HomeMy WebLinkAbout176682 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354290 Page 1 of 1
`F ONE CIVIC SQUARE BOONE COUNTY AUTOMOTIVE, INC CHECK AMOUNT: $335.99
CARMEL, INDIANA 46032 1212 W MAIN ST
LEBANON IN 46052 -2324 CHECK NUMBER: 176682
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CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER A DESCRIPTION
651 5023990 8048 122.64 737393
651 5023990 8048 25.58 738830
651 5023990 8048 187.77 738988
HRH Automotive Supply 0 NAPA Auto Parts of Westfield
1212 W. Main Street 4APAD (317) 896 -5615 NNEW Lebanon, IN 46052 2324 (317) 896 1820 Fax
NAPA Auto Parts of Noblesville
0® (317) 773 -3180
Remit to (317) 774 -0932 Fax
765) 482 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 (317) 844 -6220 Fax
TOOL SALE 9/16 9/17 LEBANON* *9/23 9/24 WESTFIELD
BILL TO STATEMENT
CITY OF CARMEL- SEWAGE DEPT
1 CIVIC SQUARE
CARMEL, IN A T PAGE
46032 04
88 41 1
...;DATE:.; ..:TYPE:; ......REFERENCE Fv40UN .,..P- .O.ICHEC'K/1.E,
08/05/09 Inv 737393` X22.64
08/19/09 Inv 738588 187.77
08/21/09 Inv 738830 25.58
Summary as of 08/25/2009
Previous Balance 188.60
Payments 188.60Cr
Purchases 335.99
Current Balance 335.99
Future Dated 0.00
y CURRENT -PAST DUE 30zIAY PAST DUE 60..'.'DAYS PAST DUE 90 DAYS
335.99 0.00 0.00 0.00
DATE 08/25/2009 T o a 1 p w ead 335.99
TERMS No svc due 10th
STORE 100006128 -0004 x
NAPA Auto Parts of Carmel
111 Medical Drive Carmel, Indiana 46032 317 844 -3973 Fax: 317 844- 6220ry=
kAJ 111 Please Remit To: H H Automotive Supply 1212 W. Main St. •Lebanon, IN 46052
AGRICULTURAL EXEMPTION CERTIFICATE agriculture) use INDIANA DEPARTMENT OF REVENUE -SALES TAX DIVISION
hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate will be LIMITED WARRANTY PLEASE READ
directly used in the rect production of agricultural products for resale. di
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
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.
NO RETURN ON ELECTRICAL PARTS.
ACCT E; -TO DATE TIME STORE# EMP t
08048 CIl °Y OF CARMEL— SEWAGE DEPT 8/,05/09 l4:21 Lc,"aCz006133 3,33 73
I 'C I V I C SQUARE PURCHASE ORDER ATTENTION"
SR# CARMEL IN GARY LAFOLLIC
41 4 6032 TAX,EXEMPTION:
AD TER MSt:Io Svc dl_�e 10th CHARGE S ALE
4
DELIVERY:
PARTNUMBER ;LN DESCRIPTION .QUANTITY PRICE NET TOTAL
3405 F IL 'MAPABOLD FUEL FILTER 3.00 36. Ot_K 1 §1. 090 57. 27.
4073.;1 F I;L NAPA COOLANT FILTER 3.00 4o. 750 21.790 65. 37
V
C
5% RE TO.CN FEE 3�_�` a,. 122.84
R I IT, Tl7 i 12 W MAIN Tax 7% TAXTAK.E 3 0.00
LERANON' KI 460
/SIGNATURE TOTAL CHARGE SALEs?'.4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
NAPA Auto Parts of CarmeliA
111 Medical Drive Carmel;` Indiana 46032 317 844 3973`• Fax: 317 844 -6220
l
Please Remit To: H H Automotive Supply 1212 W: Main St. Lebanon, IN 46052
A PA AG E XE MPTION agricultural use
INDIANA DEPARTMENT PARTMENT OF OF REVENUE VENUE -SALES TAX X DIVISION
I hereby certify under the penalties of perjury that the personal property purchased by the use of this exemption certificate LIMITED WARRANTY PLEASE READ be
directly used in the direct production of agricultural products for resale.'
Please examine these parts at once. Error; 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 t
�n 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 itemltems.,
F NO RETURN ON ELECTRICAL PARTS.
ACCT ij' SOLD TO DATE TIME STORE j EMP,#
08048 CJTY' OF CARMEL.-- •SEWAGE DEPT 8/19/09 D9 .-;c:4 i,i_i0006133 33 73-858
SR 1 C.1 V I.0 SQUARE PURCHASE ORDER f ATTENTION
CARMEL,. IN
2-41 46{,)32 TAX EXEMPTION:
SAD TERMS'`lo ivc di_te 17th LhIAFZOE
16 DELIVERY:
PARTNUMBER LN DESCRIPTION QUANTITY PRICE ,NET' TOTAL �rttl,
65.13 F I L .NAPAGOLD AIR FILTER 3. 0tj '59. 620 31. 490 94.47
4390 FIL ELEMENT G.00 f 10.390 62. 34.
AR27c' ECH RELAY 3A 00J. 20. 690 10.321 30.96 R
;d
25% RES TOOK FEE 187. "/7
REMIT TOe'. 1212 W MAIN Tax 7% TAXTAELE 3 0.00
LEBANON IN, 46052
'SIGNATURE T OT AL fAL CHARGE SALE 187.77 a`
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE �r
NAPA A uto Pa of Carrhel j
111 Medical Drive;'Carmel,.Indiana,.46032.• 317- 844 3973"• Fax317- 844 -6220 z:
Please Remit To: H WAutomotive Supply 1212 W: Main St •Lebanon 46052
AGRICULTURAL EXEMPTION CERTIFICATE
ILD f agricultural use
NDIANA DEPARTMENT OF REVENUE -SAES TAX DIVISION
S .LIMITED WARRANTY PLEASE READ
L L I hereby cent y uhaer thepenalhes ofperjury that the personal property purchased by the use of this exemption cemficate will be
directly used in the direc(prpductionpfagrigpltural products for resale:.
Please examine these parts at once. be reported oefoie. using or installing Returns "The factory warranty constitutes all of the warranties with respect to the sale of this ite�tems. The seller hereby expressly
C1 must be made withinYEN DAYS and mu4hbe accorrmpanied by tFiis 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 understanGing that it is purchased for resale; unless taz ,Purpose and the seller neither assumes nor authorizes any other person to assume for it any liability m connection the
"has been added to the price.•ALL RETURNS SUBJECT TO 10 %:RESTOCKING CHARGE. sale of this ite�tems.; t
_MO RETURN ON ELECTRICAL PARTS 2
ACCT SOLD TO DATE TIME STORE -EMP;# e
c rdc '4S C TY t RdYIf �LWC�GE :DEFT' 0 /Z a 1 u c 57, i t l�_r� aCrE
r i C I V I G
Sri RE
PURCHASE ORDER ATTENTION ,r•
r SR#
GA1TNiEiva JEFF:
5
4,F)r�� .TAX EXEMPTION:
Ap TERMS.•!o; �v :d Wt]' Cl fIRGE 'SRLE
15 JUR' TRUCK
DEL'IVERy s:
.PART NUMBER LN DESCRIRTION QUANTITY" f k PRICE NET.' f s :TOTAL'
iND" It"RED, 'S C�L STD BE*L:I" 'Zr 00 I i 07 q ry
lKt�T FRET`GI -IT 1d c rr. r I �)0 4�.{rc D ,1i
t
f
I f
r
4
5 5 RE��"1C��F f�EE�.. I:
n:. o t a t e'58
REMIT TD 1 1L W MAIlei TAN. 7Y TAxTAk�RE Q: Uc7
LE:I3Ahi ��y�F6t�`it`.
r k
7 6 .S s
SIGNATURE TOTAL CHARGE SALE. �;5ti 58 r
ALL GOODS RETUNED MUST BE ACCOMPANIED,BY THIS INVOICE
a
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354290
NAPA BOONE COUNTY AUTOMOTIVE INC Purchase Order No.
1212 W. MAIN STREET Terms
LEBANON, IN 46052 Due Date 8/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/28/2009 738830 $25.58
y
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
X'd�
Date Officer
VOUCHER 096316 WARRANT ALLOWED
354290 IN SUM OF
NAPA BOONE COUNTY AUTOMOTIVI
1212 W. MAIN STREET
LEBANON, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
738830 01- 7502 -06 $25.58
I
i
3 s Aq
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund