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Home My WebLink About176680 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1 s4� ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $65.76 CARMEL, INDIANA 46032 1212 W MAIN ST LEBANON IN 46052 -2324 CHECK NUMBER: 176680 CHECK DATE: 9/2/2009 CiEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4231500 8032 65.76 OIL ll H&H Automotive Supply NAPA Auto Parts of Westfield 1212 W. Main Street (317) 896 -5615 L 4APAD ebanon, IN 46052 -2324 (317) 896 -1820 Fax NAPA Auto Parts of Noblesville (317) 773 -3180 Remit to (317) 774 -0932 Fax (765) 482 -1180 NAPA Auto Parts of Carmel (800) 924 -6831 Boone County Automotive, Inc. (317) 844 -3973 (765) 482 -7398 Fax 1212 W. Main Street, Lebanon, IN 46052.2324 (31 844 -6220 Fax TOOL SALE 9/16 9/17 LEBANON* *9/23 9/24 WESTFIELD BILL TO CITY OF CARMEL ENGINEERING STA ONE CIVIC SQUARE CARMEL, IN E 8032 41 1 46032 DATE P EFE NCE O P.Q.fC� IECKl,1:E 08%04%09 Inv 737264 21.92 E1 08/11/09 Inv 737875 43.84 s �i r p v uJ Ci dr3. c' Summary as of 08/25/2009 Previous Balance 53.14 Payments 53.14Cr Purchases 65.76 Current Balance 65.76 Future Dated 0.00 CURRENT PA T DUE:30. L7AY PAST DUE 60 GAYS PAST DUE 90 DAYS 65.76 0.00 0.00 0.00 DATE 08/25/2009 o t a 1, C# w e d. 65.76 TERMS No svc due 10th STORE 100006128 -0004 T D v t c 1< L1 Lk 65.76 NAPA Auto Parts ;of _Carmel 111 Medical Drive Carmel; Indiana 46032 •317- 844 -3975 Fax: 317 844 -6220 Please Remit To: H H Automotive Supply 1212 W MairrSt. •Lebanon, IN 46052 I O N AGRICULTURAL EXEMPTION CERTIFICATE agricultural use J J INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION LIMITED WARRANTY PLEASE READ _d hereby certify under the penalties of perjury that the personal property purchased by the use of this ezemptioo certificate will be direct) 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 nstitutes all of the warranties with respect to the sale of this it The seller hereby expressly must lie made within TEN DAYS and must be 5y by this INVOICE NUMBER. This disclaims all warranties, co 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. G NO RETURN ON ELECTRICAL PARTS. i ACCT p,SOLD TO DATE TIME iE STORE 1 ��787a r)�ti;ty CITY OF CF�f3h1EL ENGINE!~RIriCa 8/11/09 i0 4t_i 1 <-r0C-)c:16133 -;mot SR ONE--* .0 I V I C SQUARE PURCHASE:ORDER ATTENTION l CAfdMEL, IN 41 4:60,32. TAX EXEMPTION.. AD KEEP COPY" I NV TERMS Ia S v C clue l Ot h UHHHUL ti;:at. DELIVERY..n PARTNU,MBER. j LN DESCRIPTIONS: QUANTITY PRICE ;'xNET "TOTAL 1 SEA F I L NAF'AGOI..I? OIL F T LTEF? M.ti. «C' 13. 000 7. 990 15. 98; 4 75°-130 NOL NAPA 1OW3o. QT 14> 00 3..360 1. 990 '27.86 Above Item "cn 5a 1 el 5Y REST REMIT 12 c. bJ T "�asc 79> �AXTAI3I E' 3 e 0 e tj0 .7 52 t N SIGNATURE TOTAL jr �f�RC;E "SALE 4 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE A :NAPA Auto Parts of Carmel T 111 Medical Drive •:Carmel, lndieiha 46032.317- 844 -3973 *,Fax- 317= 844 -6220. 1 E Please Remit To .H H Automotive.Supply' 1212 W. Main•St •Lebanon; IN 46052 AGRICULTURAL EXEMPTION CERTIFICATE `agricultural use K INDIANA DEPARTMENT OF REVENUE SALES TAX DIVISION LIMITED WARRANTY PLEASE READ I hereby cenify:under the penalties of perjury that the persohal property purchased by the'useof this exemption certificate will be directly used in the direcroduci do f agricultual protlucts for resale. Please examine thesepaiis at once: Errors should, be reported before using orinstallingg. Returns 'The factpry warrantyconstitutes all of the warranties with respect to the sale of this item /items: The seller lierebyexpressly. must be made within TEN DAYS and be accompanietl;bythis INVOICENUMBER. This disclaims albwarranties, either express or implied, inclutling, any implied warranty of merchantability or fitness for aparticular property is sold to yoU witti the definite.understandirig 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 connecuon with the "has been added to the price ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE.'. sale otthis Itemrtems.. NO RETURN ELECTRICAL PARTS. ACCT r SOLD TO DATE TIME STORE EMP C.T1 Y 'iJ� C.fa I EL Ir'IhfE RThIG4, $;'t)4 /c_�9 1..1. e" :1t� Lc�s00(jE'i3 iTABLE SR C?NE, C-1 Q I C... u00 A RC .PURCHASE ORDER•# ATTENTION u Q N: 4 4E,c:��,�; TAX.EXEMPTION: AD..' i�EEI�. GG�'Y Il�'J' TERMS:in. v'� ..cil.xe .1,iatht LIVE CHARGE, SALE.` bERY: PART NUMBER `,r sLN 4 t DESCRIPTION ,',r (�UA'NTITY PRICE `NET TOTAL'' s�ti�r Chevrolet Tr ue Tr a'i1Slea er cr C c�256 CI1? L6 F IL FR 15r r t 11 1�1t�1�'f1[ C3L D I E 1 Y')o 1.3 -c �t_) t 3.. iAFtp jCit;l �t. G?T, 7 Jo'38(.): 1..:_99t� 13a: About stern .'gin S "l a.: f- �LSTCC!✓,.. F Ei• =-ru.0 u c.�i RF_MIT`��TC! EBANQN ic,_ MA,I.I�i Twit 7�� .f1X 3 tjfj L I ha- l: X SIG T17TAL CHARGE SALE.. ;E 1 e'9 1� NATURE/ ALL GOODS. RETURNED MUST BE ACCOMPANIED BY THIS,INVOICE t Preycribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER r CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by 4whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Napa Auto Parts of Carmel Purchase Order No. 1212 W Main Terms Lebanon IN, 46052 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/25/09 737264/737875 Oil filter and Oil $65.76 acnt# 0803 E1, E2, E3 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. -r ALLOWED 20 Napa Auto Parts of Carmel IN SUM OF 1212 W Main Lebanon IN, 46052 $65.76 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 737264/737875 200- 4231500 $65.76 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 Signature Cry t;�c Title Cost distribution ledger classification if claim paid motor vehicle highway fund