sold.to you'wiltr9fiedeflnite understanding'that rt tspurchased for resale; unless tax P p y p t fit y ry
sale of this iteMttems. i
has been addetl to the`piioe. ALL`'RETURNS SUBJECT TO 10 F7ESTOCKING CHARGE r
fi ,;5^y, !,°�.�sNO RETURN ON ELECTRICAL'RARTS: r
.c.,.
ACC7r# uakE �SOL'DTO ea TIME x g
f F r` s. STO EMP
DATE RE 0 0
C(~ 1YEPT. 8/x;'1 c5
„$R PURCHASE :ORDER`# >ATTENTIONa §t�
�a 3':?t TAXsEXEMPT,ION'
S ADF"' I t�'� tlVt► TERMS Q `s��c i3 ic�t!'� GIFRC�C
c fi DELIVERY )R "rF2LJG!`
PART NUMBER `LN r ..r., DESCRIPTION QUANTITY' t .PRICE NET< TOTALr
74 e�a�� L��p :5,� 58���? +a:7� R,
At T DARE I7F i�t L' X0 9 �"y avt
T
f t r• fir'
t
J.
G
;mil RESTQC4
V
REi h Iv
L 1� �J I�IAIi�lr r 7 �T�lB� E: t�
E-E1 1`I f
/TZC1nk' rSIGNATURE TG1'AL CHARGE
ti ACCO BY THIS
ALL G0,
ODS RETURNED MUST BE AC i
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
Boone County AUtomotive
Purchase Order No.
1212 W. Main Street Terms
Lebanon, IN 46052 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
919 /nq payment for repair parts 312.19
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
Boone County Automotive IN SUM OF
1212 W. Main Street
Lebanon,_IN 46052
312.19
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 370 312.19 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
October 6 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund