HomeMy WebLinkAbout176679 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
s t ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $20.42
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 176679
CHECK DATE: 9/212009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
'1125 4237000 8011 20.42 737235
NAPA Auto Parts of Carmel {tf
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844 -6220
IIIIr Please Remit To: H H Automotive Supply 1212 W. Main St. *Lebanon, IN 46052
N
APA L AGRICULTURAL EXEMPTION CERTIFICATE agricultural use El
INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION 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 itemfitems. The seller hereby expressly
E
C must be made within TEN DAYS and must be accompanied by this INVO NUMBER. This
IC 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% RESTOCK ING CHARGE. sale of this itetems.
NO RETURN ON ELECTRICAL PARTS:
ACCT SOLD TO DATE TIME STORE EMP
8 1 1 Cn RMEI---- •Ci._.n. Y PARKS REC R 8 LQ —A-A4 :�f3 a .�k3 t f:ac at ►�:)F,1.:; 3, 1� 7235 r r�
SR 9.41 9. E. 1 1 E:,TFI STREET PURCIiA8E ORDER ATTENTION
CnRMEL, IN L J
G. 4G 03. r' TAX.EXEMPTION:
AD U EEP COPY I NV TERMS;:lo q vc-, due 10th CHARGE S ALE
3 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
978 L-IT WEST CL']As"r MIRROR 1. 36. 20.422 2(). 4.2 R
Purchase
Descriptial
P.O.# PorF ,1
_J
G.L.
Budget
Lire Desc AUG 0 0 6 009
r
Purchaser
Approval Z e
1
25 �RESTOCl•, FEE ti'llt3 1
REMIT TO, 1 c_' 1 2 W MA Tzix 7% 'IAXTABLE 3 6.00 �i44
LEBANO .IV, 46052
I
/SIGNATURE To CHARG SA LE 2 0. 4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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) Purchase Order No.
354290 Boone County Automotive Terms
1212 W Main Street Date Due
Lebanon, IN 46052 -2324
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/4/09 737235 Mirror on dump truck 22355 F 20.42
Total 20.42
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
Voucher No. Warrant No.
(NAPA)
354290 Boone County Automotive Allowed 20
1212 W Main Street
Lebanon, IN 46052 -2324
In Sum of
20.42
�i
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 737235 4237000 20.42 1 hereby certify that the attached invoice(s), or
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
27 -Aug 2009
Signature
20.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund